缺乏信任是否导致过度使用或不充分使用医疗保健服务?
Elise R Warda1, Abigail Taye, Michael Perskin
1New York University Grossman School of Medicine, Translational Research Building, 227 E 30th St, 6th Floor, New York, NY 10016.
The American journal of managed care
|August 24, 2023
概括
对医疗保健的不信任会导致服务的不充分使用和过度使用. 当患者对提供者缺乏信任时,他们可能会寻求多种意见或不必要的治疗方法.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 医学社会学 医学社会学
背景情况:
- 主流的叙述表明,对医疗保健的不信任导致服务使用不足,这在COVID-19大流行期间显而易见,疫苗犹.
- 这次审查认为,不信任对医疗保健利用的影响更复杂,可能导致过度使用.
研究的目的:
- 批判性地检查患者信任与医疗保健利用之间的关系.
- 提出对医疗保健的不信任也可能导致医疗服务的过度使用,挑战传统的不足使用叙述.
主要方法:
- 对研究,元分析和采访的文献综述,评估患者信任对医疗保健利用的影响.
- 分析现有研究,包括调查和医生访谈,以确定与不信任相关的医疗保健使用模式.
主要成果:
- 虽然关于过度使用的文献有限,但证据表明,不信任的患者可能会寻求多次咨询,并选择更昂贵的,未经指示的干预措施.
- 医生报告说,在与缺乏信任的患者打交道时,外来测试和药物的使用增加.
结论:
- 缺乏对医疗保健的信任是导致医疗服务不足和过度利用的重要因素.
- 需要进一步的研究来了解影响不信任导致使用不足或使用过多的因素.
- 调查不信任和医疗保健过度利用对于优化资源配置和患者结果至关重要.
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