在挪威,一般诊所的护理连续性在挪威
Lamija Delalic1, Mari Grøsland1, Geir Godager2,3
1Department of Health Services Research, Norwegian Institute of Public Health, Oslo, Norway.
PloS one
|July 11, 2024
概括
挪威的护理连续性在2006-2021年期间保持稳定,圣莱昂纳德医院的全国平均水平很高.
科学领域:
- 初级保健研究研究初级保健研究
- 医疗保健服务研究 医疗服务研究
- 护理的连续性 护理的连续性
背景情况:
- 护理的连续性是优质初级医疗保健的基石.
- 测量护理的连续性对于评估医疗保健系统绩效至关重要.
- 了解时间趋势和持续性的地理差异对于政策制定至关重要.
研究的目的:
- 检查2006年至2021年挪威护理连续性的趋势.
- 计算和比较两个关键指标:圣莱昂纳德的护理连续性指数 (SLICC) 和通常的护理提供者指数 (UPC).
- 分析不同中心性的区域间的地理连续性变化.
主要方法:
- 使用了涵盖挪威所有初级保健咨询的个体级数据.
- 计算了SLICC作为每年与患者的常规全科医生 (GP) 进行咨询的比例.
- 计算了UPC作为每年与患者访问最多的医生进行咨询的比例,按地理中心分层.
主要成果:
- 国家SLICC和UPC在2006年至2021年间表现出了显著的稳定性,在2021年分别达到64%和71%.
- 观察到显著的地理差异,较少的中心地区显示较低的连续性 (2021年SLICC 49%) 与中心地区 (2021年SLICC 68%) 相比.
- 在全国范围内,护理的连续性始终很高,但根据地理位置而有很大差异.
结论:
- 挪威在长时间内表现出高度稳定的护理连续性.
- 连续性的显著地理差异凸显了医疗保健获取和质量的差异.
- 政策制定者应该解决地理不平等问题,以确保所有地区的医疗保健质量平等.
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