美国医院中物质使用社区福利优先级和服务线路的调整:一个横截面研究
Cory E Cronin1,2, Luke Kubacki3, Lauren Donovan3
1College of Health Sciences and Professions, Ohio University, Athens, OH, 45701, USA. croninc@ohio.edu.
Addiction science & clinical practice
|February 13, 2024
概括
在社区卫生需求评估中优先考虑物质使用的医院提供更多相关服务. 医院规模也影响服务提供,这表明资源配置是解决社区物质使用需求的关键.
科学领域:
- 公共卫生 公共卫生
- 医疗保健管理的管理
- 医疗保健服务研究 医疗服务研究
背景情况:
- 美国的非营利性医院必须根据"负担得起的医疗法案" (ACA) 每三年进行一次社区健康需求评估 (CHNA).
- 医院在CHNA中经常将物质使用识别为一个重要的社区健康需求.
- 本研究探讨了在医院文件中优先考虑物质使用与实际提供的服务之间的联系.
研究的目的:
- 评估医院在社区福利文件中对物质使用的优先考虑与其物质使用服务产品之间的关系.
- 探索医院和社区特征对这种关系的影响.
主要方法:
- 分析了美国医院的CHNA和实施策略 (2018-2021) 的全国样本.
- 用描述性统计和多变量分析来检查关系.
- 来自AHA年度调查的医院数据提供了二次数据.
主要成果:
- 在实施战略中优先考虑物质使用与提供物质使用服务的数量之间存在显著的积极关系.
- 医院规模也与提供服务的数量有积极联系.
- 特定的服务类别与优先级和医院规模有显著的积极关系.
结论:
- 医院对药物使用的优先考虑及其规模与其服务供应有关.
- 资源的可用性可能会影响医院决定优先考虑和解决社区物质使用需求.
- 该CHNA和实施战略过程对于医院参与社区健康问题是有价值的.
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