すべての健康保険は平等に作成されていますか? 医師の見解についてです
S J Borowsky1, M K Davis, C Goertz
1Department of Medicine, Minneapolis Veterans Affairs Medical Center, MN 55417, USA.
JAMA
|September 25, 1997
まとめ
医者のフィードバックは,健康プランの品質が著しく異なることを示しています. 高品質のケアへの主要な障壁には,時間制約と利用管理が含まれ,より良い健康プラン評価ツールの必要性を強調しています.
科学分野:
- 医療サービス 研究 医療サービス
- 医療の質の向上 医療の質の向上
- 医者の実践パターン
背景:
- 医療プランの品質情報に対する需要の増加.
- 医者は,品質評価の不足した情報源である.
- 医療プランの実施に関する医師の見解を理解する必要がある.
研究 の 目的:
- ヘルスプランの実践に関する医師の見解を評価する.
- 高品質のケアを提供することを促進または阻害する要因を特定します.
- 異なる健康保険における医師の評価を比較する.
主な方法:
- 3つの健康保険の249人の医師を対象に実施された調査です.
- 健康プランの実践を評価するために,Likert型アイテムを使用しました.
- 医師は,質の高いケアを促進または妨害する慣行を評価しました.
主要な成果:
- 高品質のケアをサポートする診療所の医師の評価は低い (<20%).
- 特定された障壁: 患者の時間制限,給付構造,利用管理.
- 医療プラン間の医師の評価と推奨の有意な違い.
結論:
- 医師の調査は,健康プランの強みと弱みを効果的に強調します.
- 評価は,健康プランによって大きく異なります.
- 医者のフィードバックは,消費者,購入者,および品質改善イニシアチブを導くことができます.
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