质量和成果框架分数与社会经济贫困之间的关系:一项纵向研究
Oliver Mann1, Tristan Bracegirdle2, Saran Shantikumar2
1Warwick Medical School, University of Warwick, Coventry, UK oliver.mann@doctors.org.uk.
BJGP open
|August 10, 2023
概括
英格兰的初级保健质量显示了社会经济差异. 较不贫困地区的实践始终获得更高的质量和成果框架 (QOF) 评分,表明持续的不平等.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 公共卫生 公共卫生
- 健康 公平 卫生 公平
背景情况:
- 英格兰的质量和成果框架 (QOF) 鼓励一般实践的质量.
- 获得QOF是初级保健质量的公认代表.
- 社会经济因素可能会影响初级保健业绩.
研究的目的:
- 检查社会经济贫困和英语初级保健中的QOF成就之间的关联.
- 为了确定护理质量是否因地区贫困水平而有所不同.
主要方法:
- 对英语通用实践 (2007-2019) 的回顾性纵向分析.
- 将QOF得分与多重贫困指数 (IMD) 联系起来.
- 贝塔回归和多变量分析,调整人口统计数据.
主要成果:
- 较不贫困地区的实践始终获得更高的QOF分数.
- 这个差距最初缩小了,但自2015年以来已经停滞不前.
- 在人口调整后,不平等程度有所减少;65岁以上的年龄与成就有很强的关系.
结论:
- 在英格兰,在初级保健质量方面仍然存在重大的社会经济不平等.
- 人口结构因素可以部分解释这些差异,但不能消除这些差异.
- 可能需要有针对性的干预措施来解决贫困地区的质量差距.
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