患者对初级和急救护理的满意度是否影响非紧急急救部门的利用率? 一个路径分析
İbrahim Sarbay1, Melike Mercan Baspinar2, Ezgi Erman1
1Department of Emergency Medicine, University of Health Sciences, Gaziosmanpaşa Training and Research Hospital, Istanbul, Türkiye.
Journal of multidisciplinary healthcare
|August 13, 2025
概括
患者满意度并不能解释为什么人们为非紧急问题而使用急诊室. 解决初级保健系统问题对于管理急诊室使用至关重要.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 初级医疗保健医学 一级医疗保健医学
- 紧急医疗 紧急医疗
背景情况:
- 非紧急的急诊室 (ED) 使用是一个重要的医疗保健问题.
- 了解初级保健 (PC) 使用率和非紧急ED访问之间的关系对于优化医疗保健资源配置至关重要.
研究的目的:
- 调查患者满意度是否调解了初级保健利用率和在周日工作时间的非紧急急诊室访问之间的联系.
主要方法:
- 一项观察性研究涉及293名非急症成年患者,他们访问了三级医院的ED.
- 经过验证的工具,欧洲和BEPSS尺度,被用来评估患者对PC和ED访问的满意度.
- 结构方程建模和相关性分析用于数据分析.
主要成果:
- 患者满意度为PC的66.7%,ED的75.0%.
- 经常使用非紧急ED服务的用户也使用PC服务 (r = 0.394,p ≤ 0.001).
- 专家访问频率调解了年龄较大和非紧急ED使用增加之间的关系 (p = 0.028),表明潜在的转诊问题.
结论:
- 患者对PC或ED服务的满意度并不驱动非紧急ED使用.
- 仅仅提高满意度是不够的;初级保健中的系统性问题,如资源充足性和转诊途径,需要解决.
- 应该把重点放在增强家庭健康中心的能力上,而不是仅仅关注患者满意度指标.
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