根据农村地区,患者在初级保健中的经验并不不同:一个横截面研究
Makoto Kaneko1,2, Hironori Yamada3,4, Tadao Okada5
1Department of Health Data Science, Yokohama City University, 22-2, Seto, Kanazawa-ku, Yokohama, Kanagawa, 236-0027, Japan. kanekom@yokohama-cu.ac.jp.
BMC primary care
|April 25, 2024
概括
在日本农村和城市,患者在初级保健中的经验类似. 这项研究发现,农村和城市人口之间的以人为中心的初级保健措施没有显著差异.
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
- 农村健康差异 农村健康差异
背景情况:
- 农村生活是健康不平等的一个重要因素.
- 对初级保健医生来说,解决健康不平等至关重要.
- 重要的是要比较农村和城市环境中的初级保健质量.
研究的目的:
- 在日本,研究农村和患者体验 (PX) 之间的关联.
- 用验证的措施来评估PX和农村性.
- 这是日本首次进行此类研究.
主要方法:
- 使用在线调查进行横截面研究.
- 按性别和年龄分层随机抽样.
- 针对PX的以人为中心的初级保健措施 (PCPCM) 和针对农村地区的日本乡村指数 (RIJ) 的日本版本.
- 多变量线性回归分析.
主要成果:
- 800名参与者完成了调查 (71.9%的响应率).
- 平均PCPCM得分为2.46 (SD:0.73);RIJ中位数为15 (IQR: 6-33). 平均PCPCM得分为2.46 (SD: 0.73);RIJ中位数是15 (IQR: 6-33). 平均PCPCM得分是2.46 (SD: 0.73);RIJ中位数是15 (IQR: 6-33).
- 农村地区与PCPCM总得分没有显著的关联 (调整系数: -0.02;p=0.114).
结论:
- 在日本一般人口中,患者在初级保健中的经验并没有因乡村而有所不同.
- 调查结果表明,农村地区可能不是日本初级保健患者体验的重要决定因素.
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