改善公平的医疗保健资源使用:为人员分配制定邻近地区护士需求指数
Luís Filipe1, Roberta Piroddi2, Wes Baker3
1Department of Health Research, Lancaster University, Lancaster, UK. l.filipe@lancaster.ac.uk.
开发了一种新的公式来分配当地地区的地区护理资源. 这种基于需求的方法优先考虑老年人和贫困人口,旨在通过将员工转移到服务不足的社区来减少健康不平等.
科学领域:
- 医疗保健资源的分配
- 公共卫生政策 公共卫生政策
- 医疗服务研究 医疗服务研究
背景情况:
- 公平的医疗保健资源分配对于通用卫生系统至关重要.
- 英国国家卫生服务局 (NHS) 对于大面积使用标题公式.
- 当地地区需要强有力的方法来公平地分配资源给社区.
研究的目的:
- 为NHS地区护理服务制定地方资源分配公式.
- 将国家配方原则应用于小区域,以实现资源的公平分配.
- 确保一个城市内的地区护理服务获得平等的机会.
主要方法:
- 利用来自社区,初级,中级和社会护理的链接数据.
- 采用零膨胀的波桑回归来模型地区护理服务联系人.
- 通过基于预测因素的联系人建模估计的个人需求,保持供应恒定.
主要成果:
- 需求的关键预测因素包括年龄,贫困和慢性疾病.
- 地区护理需求在老年和贫困人口中最高.
- 目前的员工数量与年龄比贫困更相关,基于需求的模型将员工转移到贫困地区.
结论:
- 对地区护理需求的社区级模型是有价值的.
- 这种模式可以改善资源分配,解决未满足的需求.
- 实施有潜力减少健康不平等.
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