医院战略联盟是否会影响当地医院的儿科服务能力? 一个差异差异的计量经济学分析
Li Zhang1,2, Cuiping Xiao3, Qian Fu4
1School of Medicine and Health Management, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
BMJ open
|November 29, 2024
概括
医院的战略联盟显著提高了儿科服务能力. 这些联盟中的密切合作模式是最有效的改善儿科健康公平和资源分配.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 儿科医疗保健管理的管理
- 卫生公平研究 卫生公平研究
背景情况:
- 儿科医疗保健资源的全球差异导致健康不平等.
- 医院的战略联盟旨在提高儿科服务能力和公平性,但证据是混合的.
- 本研究调查了医院战略联盟对当地儿科服务能力的影响.
研究的目的:
- 评估医院战略联盟对当地医院儿科服务能力的影响.
- 在战略联盟中比较不同合作模式的有效性.
- 确定战略联盟在减轻儿科护理中的健康不平等方面的作用.
主要方法:
- 使用了来自119家医院 (2015-2019) 的数据的差异模型.
- 将医院分为密切合作,松散合作和对照组.
- 测量结果使用门诊和住院访问数量,控制床位和卫生人员.
主要成果:
- 医院的战略联盟显著增加了儿科门诊和住院访问.
- 对服务能力的积极影响在所有模型中都是统计学上显著的.
- 松散的合作模式显示出比密切合作模式更大的好处.
结论:
- 医院战略联盟有效地提高了当地医疗机构的儿科服务能力.
- 战略联盟中的密切合作模式是解决儿科健康不平等问题的优越策略.
- 战略联盟可以改善稀缺的儿科医疗保健资源的公平分配.
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