人们对医疗过度使用有什么了解和看法? 在德国进行了一项在线问卷调查研究
Carolin Nürnberger1,2, Thomas Kühlein2, Susann Hueber2
1Faculty of Medicine, Friedrich-Alexander-University Erlangen Nürnberg (FAU), Erlangen, Germany.
PloS one
|March 7, 2024
概括
许多公民不知道医疗过度使用,经常把它误认为过度治疗. 提高公众对药物过度使用直接危害的认识,对于有效的缓解策略至关重要.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 公共卫生政策 公共卫生政策
- 患者安全 患者安全
背景情况:
- 医疗过度使用涉及医疗保健服务超过患者需求,干预伤害超过益处.
- 过度使用会影响患者的福祉,并压迫医疗保健资源.
- 了解患者对过度使用的看法对于解决这个问题至关重要.
研究的目的:
- 探索公民对医疗过度使用的理解.
- 评估公众对其相关性,原因,后果和潜在解决方案的看法.
主要方法:
- 对406名参与者进行了一项定量在线调查.
- 参与者定义了医疗过度使用,并评估了有关其原因,后果和解决方案的陈述.
- 招聘由市场研究机构小组提供便利.
主要成果:
- 58%的参与者从未听说过过度使用药物;60%的人将其等同于"过多的药物,过度治疗和过度测试".
- 过度使用主要涉嫌在公共医疗保险之外的服务 (56%),手术 (45%) 和药物 (37%) 中.
- 引用的原因包括不协调的护理和财务激励,而医疗保健成本上升是主要的后果,直接伤害患者的频率较低.
结论:
- 医疗过度使用的有限公众意识,特别是对患者的直接伤害,阻碍了有效的缓解.
- 在公众看来,财务方面比伤害患者更为突出.
- 建议公众对药物过度使用的危害进行教育,作为解决问题的第一步.
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