医疗保健利用率与主观幸福感之间是否存在联系? 在老年丹麦人中进行了一项探索性研究
Maiken Skovrider Aaskoven1, Trine Kjær2, Dorte Gyrd-Hansen2
1DaCHE - Danish Centre for Health Economics, Department of Public Health, University of Southern Denmark, Campusvej 55, Odense M, 5230, Denmark. maaskoven@health.sdu.dk.
概括
主观幸福感 (SWB) 影响医疗保健的使用,特别是那些与健康相关的生活质量 (HRQoL) 较低的人. 健康不佳和SWB的个人可能无法充分利用必要的医疗保健服务.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 心理学 心理学 心理学
- 公共卫生 公共卫生
背景情况:
- 传统因素,如社会经济地位,会影响医疗保健的使用.
- 个人福祉在寻求医疗保健行为中的作用是研究不足的.
研究的目的:
- 调查主观幸福感 (SWB) 在医疗利用中的作用.
- 确定SWB是否预测通用实践服务使用超出健康状况 (HRQoL).
主要方法:
- 利用了50-80岁的丹麦公民的相关调查和行政登记数据.
- 分析了SWB和一般实践利用,控制HRQoL和先前利用之间的关联.
主要成果:
- 根据HRQoL,SWB与医疗保健利用的关联有所不同.
- 在HRQoL较低的人群中观察到SWB和医疗保健利用之间的积极关联.
- 结果与反向因果关系的控制对象相比强大.
结论:
- 健康不佳和SWB低的人可能未充分利用医疗保健.
- 需要积极主动,供应驱动的医疗保健干预措施,特别是针对弱势群体.
- 在医疗保健利用研究和实践中,SWB是需要考虑的重要因素.
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