在卫生转型计划实施后,教学医院指标的绩效分析:伊朗的案例研究
Bahman Ghasemzadeh1, Mohammad Amerzadeh2, Saeed Shahsavari3
1Student Research Committee, School of Public Health, Qazvin University of Medical Sciences, Qazvin, Iran.
卫生转型计划 (HTP) 显著增加了Qazvin医院的门诊访问,临床准患者和住院患者. 该计划通过降低患者费用和增强服务来改善医疗保健准入.
科学领域:
- 医疗保健管理的管理
- 医疗保健服务研究 医疗服务研究
- 公共卫生政策 公共卫生政策
背景情况:
- 在实施健康转型计划 (HTP) 之前和之后评估医院绩效指标.
- 专注于Qazvin医学科学大学 (QUMS) 附属的医院.
研究的目的:
- 评估HTP对医院关键绩效指标的影响.
- 分析HTP后患者流动和服务利用率的变化.
主要方法:
- 使用2012-2019年医院数据进行长度描述分析研究.
- 每月收集门诊诊所,临床准患者,手术和住院患者的数据.
- 使用STATA软件 (15版) 进行中断时间序列分析.
主要成果:
- 在HTP实施后立即观察到门诊访问 (+1739),准临床患者 (+513) 和住院患者 (+135) 的显著增加 (p < 0.001).
- 研究包括七个不同的医院 (一般,创伤,儿科,妇科,精神病学).
结论:
- 该HTP有效地提高了患者获得医疗服务的机会.
- 减少自付费用和实施战略计划有助于改善医疗保健的可访问性.
- 对经济处于不利地位的个人尤其显著的积极影响.
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