关于平等获得医疗保健的态度与非营利性医疗保健系统中有效的临床决策的态度
Ganeev Singh1, Laura Corlin2,3, Paul R Beninger2
1Department of Medicine, University of Massachusetts Chan Medical School, Worcester, MA, USA.
概括
医院员工在临床决策中对医疗保健准入与效率的偏好不同. 临床医生倾向于平等获取,而管理人员优先考虑效率,影响患者护理.
科学领域:
- 医疗保健管理的管理
- 医学伦理 医学伦理
- 医疗保健服务研究 医疗服务研究
背景情况:
- 医院系统中的专业角色可以塑造人们对临床决策的态度.
- 了解这些不同的观点对于优化医疗保健服务至关重要.
研究的目的:
- 调查医院员工在临床决策中平等获得医疗保健和效率之间的偏好.
- 确定专业角色如何影响医疗保健资源分配的选择.
主要方法:
- 对医院员工进行了一项匿名调查,在平等访问查策略和高效但更难获得的查策略之间进行选择.
- 从2021年8月到2022年1月,从塔夫斯医学医疗保健系统的参与者收集了数据.
- 统计分析包括千平方测试,t测试和后勤回归,以检查选择及其与人口和职业因素的关联.
主要成果:
- 在1346名受访者中,48%选择了"平等获取",而52%选择了"高效"的选择.
- 在测试选择和性别,专业角色和临床角色之间发现了显著的关联.
- 临床医生更倾向于平等获取,而非临床医生和管理人员倾向于提高效率.
结论:
- 医院工作人员在医疗保健获取和效率方面存在不同的偏好,这可能会在临床决策中产生冲突.
- 这些不同的态度,特别是在临床医生和管理人员之间,可以影响患者护理和整体医疗保健质量.
- 调查结果强调了在医疗保健政策和资源分配中需要考虑各种专业观点的必要性.
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