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父母对儿科手术中心的偏好:离散选择实验的见解
Kengo Hattori1,2, Kentaro Hayashi3, Shinsuke Ikeda4
1Department of Pediatric Surgery, Takatsuki General Hospital, 1-3-13, Kosobe-cho, Takatsuki-shi, Osaka, 569-1192, Japan. ken5hattori@gmail.com.
Pediatric surgery international
|August 24, 2025
概括
在考虑中心化时,家长优先考虑改善儿童手术设施结构,比如更多的外科医生和更好的急救服务. 这表明他们愿意以更高质量的护理换取旅行时间.
科学领域:
- 儿童手术
- 医疗服务研究
- 健康经济学
背景情况:
- 儿童手术中心可以提高护理质量, 但可能会增加患者的旅行时间.
- 了解家长的偏好对于优化设施位置和服务设计至关重要.
研究的目的:
- 量化儿童手术设施集中的好处与降低可访问性的影响之间的权衡.
- 评估家长对儿科手术护理的各种特征的偏好.
主要方法:
- 对新生儿患者的父母进行了一项离散选择实验.
- 假设的设施具有不同的属性:外科医生数量,紧急覆盖 (EC),手术量,旅行时间,专家可用性,先进能力,并发症率和初级医生系统.
- 对旅行时间的偏好和边际替代率进行了估计.
主要成果:
- 父母的偏好受到外科医生数量,EC,每年手术量和旅行时间的重大影响.
- 增加外科医生数量和增强的EC值得高度重视,相当于可接受的旅行时间大幅增加.
- 较高的手术量和专家和先进的手术能力也被优先考虑,而较低的并发症率和以团队为基础的护理的影响较小.
结论:
- 父母通常支持儿童手术中心.
- 结构性改进,如增加外科医生数量和强大的急救覆盖,优先于直接的临床结果,如并发症率.
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