影响医院而不是诊所在韩国初级保健的偏好因素
Agnus M Kim1, Jin-Seok Lee1,2
1Department of Health Policy and Management, Seoul National University College of Medicine, Seoul, Korea.
Journal of Korean medical science
|January 16, 2024
概括
在韩国,患者对医院而不是诊所的偏好是由感知到的舒适性和信任驱动的,而不是医疗必要性. 由于这些患者的愿望,守门措施可能会失败,这凸显了需要行为改变策略的需要.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 医疗保健政策 医疗保健政策
- 患者行为 患者行为
背景情况:
- 医疗保健系统的门对于有效的资源分配至关重要.
- 现有的守门策略在某些国家背景下经常被证明是无效的.
- 了解影响医疗机构选择的患者特定因素至关重要.
研究的目的:
- 调查影响韩国门诊护理医疗机构选择的患者因素.
- 确定特定国家门卫措施无效的原因.
主要方法:
- 来自2021年韩国医疗保健经验调查的基于人口的样本 (15岁以上) 的分析.
- 应用物流回归模型来确定与选择医院与诊所相关的因素.
主要成果:
- 诊所的选择与可访问性,工作人员的善意和社会建议有关.
- 医院更喜欢感知舒适度和对医疗保健系统的信任.
- 偏爱诊所的患者希望改革医疗保健系统,而医院用户则不同.
结论:
- 医院的偏好往往是基于愿望,而不仅仅是基于医疗需求.
- 目前的守门干预措施可能无法有效地改变患者的行为.
- 未来的策略应该考虑患者的看法和偏好.
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