发展中国家患者自我转诊模式:特征,患病率和预测因素
Mohammad Jahid Hasan1, Md Abdur Rafi2, Nahida Hannan Nishat3
1Tropical Disease and Health Research Center, Dhaka, 1100, Bangladesh. dr.jahid61@gmail.com.
BMC health services research
|May 21, 2024
概括
孟加拉国近60%的患者绕过了转诊系统,由于初级保健设施不足,选择自行转诊到第三级护理. 这突显了医疗保健获取和效率的关键差距.
科学领域:
- 医疗保健管理的管理
- 公共卫生政策 公共卫生政策
- 医疗保健服务研究 医疗服务研究
背景情况:
- 孟加拉国等发展中国家的医疗保健服务受到推系统挑战的阻碍.
- 有效的医疗保健接入依赖于强大的转诊系统,但它面临着重大障碍.
研究的目的:
- 评估孟加拉国第三级护理医院的患者中自我转诊的流行情况.
- 确定与自我转介到专业医疗保健服务相关的因素.
主要方法:
- 一项涉及孟加拉国两家三级医院822名患者的横截面研究.
- 通过半结构化问卷收集的数据,重点关注推模式 (个人与机构).
主要成果:
- 59%的患者自行转介到第三级护理; 58%的人不知道转介系统.
- 治疗和设施不足是自我转诊的关键驱动因素,特别是在私人机构.
- 城市居住,更高的收入和接近设施增加了自我推的可能性.
结论:
- 在孟加拉国,由于初级保健的不足,很大一部分患者自行转诊到第三级护理.
- 解决初级保健的不足对于优化医疗保健推系统和改善患者获得专业护理至关重要.
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