在选择医院时,伊朗人最重视什么? 来自离散选择实验的证据
Mohammad Ranjbar1, Mohammad Bazyar2, Fatemeh Pahlevanshamsi3
1Department of Health Management and Economics, Health Policy & Management Research Center, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
PloS one
|October 17, 2024
概括
伊朗患者在选择医疗保健时优先考虑医院设备,提供者能力和更短的旅行/等待时间. 年龄,教育和收入等社会人口因素也影响这些偏好,指导政策制定者提高患者满意度.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 卫生经济学 卫生经济学
- 患者偏好研究 患者偏好研究
背景情况:
- 患者的偏好显著影响医疗保健服务的使用.
- 医院属性在塑造患者选择方面发挥着至关重要的作用.
- 了解这些偏好是改善医疗保健服务的关键.
研究的目的:
- 确定伊朗人口对医院选择的偏好.
- 使用离散选择实验 (DCE) 识别影响患者选择的关键医院属性.
- 分析社会人口统计学因素如何影响这些偏好.
主要方法:
- 进行了一项涉及301名参与者的离散选择实验 (DCE).
- 评估了六个属性:等待时间,护理质量,旅行时间,医院类型,提供者的能力和设施.
- 混合逻辑模型和交互术语分析了偏好和异质性.
主要成果:
- 强烈的偏好被观察到高质量的医院设备和优秀的提供者能力.
- 对于更长的等待时间 (120分钟) 和旅行时间 (30分钟) 发现了显著的负面偏好.
- 年龄,教育水平和收入显著适度个人医院选择偏好.
结论:
- 患者的偏好至关重要,特别是随着患者参与治疗决策的日益增加.
- 卫生政策制定者应该考虑这些不同的偏好,以最大限度地提高患者的满意度.
- 建议患者持续参与医院的设计,施工和装备工作.
相关概念视频
Hospitals-I
796
Hospitals offer medical and surgical care to the sick and injured, along with accommodation while they recover. At the same time, they also provide outpatient, emergency, psychiatric, and rehabilitation services to meet various community needs. In addition to providing medical care, hospitals also act as hubs for medical research and training. Hospitals use clinical procedures and evidence-based practice standards to deliver patient care. To deliver safe and efficient care, a nurse must stay up...
796
Hospitals-II
739
Hospitals provide inpatient and outpatient services. Inpatient services provide care to patients that stay in the hospital for an extended period, ranging from days to months. Examples of inpatient services include intensive care units, hospital wards, or surgeries. Outpatient services provide care to patients who come to a hospital for a diagnostic or treatment but do not stay overnight —for example, diagnostic tests, surgical procedures, or health education.
Nurses that work in...
Nurses that work in...
739
The Availability Heuristic
5.9K
A heuristic is a general problem-solving framework (Tversky & Kahneman, 1974). You can think of these as mental shortcuts that are used to solve problems. Different types of heuristics are used in different types of situations, and the impulse to use a heuristic occurs when one of five conditions is met (Pratkanis, 1989):
5.9K
Ethical Issues
866
Nurses are essential in patient care, upholding the ethical principles of their profession and effectively navigating ethical dilemmas. Neglecting ethical issues can lead to inadequate patient care, compromised therapeutic relationships, and moral distress among healthcare workers.
Ethical Concerns in Healthcare:
Ethical Concerns in Healthcare:
866
Nursing Interventions II: Selecting and Classifying the Nursing Interventions
2.1K
Creating and executing a nursing diagnosis helps nurses plan care and guide patient, family, and community interventions. They are developed based on a patient's physical evaluation and support measuring the outcomes. It is not recommended to select random interventions throughout the planning process. Instead, consider the following six essential factors when choosing interventions:
2.1K
Factorial Design
13.0K
Factorial Analysis is an experimental design that applies Analysis of Variance (ANOVA) statistical procedures to examine a change in a dependent variable due to more than one independent variable, also known as factors. Changes in worker productivity can be reasoned, for example, to be influenced by salary and other conditions, such as skill level. One way to test this hypothesis is by categorizing salary into three levels (low, moderate, and high) and skills sets into two levels (entry level...
13.0K


