瑞士老年人对医疗服务模式创新的偏好:潜伏类,选择建模研究
Anna Nicolet1, Clémence Perraudin1, Nicolas Krucien2
1Center for Primary Care and Public Health (Unisanté), University of Lausanne, Lausanne, Switzerland.
European journal of public health
|January 20, 2024
概括
老年人对医疗改革的偏好各不相同. 一项研究确定了三个群体:那些赞成综合护理的人,一个寻求彻底改变的小群体,和第三个抵抗改革的群体.
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
- 老年学是指老年学的学科.
背景情况:
- 越来越多的多种慢性疾病的流行需要协调的护理策略.
- 了解患者的偏好对于有效的公共卫生干预至关重要.
- 老年人是医疗改革讨论的关键人口群体.
研究的目的:
- 探索瑞士老年人之间对协调护理提供模式的偏好异质性.
- 根据个人对医疗保健改革的开放性来确定个人独特的个人资料.
- 为实施医疗改革制定量身定制的战略提供信息.
主要方法:
- 一项离散选择实验 (DCE) 调查在网上和纸质上对50岁及以上的瑞士成年人进行.
- 使用隐性类型模型将具有相似偏好的个体分成组.
- 分析了背景特征,以了解它们对类成员资格的影响.
主要成果:
- 三个不同的类别出现了,反映了不同程度的对医疗保健改革的开放.
- 第一类 (49%) 喜欢由跨专业团队管理的综合护理,担心保费增加.
- 第二类 (19%) 较年轻,对医疗保健系统的彻底变化持开放态度,而第三类 (32%) 则强烈抵制变化.
结论:
- 医疗改革需要量身定制的方法,承认患者的不同偏好.
- 跨专业团队,电子健康记录和保险费变化是改革沟通的关键领域.
- 确定不同的人口概况对于成功实施医疗保健政策至关重要.
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