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Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
Published on: February 16, 2011
品質は病院の選択に影響を及ぼすのか?
H S Luft1, D W Garnick, D H Mark
1Institute for Health Policy Studies, University of California, San Francisco 94141-0936.
JAMA
|June 6, 1990
まとめ
患者のアウトカムによって測定される病院の品質は,公衆のデータリリースの前に,患者の選択に影響を与えました. 劣悪な結果は入院を抑止し,病院の選択において品質が重要な役割を果たしたことを示唆している.
科学分野:
- 医療サービス 研究 医療サービス
- 医学経済学 医学経済学
- ヘルスケア・マネジメント・ヘルスケア・マネジメント
背景:
- 患者のアウトカムに基づく病院の品質の公的報告が増加しています.
- 公的データが公開される前に,病院の選択に影響を与える要因を理解することは極めて重要です.
研究 の 目的:
- 病院の品質が,データ公開前に患者と医師の選択に影響を与えたかどうかを調べる.
- 病院の選択における品質,料金,所有権,距離の影響を評価する.
主な方法:
- カリフォルニア州における外科および医療診断のための病院選択の分析,1983年.
- 品質 (患者への結果),料金,所有権,距離など,影響力の推定.
主要な成果:
- より大きな距離と公的/私的所有権により,病院の選択の可能性が低下しました.
- 医学部への入学は,選考の可能性を高めました.
- 患者のアウトカムが悪くなると,ほとんどの処置や診断の入院数が著しく減少します.
結論:
- 患者のアウトカムによって示される病院の質は,公衆のデータが広く利用可能になる前に,病院の選択における重要な要因でした.
- 距離や所有権などの品質以外の要因も,選択に影響を与えた.
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