检查与韩国住院患者对过度治疗的看法相关的因素:一个横截面研究
Jin Su Jang1, Hyun Woo Jung2,3
1Human Behavior & Genetic Institute, Associate Research Center, Korea University, Seoul, Republic of Korea.
BMC health services research
|June 14, 2023
概括
住院患者对过度治疗的看法与性别,收入和健康状况等因素有关. 了解这些模式是减少不信任和改善患者提供者沟通的关键.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 患者感知研究 患者感知研究
- 医学社会学 医学社会学
背景情况:
- 患者对过度治疗的看法可能会削弱对医疗保健的信任.
- 由于信息不对称性,住院患者容易认为医疗服务过度.
- 这项研究调查了住院患者过度治疗感知中的系统模式.
研究的目的:
- 为了测试假设,在住院患者如何感知过度治疗方面存在特定模式.
- 确定影响住院患者对接受过度医疗护理观点的因素.
主要方法:
- 2017年韩国卫生小组 (KHP) 数据的横截面分析.
- 过度处理被定义为广义 (任何) 和狭义 (严格).
- 多变量逻辑回归与采样权重,使用安德森的行为模型.
主要成果:
- 分析了1,742名住院患者,19.9%报告过度治疗,4.42%报告严格过度治疗.
- 对过度治疗的看法与性别,婚姻状况,收入,慢性病,主观健康和医院类型有关.
- 主要的人口和健康因素显著影响患者对过度治疗的看法.
结论:
- 医疗保健提供者必须解决导致过度治疗的因素,以减少因信息不对称而导致的患者投诉.
- 政府机构应对过度治疗实施政策控制,并调解患者和医疗服务提供者之间的错误沟通.
- 缓解过度治疗的感知需要了解患者特定的因素和改善沟通.
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