农村医院关闭:对1990年至2020年间发表的研究进行了全面审查
Journal of health care for the poor and underserved
|June 3, 2024
概括
农村医院的关闭正在加速,最近的关闭往往是更大的设施. 需要进一步研究对农村有色人种社区和低收入人口的影响.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 农村卫生 农村卫生
- 卫生政策 卫生政策
背景情况:
- 自2011年以来,美国农村医院的关闭数量多于在美国开设的数量.
- 1990年至2020年期间,共有334家农村医院关闭.
- 农村医院关闭在服务不足的地区对医疗保健的准入构成了重大挑战.
研究的目的:
- 对自1990年以来农村医院关闭的同行评审文献进行范围审查.
- 综合现有研究在六个关键主题与农村医院关闭相关.
- 识别文献上的差距,特别是关于弱势农村人口的差距.
主要方法:
- 从1990年起发表的同行评审研究的系统搜索.
- 范围审查方法,以综合各种研究中的发现.
- 专题综合文献,重点关注政策,前体,经济,获取,健康和定义方面.
主要成果:
- 农村医院的关闭数量有所增加,2010年代关闭的医院通常比20世纪90年代关闭的医院有更多的病床.
- 许多研究报告了关闭对健康影响的零发现,可能是由于"农村医院关闭"的各种定义.
- 在了解有色人种和低收入人口对农村社区的具体影响方面存在重大差距.
结论:
- 农村医院关闭的趋势需要更深入地了解其多方面的影响.
- 未来的研究应该优先考虑研究对边缘化农村社区的影响.
- 为了更一致的研究结果,需要对农村和医院关闭的标准化定义.
相关概念视频
Hospitals-I
834
Hospitals offer medical and surgical care to the sick and injured, along with accommodation while they recover. At the same time, they also provide outpatient, emergency, psychiatric, and rehabilitation services to meet various community needs. In addition to providing medical care, hospitals also act as hubs for medical research and training. Hospitals use clinical procedures and evidence-based practice standards to deliver patient care. To deliver safe and efficient care, a nurse must stay up...
834
Specialized Care Centers and Settings-II
721
Rural Health Centers
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
721
Current Trends in Nursing II
1.2K
Trends in nursing are multifactorial and associated with changes in society, within the nursing profession, and in other professions. Notably, telehealth and remote nursing contribute to successful healthcare delivery for numerous patients and help reduce stress for nurses due to nursing shortages. Nurses can reach patients, monitor their conditions, and interact with them using computers, audio, visual accessories, and telephones—for example, remote patient monitoring systems. Likewise,...
1.2K
Methods Of Healthcare Delivery System
3.2K
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
3.2K
Truncation in Survival Analysis
194
Truncation in survival analysis refers to the exclusion of individuals or events from the dataset based on specific criteria related to the time of the event. This exclusion can happen in two primary forms: left truncation and right truncation.
Left truncation occurs when individuals who experienced the event of interest before a certain time are not included in the study. This is often due to a "delayed entry" into the study where only those who survive until a certain entry point are...
Left truncation occurs when individuals who experienced the event of interest before a certain time are not included in the study. This is often due to a "delayed entry" into the study where only those who survive until a certain entry point are...
194
Issues And Trends In Healthcare Delivery System
5.6K
The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
5.6K


