肌肉骨患者对理疗师或辅助工作者护理的偏好:一个离散选择实验
Panos Sarigiovannis1,2, Luis Enrique Loría-Rebolledo3, Nadine E Foster4,5
1Primary Care Centre Versus Arthritis, School of Medicine, Keele University, Staffordshire, ST5 5BG, UK. p.sarigiovannis1@keele.ac.uk.
BMC health services research
|September 19, 2024
概括
患者更喜欢理疗师,但如果服务质量等于或更好,则会选择支持人员. 这影响了物理治疗服务设计和委托任务的最佳实践建议.
科学领域:
- 医疗保健管理的管理
- 患者为中心的护理
- 肌肉骨物理治疗 肌肉骨物理治疗
背景情况:
- 在肌肉骨门诊服务中,将临床任务从理疗师委托给支持工人是常见的.
- 这种做法导致患者护理质量和体验的变化.
- 患者的偏好和治疗选择中的权衡尚未得到充分理解.
研究的目的:
- 探索患者对物理治疗师治疗的偏好与支持工作者的偏好.
- 估计患者愿意在治疗选择中做出妥协的意愿.
- 为物理治疗服务和最佳实践指南的设计提供信息.
主要方法:
- 使用了16种场景的离散选择实验.
- 患有肌肉骨疾病的成年患者填写了一份在线问卷.
- 多项式逻辑模型分析了选择数据,并计算了边际替换率.
主要成果:
- 患者显著更喜欢理疗师,更短的等待时间,更多的治疗,和一致的临床医生.
- 然而,以前接受支持人员治疗的患者如果服务特征相似或优越,则可能再次选择他们.
- 这表明在特定条件下,支持工作者主导的护理可能会被接受.
结论:
- 患者的选择受先前经验和服务质量以及临床医生类型的影响.
- 研究结果表明,具有相似或更好的特征的设计良好的服务可以导致患者接受支持工作者参与.
- 这项研究将为物理治疗中的任务委托提供"最佳实践"建议.
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