在一般实践中量化未满足需求:对行政数据的回顾性队列研究
Alex McConnachie1, David A Ellis2, Philip Wilson3
1Robertson Centre for Biostatistics, School of Health and Wellbeing, University of Glasgow, Glasgow, UK Alex.McConnachie@glasgow.ac.uk.
在社会经济上处于贫困地区的患者获得的通用诊所 (GP) 接触时间较少,特别是那些患有长期疾病的患者. 为了解决这种不平等问题,需要在贫困地区将全科医生接触时间增加14%.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 主要护理医学 医疗保健
- 健康的社会经济决定因素
背景情况:
- 社会经济贫困与健康不平等有关.
- 贫困地区的一般医生可能面临资源挑战.
- 公平的患者护理是医疗保健的一个关键目标.
研究的目的:
- 为了比较在社会经济上贫困地区获得的患者护理与较不贫困地区的一般诊所.
- 量化贫困地区需要的额外资源,以实现公平的护理.
- 调查社会经济地位对患者和GP接触时间的影响.
主要方法:
- 苏格兰150个一般实践 (2013-2016) 的回顾性队列研究 (2013-2016).
- 对贫困地区的437,590名患者和较不贫困地区的333,994名患者的患者联系号和持续时间的分析.
- 按年龄,性别和长期疾病 (LTC) 的数量分层.
主要成果:
- 贫困地区的患者接触者略多,但总体接触时间较短.
- 在贫困地区的LTC患者中,观察到接触时间的显著减少.
- 对于患有多种长期疾病的患者来说,差异最为明显.
结论:
- 与较不贫困地区相比,社会经济贫困地区的一般做法为具有相似需求的患者提供较少的接触时间.
- 需要在贫困地区增加14%的患者接触时间才能实现平价.
- 调查结果支持资源再分配,以解决反向护理法的问题.
更多相关视频
07:31Implementation of a Real-Time Psychosis Risk Detection and Alerting System Based on Electronic Health Records using CogStack
Published on: May 15, 2020
06:28E-Patient Counseling Trial E-PACO: Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
Published on: August 1, 2019
相关概念视频
Observational Studies
There are three types of observational studies – Prospective, retrospective, and cross-sectional.
Prospective Study
Prospective studies, also known as longitudinal or cohort studies, are carried out by collecting future data from groups sharing similar characteristics. One...
Types of Biopharmaceutical Studies: Controlled and Non-Controlled Approaches
Non-controlled studies, commonly employed for initial exploration, lack a control group, rendering them susceptible to biases and external influences. In contrast,...
Data Collection by Observations
An astronomer viewing the motion and brightness of stars in the sky and recording the data is an example of observational data collection. A botanist recording...
Kaplan-Meier Approach
Nursing Assessment
The nurse collects all aspects of the patient's health in the initial assessment, establishing priorities for ongoing focused assessments...
Introduction to Epidemiology
