确定区域间患者流动的驱动因素:对医院病床捐赠的分析
Giovanni Guarducci1, Gabriele Messina1,2, Simona Carbone3
1Post Graduate School of Public Health, University of Siena, 53100 Siena, Italy.
Healthcare (Basel, Switzerland)
|July 29, 2023
概括
意大利的患者流动性
科学领域:
- 医疗保健管理的管理
- 公共卫生政策 公共卫生政策
- 卫生经济学 卫生经济学
背景情况:
- 意大利的去中心化医疗保健系统在健康规划和融资方面给予了区域自治.
- 分析患者流动性至关重要,因为它在这个系统中的经济和社会影响.
研究的目的:
- 调查意大利各地区医院康复患者的流动性.
- 确定医院床位的可用性是否影响这些患者流动模式.
主要方法:
- 利用来自意大利卫生部医院出院卡数据库 (2011-2019) 的入院数据.
- 采用Gandy的Nomogram来评估患者的流动性,并创建了吸引力 (AI) 和逃避 (EI) 索引来分析床位作为驱动器.
- 使用斯皮尔曼测试与AI和EI相关联的区域床位捐赠.
主要成果:
- 甘迪的Nomogram表明,只有某些意大利北部地区显示出有效的医院计划康复.
- 在四个地区观察到床位和AI之间的显著相关性,在八个地区观察到EI.
结论:
- 意大利北部选定的地区有效地满足居民的护理需求,呈现出患者吸引力与逃离的积极平衡.
- 医院床位的可用性似乎是患者流动的重要驱动因素,特别是影响患者"逃离"到其他地区.
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