在保加利亚,哪些因素影响了医疗服务的使用情况? 一项跨部门调查的结果
Elka Atanasova1, Svetlana Panayotova1
1Department of Health Economics and Management, Faculty of Public Health, Medical University-Varna, Varna, Bulgaria.
European journal of public health
|June 6, 2024
概括
安德森的行为模型解释了保加利亚的医疗保健利用情况. 自我报告的健康状况,慢性疾病和对提供者的信任显著影响服务使用,指导未来的健康政策.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 卫生政策 卫生政策
背景情况:
- 关于影响保加利亚医疗服务利用的因素的研究有限,使用特定的分析模型.
- 安德森的行为模型被广泛认可,用于分析医疗保健获取和利用模式.
研究的目的:
- 应用安德森的行为模型来确定保加利亚医疗保健服务利用的决定因素.
- 分析影响全科医生访问,专家咨询和住院治疗的因素.
主要方法:
- 在2023年,保加利亚进行了一项在线调查,从消费者那里收集数据.
- 一个标准化问卷评估了过去12个月的医疗保健服务使用情况.
- 进行了二进制物流回归分析,以确定服务使用的重要预测因素.
主要成果:
- 自我报告的健康状况和慢性疾病的存在显著预测了医疗保健的利用率,不包括全科医生访问.
- 对全科医生和医院的信任增加与更高的检查和住院率有关.
- 预测和启用特征被确定为医疗保健服务利用的重要决定因素.
结论:
- 安德森的行为模型有效地解释了保加利亚背景下的医疗保健服务利用情况.
- 建议对健康结果及其对利用的影响进行进一步的研究,以优化医疗保健服务提供.
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