中国多种慢性病患者的住院偏好:一个离散选择实验
Yueqin Wang1, Shiyin Wu1, Yuehua Chen1
1Department of Social Medicine and Health Management, School of Health Management, Fujian Medical University, Fuzhou, China.
BMC primary care
|February 7, 2025
概括
对于患有多重慢性病症 (MCC) 的患者来说,自费费用和旅行时间是选择住院护理的关键因素. 了解这些偏好可以提高县医院的医疗保健资源利用率.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 公共卫生政策 公共卫生政策
- 医疗保健管理的管理
背景情况:
- 多重慢性疾病 (MCC) 在中国显著影响活力和死亡率.
- 县医院作为初级住院护理中心,由于患者的服务偏好,在有效利用资源方面面临挑战.
- 确定影响MCC患者住院选择的因素对于优化医疗保健准入至关重要.
研究的目的:
- 确定影响多重慢性病症 (MCC) 患者住院服务偏好的因素.
- 量化这些因素对患者决策的影响.
- 引导县级医疗保健机构有效利用住院服务.
主要方法:
- 离散选择实验涉及五个属性:机构规模,等待时间,社会联系,旅行时间和自付费用.
- 数据收集来自中国福清市504名MCC患者 (35至75岁) 的数据.
- 混合逻辑模型用于分析偏好和支付意愿,与异质性的交互术语.
主要成果:
- 每次访问的自付费用是最重要的因素,其次是旅行时间和等待时间.
- 患者表示愿意为减少旅行时间,更大的机构和立即可用床支付费用.
- 发现年龄和性别影响住院患者的偏好.
结论:
- 出口成本和旅行时间是MCC患者住院护理选择的主要驱动因素.
- 政策建议包括增加保险报销,加强县医院的作用,加强信息系统.
- 优化这些因素可以提高县医院作为住院护理的第一接触点的效率.
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