2016-2020年乌克兰对初级医疗保健的满意度:对重复的横截面数据进行差异分析
Valentyna Anufriyeva1, Milena Pavlova2, Tetiana Chernysh Stepurko3
1Department of Health Services Research, CAPHRI, Maastricht University Medical Center, Faculty of Health, Medicine and Life Sciences, Maastricht University, the Netherlands. P.O. Box 616, 6200 MD Maastricht, the Netherlands; Ukrainian-Swiss project 'Medical Education Development', Swiss Tropical and Public Health Institute, Ukraine, Liuteranska street 6-b, apt. 43, Kyiv, 01001, Ukraine.
Health policy (Amsterdam, Netherlands)
|September 21, 2023
概括
对乌克兰的初级医疗保健的总体满意度仍然很高,并在2017年资本改革后略有增加. 然而,这项研究表明,这种上升并不是直接由改革本身造成的.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 卫生政策 卫生政策
背景情况:
- 乌克兰在2017年实施了初级医疗保健的资本改革.
- 评估这项改革对患者满意度的影响对于理解卫生系统变化至关重要.
- 关于后苏联国家的医疗改革影响的先前研究是有限的.
研究的目的:
- 评估乌克兰对初级医疗保健服务的普遍满意度.
- 为了比较服务的用户和非用户之间的满意度水平.
- 分析2017年资本改革之前和之后的满意度变化.
主要方法:
- 使用了来自"健康指数"的数据. 乌克兰"重复的跨部门家庭调查 (2016-2020年).
- 在匹配样本上使用差异差异方法.
- 分析了每轮调查中超过1万名参与者的数据.
主要成果:
- 在2016年和2020年,对地区/家庭医生和儿科医生的总体满意度很高.
- 对家庭医生的满意度从72.1% (用户) 增加到75.3% (用户) 和69.2% (非用户) 增加到71.9% (非用户).
- 儿科医生的满意度趋势是混合的,对家庭医生的满意度的整体增加与改革没有明确联系.
结论:
- 在乌克兰,对初级医疗保健的满意度普遍很高,并呈现出轻微上升的趋势.
- 2017年资本改革对这种满意度增加的直接影响是不确定的.
- 高/增加满意度的潜在因素包括低期望,主观的质量感知,改善的访问,和无关的一般改进.
相关概念视频
01:30Primary Healthcare Services
1.4K
Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
1.4K
01:26Methods Of Healthcare Delivery System
3.3K
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
3.3K
01:11Secondary Healthcare System
1.5K
Secondary healthcare is offered by a specialist, generally in hospitals or clinics for patients referred by primary healthcare providers. It occurs when a person has an illness or injury that requires specific medical care. Secondary care is often referred to as acute care. Secondary care can range from uncomplicated care to repair a minor laceration or treat a strep throat infection to more complicated emergent care, such as treating a head injury sustained in an automobile accident. Whatever...
1.5K
01:50Cross-Sectional Research
11.4K
In cross-sectional research, a researcher compares multiple segments of the population at the same time. If they were interested in people's dietary habits, the researcher might directly compare different groups of people by age. Instead of following a group of people for 20 years to see how their dietary habits changed from decade to decade, the researcher would study a group of 20-year-old individuals and compare them to a group of 30-year-old individuals and a group of 40-year-old...
11.4K
01:20Comparing the Survival Analysis of Two or More Groups
218
Survival analysis is a cornerstone of medical research, used to evaluate the time until an event of interest occurs, such as death, disease recurrence, or recovery. Unlike standard statistical methods, survival analysis is particularly adept at handling censored data—instances where the event has not occurred for some participants by the end of the study or remains unobserved. To address these unique challenges, specialized techniques like the Kaplan-Meier estimator, log-rank test, and...
218
01:16Crossover Experiments
2.9K
Crossover experiments, also called the repeated-measurements design, is a study design in which all experimental units are exposed to all treatments in different periods. Crossover experiments are generally used in psychology, the pharmaceutical industry, agriculture, and medicine.
Crossover designs are performed even with smaller sample sizes since the samples can act as their controls. These are better than simple randomized trials since patients are exposed to all the treatments.
Crossover designs are performed even with smaller sample sizes since the samples can act as their controls. These are better than simple randomized trials since patients are exposed to all the treatments.
2.9K