与阿拉伯联合长国的防御医学实践相关的因素:一项采用多变量分析的横截面研究
Shamsa Al Awar1, Gehan Sallam, Hassan Elbiss
1Department of Obstetrics and Gynaecology, College of Medicine and Health Sciences, United Arab Emirates University, Al-Ain, United Arab Emirates.
Medicine
|January 14, 2025
概括
在阿联医疗保健专业人员中,防御性医疗实践,如不必要的转诊和测试,是普遍存在的. 诸如年龄,职位等级,赔偿金和工作场所支持等因素可以减少这些做法,而私营部门的工作则显示出混合的影响.
科学领域:
- 医疗实践和医疗保健管理
- 医疗服务研究 医疗服务研究
- 患者安全和质量改善.
背景情况:
- 防御性医学实践是一个全球性问题,影响患者护理和医疗保健成本.
- 了解影响防御医学的因素对于开发有针对性的干预措施至关重要.
- 阿拉伯联合长国 (UAE) 的医疗保健系统面临着独特的挑战和特点.
研究的目的:
- 在阿联的医疗保健专业人员中识别和评估与防御性医学实践相关的因素.
- 为减少防御医学和提高患者护理质量提供基于证据的见解.
- 为阿联医疗保健部门提供政策和实践指南.
主要方法:
- 一项涉及阿联562名医疗专业人员的横截面研究.
- 一个23项调查问卷评估了防御性做法 (不必要的转诊,测试,额外的护理).
- 多变量逻辑回归分析确定了与防御性医疗实践相关的因素.
主要成果:
- 最常见的防御性做法是不必要的转诊 (64.9%),与私营部门的做法和赔偿保障有关.
- 不必要的住院,延迟出院和额外的检测 (47.1%) 与年龄,私营部门和工作场所的支持有关.
- 减少防御医学的因素包括较高的年龄,高级职位等级,赔偿保险和工作场所支持.
结论:
- 在阿联,防御性医学实践很普遍,受到各种专业和实践相关因素的影响.
- 干预措施应考虑年龄,职位等级,赔偿和工作场所支持在缓解防御医学方面的作用.
- 需要进一步的研究来探索私营部门实践对防御医学的混合影响.
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