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评估医疗补助和私人保险医院患者患者患者安全的医院间和医院内部差异
1From the Department of Economics, Quinlan School of Business, Loyola University Chicago, Chicago, IL.
Journal of patient safety
|August 27, 2024
概括
医疗补助 (Medicaid) 患者比私人保险患者经历的不良安全事件更多,这表明医院内的护理质量较差. 解决这些差异需要改变所有患者的医院人员和治疗模式.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 患者安全 患者安全
- 健康 公平 卫生 公平
背景情况:
- 根据保险类型,医疗保健获取和结果存在显著差异.
- 了解这些差异的驱动因素对于提高患者安全至关重要.
研究的目的:
- 为了比较医疗补助和私人保险的非老年成年人之间的不良安全事件率.
- 确定差异是由于医院的质量还是医院护理.
主要方法:
- 通过医院成本和利用项目,利用了来自26个州的住院病人的记录 (2017年).
- 分析了11个患者安全指标,使用Medicaid与私人保险患者的回归分析.
- 评估医院质量和入院概率.
主要成果:
- 在11个指标中的8个中,医疗补助患者的不良安全事件发生率更高.
- 在调整患者和医院特征后,差异仍然存在,这表明医院内护理的变化.
- 在医院质量和入院概率差异之间没有发现显著的关联.
结论:
- 与私人保险患者相比,Medicaid患者在医院内获得的护理质量较低.
- 为了减少患者安全方面的纳税人差异,医院人员和治疗需要进行改革.
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