在中国的住院患者中,优先选择初级保健
Jinxin Zhang1,2, Xiaojie Sun3,4, Aaron Yao5,6
1Centre for Health Management and Policy Research, School of Public Health, Cheeloo College of Medicine, Shandong University, 44 Wenhuaxi Rd, 250012, Jinan, Shandong, China.
BMC public health
|February 12, 2024
概括
中国农村的回家患者更喜欢初级医疗保健 (PHC) 比城市同行. 最近的住院护理和家庭支持等因素影响了医疗保健中心的偏好,突出了对量身定制的健康策略的需求.
科学领域:
- 公共卫生 公共卫生
- 医疗保健管理的管理
- 老年学是一门学科.
背景情况:
- 初级医疗保健 (PHC) 对于管理家庭人口的健康需求至关重要.
- 了解在中国的家居人士中对PHC的偏好对于资源分配至关重要.
- 本研究解决了有关影响中国农村与城市卫生保健选择因素的知识差距.
研究的目的:
- 描述中国在家留住居民中对初级医疗保健 (PHC) 的偏好.
- 调查与农村和城市环境中PHC偏好相关的因素.
- 为医疗保健资源分配提供信息,并促进对弱势群体的PHC利用.
主要方法:
- 使用2020年中国家庭小组研究 (CFPS) 数据进行的国家代表性横截面研究.
- 分析包括个人特征,家庭照顾变量,以及在家的患者的PHC偏好.
- 多变量逻辑回归模型确定了与PHC偏好相关的因素 (ORs和95%CI).
主要成果:
- 58.43%的农村和42.78%的城市住院患者更喜欢PHC.
- 住院护理和家庭护理显著减少了农村和城市地区的PHC偏好.
- 非农业Hukou的城市参与者和中国中部的参与者显示了改变的PHC偏好.
结论:
- 建议将医疗保健服务量身定制为弱势群体,并优先考虑家庭支持.
- 基于家庭的公共卫生策略可以增强家庭患者对PHC的看法.
- 需要进一步研究Hukou系统对被困在家中的个人获得医疗保健的影响.
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