医院的质量是否影响医院的选择?
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
概括
通过患者的结果来衡量医院的质量,甚至在公开数据发布之前就影响了患者的选择. 较差的结果阻碍了入院,这表明质量在医院选择中发挥了关键作用.
科学领域:
- 医疗服务研究 医疗服务研究
- 医学经济学 医学经济学
- 医疗保健管理的管理
背景情况:
- 公共报告医院的质量基于患者的结果已经增加.
- 在公共数据可用之前,了解影响医院选择的因素至关重要.
研究的目的:
- 在公开数据发布之前,检查医院质量是否影响了患者和医生的选择.
- 评估质量,费用,所有权和距离对医院选择的影响.
主要方法:
- 1983年在加利福尼亚州进行手术和医学诊断的医院选择分析.
- 影响因素的估计,包括质量 (患者的结果),费用,所有权和距离.
主要成果:
- 更大的距离和公共/私有所有权降低了医院选择的可能性.
- 医学院的附属性增加了选择的可能性.
- 较差的患者结局大大减少了大多数手术和诊断的入院率.
结论:
- 医院的质量,通过患者的结果表明,是医院选择的重要因素在广泛的公共数据可用性之前.
- 除了质量之外的因素,如距离和所有权,也影响了选择.
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