与患者对低价值护理需求相关的因素:一个范围审查
Gillroy R L Fraser1,2,3,4, Mattijs S Lambooij5,6,7, Job van Exel6,7
1Department of Health Economics and Health Services Research, National Institute for Public Health and the Environment (RIVM), P.O. Box 13720, Antonie van Leewenhoeklaan 9, Bilthoven, BA, Netherlands. gillroy.fraser@rivm.nl.
BMC health services research
|December 28, 2024
概括
患者对低价值护理的需求源于认知偏见,情绪,期望和医疗保健互动. 了解这些因素是减少不必要的医疗服务和提高医疗保健效率的关键.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 医疗保健经济学 医疗保健经济学
- 患者行为研究 患者行为研究
背景情况:
- 低价值护理,定义为不必要的医疗服务,对全球医疗保健支出和资源分配效率低下作出了重大贡献.
- 影响患者对低价值护理需求的因素往往被忽视,并在科学文献中分散.
研究的目的:
- 系统地审查和综合与患者对低价值护理需求相关的因素.
- 巩固分散的知识,以满足患者对不必要的医疗干预的需求.
主要方法:
- 采用了一个范围审查方法,搜索Embase和Scopus数据库.
- 文章根据与低价值护理和需求相关的因素的相关性进行了选择,随后对提取的文本片段进行了主题分析.
- 主题分析确定了与患者对低价值护理需求相关的核心主题和子主题.
主要成果:
- 包括47篇文章,揭示了影响患者对低价值护理需求的八个核心主题.
- 确定的主题包括认知偏见,情绪,偏好,知识,社会文化方面,生物医学因素,经济影响和医疗保健提供者的互动.
- 还确定了33个子主题,如风险厌恶,预期后悔,消费主义和收入影响.
结论:
- 本综述提供了对推动患者对低价值护理需求的多方面的因素的全面概述.
- 患者对不必要护理的需求受到心理,社会,经济和临床因素的复杂相互作用的影响.
- 未来的研究应该探索这些因素在各种医疗保健环境中的相互作用和相对重要性,以更好地了解患者的观点.
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