印度转向门诊护理:来自2014年和2017-18年国家健康调查的证据
E Lokesh Kumar1, Sandeep Sharma1, Pallavi Behera1
1National Health Systems Resource Centre, New Delhi, India.
Asia-Pacific journal of public health
|August 16, 2025
概括
该研究显示,从2014年至2017年,印度的门诊护理发生了重大转变. 这一趋势主要是由于患者人口结构的变化和非传染性疾病的增加.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 公共卫生政策 公共卫生政策
- 医疗保健利用研究 医疗保健利用研究
背景情况:
- 全球的医疗保健系统正在不断发展,有明显的趋势是门诊服务.
- 了解护理利用的转变对于资源配置和医疗保健政策制定至关重要.
研究的目的:
- 调查2014年至2017-18年期间印度越来越多地使用门诊护理的驱动因素.
- 量化各种因素对这种寻求医疗保健行为的转变的贡献.
主要方法:
- 利用来自印度国家样本调查 (2014年和2017-18年) 的单位级数据.
- 采用多变量分解分析,以统一的15天回忆期用于护理利用.
- 确定了共变量对从住院护理转向门诊护理的影响.
主要成果:
- 转向门诊护理的转变在很大程度上是由解释变量的系数 (98%) 的变化解释的.
- 患者的年龄和疾病的性质,特别是非传染性疾病,是最重要的贡献因素,占观察到的轮班的40%以上.
- 这些因素强调了医疗保健的获取和使用方式发生了重大变化.
结论:
- 人口老龄化和非传染性疾病的增加是印度向门诊护理转变的关键驱动因素.
- 印度的医疗保健政策和基础设施需要适应,以支持对门诊服务日益增长的需求.
- 进一步的研究应该探索这种趋势对印度医疗保健系统的长期影响.
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