患者与医疗服务提供者之间的沟通以及医疗服务的获取,使用和财务负担
1Department of Health Policy and Management, College of Health Science, Korea University, Seoul, Republic of Korea; L-HOPE Program for Community-Based Total Learning Health Systems, Korea University, Seoul, Republic of Korea.
American journal of preventive medicine
|July 13, 2024
概括
患者与医疗服务提供者沟通不良与医疗保健接入问题和更高的成本有关. 改善沟通是以患者为中心的护理和减少健康差异的关键.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 卫生沟通健康沟通
- 健康 公平 卫生 公平
背景情况:
- 有效的患者-提供者沟通对于优质的医疗保健至关重要,但其对服务提供的影响尚未完全理解.
- 本研究探讨了患者-医疗服务提供者沟通与医疗保健获取,利用和财务负担之间的关系.
研究的目的:
- 检查患者提供者沟通与随后获得护理,医疗保健利用和财务负担之间的关联.
- 确定不同级别的沟通如何影响医疗保健结果.
主要方法:
- 利用了来自2013-2021年医疗支出小组调查的纵向数据.
- 在四个领域 (倾听,解释,尊重,时间) 测量了患者-提供者沟通,分为低,中等或高.
- 采用滞后依赖模型来评估基线沟通对后续医疗保健获取,利用和财务负担的影响.
主要成果:
- 在近1.7亿美国成年人中,5.3%的人报告患者与医疗服务提供者沟通不足.
- 边缘化的人群不成比例地经历了低沟通水平.
- 沟通不足与获得护理的困难增加,治疗延迟,急诊室使用率增加以及更大的财务压力有关.
结论:
- 有效的患者-提供者沟通对于以患者为中心的护理至关重要.
- 加强沟通策略可以帮助减轻健康不平等,改善医疗保健服务.
- 促进更好的沟通的干预措施对于解决差距至关重要.
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