紧急诊所与初级保健使用:从患者的角度来看
1Geisinger Health System, Wilkes Barre, PA.
PRiMER (Leawood, Kan.)
|September 6, 2024
概括
患者经常选择急诊室 (ED) 而不是他们的初级保健医生 (PCP) 由于感知到的紧迫性和方便性,即使症状可能不是突发的. 了解这些动机有助于定制医疗保健服务.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 患者行为分析分析
- 获得医疗保健 获得医疗保健 获得医疗保健
背景情况:
- 紧急诊所 (ED) 是医疗保健的高成本组成部分.
- 许多ED访问是针对初级保健医生 (PCP) 可以治疗的非紧急情况.
- 影响患者偏好ED而不是PCP治疗急性疾病的因素尚不清楚.
研究的目的:
- 调查患者选择急性疾病ED而不是PCP办公室的动机.
- 探索患者对医疗保健寻求行为的观点.
主要方法:
- 在宾夕法尼亚州威尔克斯巴雷进行的定性观察研究.
- 在最近的ED访问 (2021年12月 - 2022年3月) 之后,进行了30个患者采访.
- 专题分析被用来识别患者反应中的反复模式.
主要成果:
- 关键主题包括PCP-患者关系的价值.
- 患者表示他们更喜欢多个医疗信息来源.
- 患者主观地认为他们的症状是新出现的,尽管担心成本,但仍寻求治疗,并考虑了设施等待时间.
结论:
- 患者的声音为社区寻求医疗保健的趋势提供了宝贵的见解.
- 了解患者的动机可以帮助医疗保健系统个性化协议.
- 根据患者价值观调整服务可以改善医疗保健服务,并可能减少不必要的ED利用.
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