集群诊所模型减少了获得护理的旅行距离,并改善了获得平等的机会
1NHS Grampian, UK.
Public health in practice (Oxford, England)
|June 9, 2025
概括
集群诊所模型显著减少了患者的旅行距离,并改善了人口稀少地区获得医疗保健的平等性. 这种方法增强了社区环境中的儿科定期护理服务.
科学领域:
- 医疗保健管理的管理
- 公共卫生 公共卫生
- 儿科护理 儿科护理
背景情况:
- 旅行距离是获得医疗保健的重要障碍,特别是在人口稀少的大型地区.
- 集群诊所模型在NHS Grampian中实施,以在社区环境中提供儿科定期护理.
- 本研究量化了集群诊所模型对旅行距离和获得平等的影响.
研究的目的:
- 为了比较三种不同的服务提供模式对儿童护理的旅行距离和获得平等的影响.
- 评估集群诊所模型在减少患者旅行负担方面的有效性.
- 评估吉尼系数作为衡量不同服务交付模式中获取平等的指标.
主要方法:
- 一项观察分析研究比较了三个儿科护理提供模式:仅医院 (A),社区集群诊所 (B) 和混合方法 (C).
- 从病人家到阿伯丁市和阿伯丁郡儿童诊所的最短可驾驶距离的计算.
- 使用吉尼系数评估获取平等,较低的值表明更好的平等.
主要成果:
- 模型B (集群诊所) 的平均行程距离为3.14英里,明显低于模型A (8.64英里).
- 模型C (混合动力) 与模型B (3.13英里) 的平均行程距离相似.
- 用吉尼系数衡量的获得平等,在所有模型中都是可比的,与A (0.491) 相比,B (0.480) 和C (0.490) 模型略有改善.
结论:
- 集群诊所模型有效地减少了儿童定期护理的患者旅行距离.
- 该模型还表明,医疗保健获得的平等性得到了改善.
- 使用的方法可以为其他地区类似的医疗保健提供模式的前性评估提供信息.
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