患者感知到的初级保健质量与自己报告的中国医院利用率之间的关系:一个横截面研究
Chenwen Zhong1,2, Junjie Huang2, Lina Li1
1Department of Health Policy and Management, School of Public Health, Sun Yat-sen University, Guangzhou, Guangdong, China.
The European journal of general practice
|February 26, 2024
概括
在中国,提高初级保健的质量减少了医院的使用,包括入院和门诊访问. 然而,更好的护理连续性可能会增加急诊室的访问量,这需要进一步研究.
科学领域:
- 医疗保健管理的管理
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 减少可避免的住院病例是全球卫生优先事项.
- 最佳的初级保健是关键,但它在发展像中国这样的系统中的作用,没有强制性守门,是研究不足的.
- 患者对初级保健质量的看法及其与中国医院使用的联系需要探索.
研究的目的:
- 调查患者感知到的初级保健质量与中国医院自报利用率之间的关联.
- 分析不同领域的初级保健质量如何影响医院使用模式.
主要方法:
- 来自中国16个初级保健机构的数据.
- 用初级保健评估调查 (六个领域) 来评估患者感知质量.
- 医院利用率 (门诊,住院,急救诊所) 自报;用于分析的后勤回归.
主要成果:
- 感知到更高的初级保健质量与整体医院利用率较低的几率相关 (AOR 0.417).
- 改善的质量与减少门诊访问 (AOR 0.394) 和住院 (AOR 0.496) 相关.
- 护理的连续性与急诊室的访问有积极的关联 (AOR 2.252).
结论:
- 在中国,患者感知到的初级保健质量的提高与整体医院利用率的降低有关.
- 特定的领域,如连续性,可能与不同类型的医院使用有复杂的关系.
- 需要进一步的研究来验证这些发现,并了解政策制定的细微差别.
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