相关变化:一种新的方法来检测医疗保健利用率的区域变化模式
Jan Håkon Rudolfsen1, Jan Abel Olsen1,2,3
1Department of Community Medicine, University of Tromsø, Tromsø, Norway.
PloS one
|June 22, 2023
概括
对于特定的治疗,区域医疗保健的使用有很大差异,而不是总体支出. 这项研究揭示了急诊和选择性护理之间的替代效应,影响了跨专业的治疗率.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 卫生经济学 卫生经济学
- 公共卫生政策 公共卫生政策
背景情况:
- 医疗保健使用率呈现持续的区域差异.
- 国家卫生预算分配的人均口罩变化在特定治疗使用.
- 医学专业内或医学专业之间的替代效应可能解释了这些差异.
研究的目的:
- 调查医疗专业内和医疗专业之间替代效应的程度.
- 区分紧急和选择性护理之间的替代模式.
- 通过了解治疗利用率的区域差异,为医疗保健政策提供信息.
主要方法:
- 使用了挪威统计局和挪威患者登记处 (2010-2015年) 的数据.
- 在19个医院地区的人均诊断相关群体 (DRG) 计算重量.
- 应用主要组件分析 (PCA) 来分析DRG重量模式和处理生产.
主要成果:
- 类似的治疗方法在区域范围内聚集在一起,治疗频率解释了29%的总变化.
- 在高紧急和高选择性护理治疗之间观察到负相关性.
- 选择性护理专业之间的替代效应解释了49%的差异.
结论:
- 医疗保健利用的区域差异受紧急和选择性护理之间的替代效应的影响.
- 减少医疗保健差异的政策必须考虑紧急/可选服务和跨专业替代之间的相互作用.
- 了解这些动态对于公平的资源分配和医疗保健提供至关重要.
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