患者在癌症查过程中的"泥" (行政负担) 经历及其与查完成的关系,经验和对卫生系统的不信任
Michelle S Rockwell1,2, Brianna Chang3, Vivian Zagarese4
1Department of Family and Community Medicine, Virginia Tech Carilion School of Medicine, Roanoke, Virginia, USA mrockwell@carilionclinic.org.
Family medicine and community health
|September 19, 2024
概括
在结直肠癌 (CRC) 查中,行政负担或污泥导致查延迟,信任度下降. 减少这种污泥可以改善患者的治疗结果和医疗系统的信任.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 患者体验 患者体验
- 结肠直肠癌查 结肠直肠癌查
背景情况:
- 管理负担,称为"泥",在医疗保健获取上造成障碍.
- 污泥包括长时间等待,复杂的指令和重复的文书等问题.
- 了解患者对污泥的看法对于改善医疗保健服务至关重要.
研究的目的:
- 在结直肠癌 (CRC) 查过程中评估患者对污泥的看法.
- 评估污泥对查完成,患者体验和卫生系统信任的影响.
主要方法:
- 使用了一种探索性的顺序混合方法设计,结合了患者采访和调查.
- 采访提供了背景,而调查量化了污泥,查延迟,净促进者得分和卫生系统不信任度量表.
- 统计分析包括无变量比较和回归模型来评估关联.
主要成果:
- 长时间的等待时间 (58%) 和繁的通信 (35%) 被确定为主要的污泥来源.
- 污泥与延迟或遗漏的CRC查有显著的关联 (OR=1.42).
- 增加的污泥与更差的查经验和更高的卫生系统不信任度相关 (β=0.47).
结论:
- 在CRC选中减少污泥可能有助于及时完成选.
- 简化查过程的努力可以提高患者的满意度.
- 缓解污泥可以有助于重建患者对医疗保健系统的信任.
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