时间正在流逝! 截止日期对利用医疗服务的影响:来自集群随机对照试验的证据
Hongyu Guan1, Tianli Yang2, Yunyun Zhang3
1Center for Experimental Economics in Education, Shaanxi Normal University, Xian, 710119, China.
Social science & medicine (1982)
|November 4, 2024
概括
在中国农村地区实施视力护理服务的优惠券截止日期,在30天内显著增加了服务利用率. 然而,这项干预主要转移了服务使用,而不是增加整体长期医疗服务使用.
科学领域:
- 公共卫生 公共卫生
- 行为经济学是一种行为经济学.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 农村地区卫生服务利用率低,对居民健康产生负面影响.
- 行为经济学为改善医疗服务采用提供了见解.
- 视力护理是改善农村健康结果的关键领域.
研究的目的:
- 评估优惠券截止日期干预措施对中国农村视力护理服务利用的影响.
- 评估行为经济学原则在公共卫生计划设计中的有效性.
- 分析限时券对医疗服务获取的短期和长期影响.
主要方法:
- 一个集群随机对照试验在中国山西省的13所农村学校进行 (2018-2019).
- 1270名近视学生被分为对照组 (没有截止日期券) 和截止日期组 (30天截止日期券).
- 视觉中心的访问率和访问之间的间隔在各组之间进行了比较.
主要成果:
- 凭证截止日期干预措施在30天内将视力中心的访问率提高了13.2个百分点.
- 这项干预措施将访问之间的间隔缩短了18.7天,这表明时间提升了.
- 在六个月的时间里,干预改变了利用时间,但没有改善整体利用率.
结论:
- 凭证截止日期干预可以有效地提高短期医疗服务利用率,这是由损失厌恶和时间压力驱动的.
- 行为经济学的见解可以提高公共卫生计划设计,以提高效率和成本效益.
- 虽然基于截止日期的干预措施对于立即采用是有效的,但可能无法解决对长期医疗服务利用的潜在障碍.
更多相关视频
00:04A Clinical Trial Assessing the Safety, Efficacy, and Delivery of Olive-Oil-Based Three-Chamber Bags for Parenteral Nutrition
Published on: September 20, 2019
10.6K
06:55Inverse Probability of Treatment Weighting Propensity Score using the Military Health System Data Repository and National Death Index
Published on: January 8, 2020
14.4K
相关概念视频
01:20Comparing the Survival Analysis of Two or More Groups
155
Survival analysis is a cornerstone of medical research, used to evaluate the time until an event of interest occurs, such as death, disease recurrence, or recovery. Unlike standard statistical methods, survival analysis is particularly adept at handling censored data—instances where the event has not occurred for some participants by the end of the study or remains unobserved. To address these unique challenges, specialized techniques like the Kaplan-Meier estimator, log-rank test, and...
155
01:12Hazard Ratio
91
The hazard ratio (HR) is a widely used measure in clinical trials to compare the risk of events, such as death or disease recurrence, between two groups over time. It reflects the ratio of hazard rates—the instantaneous risk of the event occurring—between a treatment group and a control group. This measure provides valuable insights into the relative effectiveness of a treatment by assessing how the risk of an event differs between the two groups.
For example, in a clinical trial...
For example, in a clinical trial...
91
01:09Truncation in Survival Analysis
168
Truncation in survival analysis refers to the exclusion of individuals or events from the dataset based on specific criteria related to the time of the event. This exclusion can happen in two primary forms: left truncation and right truncation.
Left truncation occurs when individuals who experienced the event of interest before a certain time are not included in the study. This is often due to a "delayed entry" into the study where only those who survive until a certain entry point are...
Left truncation occurs when individuals who experienced the event of interest before a certain time are not included in the study. This is often due to a "delayed entry" into the study where only those who survive until a certain entry point are...
168
01:15Methods of Documentation VI: Case Management Model
559
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
For example, a patient with a chronic...
559
01:26Methods Of Healthcare Delivery System
3.2K
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
3.2K
01:09Censoring Survival Data
65
Survival analysis is a statistical method used to analyze time-to-event data, often employed in fields such as medicine, engineering, and social sciences. One of the key challenges in survival analysis is dealing with incomplete data, a phenomenon known as "censoring." Censoring occurs when the event of interest (such as death, relapse, or system failure) has not occurred for some individuals by the end of the study period or is otherwise unobservable, and it might have many different...
65