了解在线双重实践对卫生系统绩效的影响:中国的一项定性研究
Yushu Huang1, Duo Xu2, Sian Hsiang-Te Tsuei3
1Department of Health Policy and Management, School of Public Health, Peking University Health Science Center, Beijing, China.
Health systems and reform
|June 14, 2023
概括
在线双重实践,即医生在公共和私人平台上工作,提供了诸如改善访问和效率等好处,但也带来了风险. 需要谨慎的监管,以最大限度地发挥优势,并减轻对医疗保健系统的潜在危害.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 数字健康数字健康
- 公共卫生政策 公共卫生政策
背景情况:
- 在全球范围内,COVID-19大流行加速了在线医疗保健平台的增长.
- 公共医院医生越来越多地通过私人平台参与在线服务,创造了"在线双重实践".
- 这种新兴模式需要对其对卫生系统绩效的影响进行审查.
研究的目的:
- 探索在线双重实践对卫生系统绩效的多方面的影响.
- 确定潜在的政策响应来管理在线双重实践.
- 收集从参与这种实践的医疗保健专业人员的见解.
主要方法:
- 使用深度采访的定性研究方法.
- 对57名参与在线双重实践的中国受访者采访数据的专题分析.
- 有目的的抽样选择相关参与者.
主要成果:
- 在线双重实践对卫生系统的表现产生了不同的影响.
- 益处包括提高可访问性,改善远程获得优质护理,以及更好地优化患者流动.
- 风险包括可能分散公共医院职责的注意力,滥用虚拟护理和医生机会主义.
结论:
- 如果有效管理,在线双重实践可以提高医疗保健的可访问性,效率和质量.
- 缓解策略,包括适合环境的法规,对于解决不利后果至关重要.
- 政策制定应考虑医疗保健系统的背景,优先事项和治理能力.
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