影响退伍军人的医院选择的医院和患者因素
Jean Yoon1,2, Michael K Ong3,4,5, Megan E Vanneman6,7
1VA Palo Alto Health Care System, Menlo Park, CA, USA.
Medical care research and review : MCRR
|September 8, 2023
概括
2014年以后,退伍军人越来越多地选择非VA护理. 诸如学术背景和患者经验等因素影响了医院选择,特定的患者群体更喜欢VA医院.
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
- 卫生政策 卫生政策
背景情况:
- 从2014年开始,退伍军人事务 (VA) 医疗保健系统扩大了注册退伍军人获得非VA护理的机会.
- 了解影响VA和非VA医疗机构之间的患者选择因素对于系统规划和资源配置至关重要.
研究的目的:
- 检查与医疗机构选择相关的医院和退伍军人的特点.
- 模拟退伍军人医院的退伍军人偏好与大型和小型非VA医院的偏好.
主要方法:
- 采用了纵向研究设计,分析了11个州在2011年至2017年间的选择性住院病例.
- 条件逻辑模型用于分析VA医院,大型非VA医院和小型非VA医院之间的患者选择.
主要成果:
- 患者更有可能选择具有学术关联,更高的患者体验评级,更接近的医院和常见的医院类型的医院.
- 男性退伍军人,种族/少数民族,那些有更高的VA入学优先级,以及患有精神疾病的个人显示出更倾向于选择VA医院而不是非VA选择.
结论:
- 退伍军人医院的选择受到特定医院属性的重大影响,包括质量和患者体验.
- 为了保持竞争力和留住患者,VA医院必须专注于保持或提高其护理质量和患者体验.
相关概念视频
Hospitals-I
876
Hospitals offer medical and surgical care to the sick and injured, along with accommodation while they recover. At the same time, they also provide outpatient, emergency, psychiatric, and rehabilitation services to meet various community needs. In addition to providing medical care, hospitals also act as hubs for medical research and training. Hospitals use clinical procedures and evidence-based practice standards to deliver patient care. To deliver safe and efficient care, a nurse must stay up...
876
Hospitals-II
807
Hospitals provide inpatient and outpatient services. Inpatient services provide care to patients that stay in the hospital for an extended period, ranging from days to months. Examples of inpatient services include intensive care units, hospital wards, or surgeries. Outpatient services provide care to patients who come to a hospital for a diagnostic or treatment but do not stay overnight —for example, diagnostic tests, surgical procedures, or health education.
Nurses that work in...
Nurses that work in...
807
Healthcare Agencies II
723
There are various healthcare agencies in the United States—some of which are managed by religious institutions and others by different government branches.
Parish nursing is a growing specialty nursing profession that focuses on holistic healthcare, health promotion, and illness prevention. It blends professional nursing practice with a health ministry, focusing on health and healing within the context of a Christian community. Parish nurses serve as health educators, referral sources,...
Parish nursing is a growing specialty nursing profession that focuses on holistic healthcare, health promotion, and illness prevention. It blends professional nursing practice with a health ministry, focusing on health and healing within the context of a Christian community. Parish nurses serve as health educators, referral sources,...
723
Factors Affecting Illness
4.3K
When a person's physical, emotional, intellectual, social development or spiritual functioning is compromised, this deviation from a healthy normal state is called illness. Illness creates stress that in turn harms individuals. Irritation, anger, denial, hopelessness, and fear are behavioral and emotional changes an individual experiences in the phases of illness. A variety of factors influence a person's health and well-being.
For instance, risk factors are connected to illness,...
For instance, risk factors are connected to illness,...
4.3K
Specialized Care Centers and Settings-II
755
Rural Health Centers
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
755
Specialized Care Centers and Settings-I
969
Specialized care settings or centers are situated in convenient locations within the community and offer care to a specific group or population. They consist of daycare facilities, mental health facilities, rural health facilities, educational institutions, industries, shelters for the homeless, and rehabilitation facilities.
Daycare centers
They provide several functions. Some facilities care for healthy newborns and children whose parents work, while others are medically focused and care for...
Daycare centers
They provide several functions. Some facilities care for healthy newborns and children whose parents work, while others are medically focused and care for...
969


