经济指标,医疗保健资源的数量和质量影响术后死亡率
Raffaele Merola1, Maria Vargas2
1Anesthesia and Intensive Care Medicine, Department of Neurosciences, Reproductive and Odontostomatological Sciences, University of Naples "Federico II", Naples, Italy. rafmerola2003@gmail.com.
Journal of epidemiology and global health
|May 27, 2024
概括
医疗保健资源的质量,而不是数量或经济指标,与手术后住院死亡率的降低密切相关. 提高医疗保健质量是降低患者死亡率的关键.
科学领域:
- 医疗保健管理的管理
- 公共卫生 公共卫生
- 外科手术的结果
背景情况:
- 手术后住院死亡率仍然是医疗保健系统绩效的关键指标.
- 了解影响死亡率的因素对于改善患者治疗结果至关重要.
- 欧洲外科结果研究 (EUSOS) 提供了关于外科患者结果的宝贵数据.
研究的目的:
- 研究医疗保健资源指标 (质量和数量),国家经济因素和术后住院死亡率之间的关系.
- 通过EUSOS研究和公开数据库的数据分析相关性.
主要方法:
- 利用公开可用的数据库进行变量识别.
- 从EUSOS研究中提取了手术后住院死亡率数据.
- 使用斯皮尔曼非参数和非线性回归分析.
主要成果:
- 医疗保健资源质量与术后住院死亡率有很强的负相关性.
- 医疗保健资源量显示出中度负相关性.
- 国家经济指标与死亡率有中度和负相关.
- 一般死亡率 (WHO) 呈现出非常温和的正相关性.
结论:
- 医疗保健的质量在很大程度上决定了术后住院死亡率,超过了资源数量和支出.
- 提高医疗保健系统的质量是降低手术后住院死亡率的推策略.
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