[一种方法来量化公共医院医疗专业咨询的短缺]
1Instituto de Salud Poblacional, Facultad de Medicina, Universidad de Chile, Santiago, Chile.
概括
智利的公立医院面临着严重的医疗专家短缺,这影响了患者的准入. 一种新的方法揭示了关键的差距,特别是在成人心脏病学中,突出了医疗保健的不平等.
科学领域:
- 医疗保健管理的管理
- 公共卫生政策 公共卫生政策
- 医学经济学 医学经济学
背景情况:
- 在智利的医疗保健系统中,等待名单是一个主要的挑战.
- 缺乏医疗专家的不公平分配加剧了患者的获取问题.
- 监测专家咨询短缺对于医疗保健规划至关重要.
研究的目的:
- 提出和验证一种方法来量化和监测公共医院内医疗专业咨询的短缺情况.
- 评估智利公立医院医疗咨询的需求/供应比率 (r).
主要方法:
- 利用2021年智利圣地亚哥四家医院关于等待名单和咨询产量的官方数据.
- 计算了需求/供应比率 (r) 来量化17个医学专业的咨询缺口.
- 分析了特定专业的比率和医院间的变化.
主要成果:
- 在17个关键医学专业中发现了显著的平均咨询差距 (r=1.37).
- 成人心脏病学显示出最大的缺陷 (r=2.01),而儿童和青少年精神病学没有差距 (r=0.88).
- 皮肤病学在医院间的缺口变化最为显著 (r=3.02到r=1.15).
结论:
- 智利公立医院在2021年经历了显著的医疗咨询缺口,这表明潜在的获取不平等.
- 拟议的方法有效地评估了专家供应与公共医院编程人口需求之间的差异.
- 解决确定的缺口和医院间差异对于改善医疗保健准入至关重要.
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