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开发一个医疗保健利用指数来比较世界各地的患者:一个横截面研究
Gregor John1,2,3, Dominik Rebell4, Jacques Donzé4,5,6,7
1Department of Internal Medicine, Neuchâtel Hospital Network, Rue de la Maladière 45, Neuchâtel, CH-2000, Switzerland. gregor.john@rhne.ch.
一个新的医疗保健利用率 (HUTIL) 指数衡量了患者医疗保健服务的总量. 较高的HUTIL指数得分与欧洲国家的死亡率增加和预期寿命减少有关.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 公共卫生 公共卫生
- 卫生经济学 卫生经济学
背景情况:
- 为各种各样的医疗保健服务利用制定统一的措施是具有挑战性的.
- 现有的工具缺乏一个全面的方法来量化患者服务量.
- 这项研究解决了评估医疗保健消费的有意义指标的需求.
研究的目的:
- 开发医疗保健利用率指数 (HUTIL),这是一个用于综合医疗保健服务量的新工具.
- 研究HUTIL指数与关键健康指标:死亡率和预期寿命之间的关联.
- 建立一个全球适用的医疗保健利用研究工具.
主要方法:
- 通过总结基于初级保健医生 (PCP) 咨询的全球成本比率的加权医疗保健服务来构建HUTIL指数.
- 使用国家统计数据计算了26个欧洲国家的年均人均HUTIL指数.
- 欧洲国家之间的死亡率和预期寿命比较,HUTIL指数得分高于和低于大陆中位数.
主要成果:
- 全球确定的医疗保健中位数费用比率:专家 (2xPCP),紧急情况 (4xPCP),家庭护士访问 (0.5xPCP) 和医院的一天 (8xPCP).
- 对26个欧洲国家的人均HUTIL指数计算.
- 在HUTIL指数得分高于中位数的国家,死亡率显著上升 (每10万人口中有1047人,889人),预期寿命降低 (78.2岁,82.0岁).
结论:
- 医疗保健成本比率显示全球一致性,支持HUTIL指数的普遍适用性.
- HUTIL指数提供了一种新的,标准化的方法来量化医疗保健服务利用率.
- 该指数可以促进对医疗保健利用模式及其对人口健康结果的影响的未来研究.
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