父母对急性呼吸道感染的偏好 护理
Janel Hanmer1, Sarah K Burns2, Samuel R Wittman2
1Department of Medicine, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania.
JAMA network open
|August 8, 2025
概括
父母优先考虑儿童急性呼吸道感染 (ARTIs) 的个人护理,但成本和便利性也很重要. 与通常的护理提供者的远程医疗选择可以将访问转移到初级保健.
科学领域:
- 儿童医疗保健的使用率
- 医疗服务研究 医疗服务研究
- 医疗保健中的消费者行为
背景情况:
- 儿科急性呼吸道感染 (ARTIs) 是寻求医疗护理的常见原因.
- 对ARTIs的护理地点的选择会影响护理的连续性,质量和成本.
- 了解父母对ARTI护理场所的偏好对于优化医疗保健服务至关重要.
研究的目的:
- 评估家长对儿童ARTIs护理场所各种属性的偏好.
- 通过离散选择实验 (DCE) 确定幼儿的父母如何在不同的ARTI护理选择之间平衡权衡.
主要方法:
- 一项针对美国6个月至5岁儿童父母的全国代表性调查使用DCE进行.
- 父母评估假设的ARTI护理场景基于诸如访问方式,及时性,成本和临床医生的连续性等属性.
- 使用层次贝叶斯学和潜在类分析来确定属性偏好和识别不同的家长细分.
主要成果:
- 父母被赋予显著的权重来访问模式 (面对面与远程医疗) 和自付费用.
- 确定了四个不同的偏好组:以紧迫性为重点,以连续性为重点,以成本为重点,以及以面对面访问为重点.
- 在30分钟内向通常的初级保健提供者提供远程医疗访问,可以减少急诊和急诊室对ARTI的访问.
结论:
- 父母对儿科ARTI护理的偏好各不相同,有些人优先考虑面对面的访问,而另一些则关注不同的属性.
- 与初级保健实践相结合的可访问,负担得起的远程医疗服务显示,有可能将ARTI护理从紧急护理和急救部门重新定向.
- 这些发现可以为提高儿科ARTI护理的效率和以患者为中心的策略提供信息.
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