工作人员是否解释了资金和患者体验之间的关系? 对英格兰初级保健数据的调解分析
Natasha Salant1, Efthalia Massou2, Hassan Awan3
1Public Health and Primary Care, University of Cambridge, Cambridge, UK natashasalant@gmail.com.
增加实践资金改善了患者的体验,全科医生 (GP) 的员工占这一效果的30%. 政策应重点关注资金和全科医生人数,以获得更好的初级保健结果.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 主要护理医学 医疗保健
- 卫生政策 卫生政策
背景情况:
- 患者在初级保健中的经验是医疗保健质量的关键指标.
- 了解影响患者体验的因素,如实践资金和劳动力,对于改善服务至关重要.
研究的目的:
- 调查英格兰NHS实践中全科医生 (GP) 劳动力,实践资金和患者经验之间的关系.
- 确定GP工作人员是否在实践资金和患者体验之间的关联中起到调解作用.
主要方法:
- 分析英格兰所有NHS一般诊所的劳动力,资金和患者体验数据.
- 调解分析被用来评估一般医生的员工人数 (一般医生每10,000名患者) 在多大程度上反映了实践资金 (每个患者的支付) 和患者体验之间的联系,并进行了对共变量进行调整.
主要成果:
- 在实践资金和患者体验之间发现了显著的积极关联.
- 一般医生工作人员显著调解了实践资金对整体患者体验的影响的30%,即使经过调整以考虑农村地区,性别,年龄和贫困等因素.
结论:
- 增加实践资金对患者体验产生了积极的影响,部分是通过对全科医生工作人员的影响.
- 旨在改善患者体验的政策干预应考虑实践资金和初级保健工作人员之间的相互作用.
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