在初级保健中,诊所和医院之间存在重叠角色的证据
Boram Sim1, Jihye Shin1, Hyun Woo Kim2
1HIRA Research Institute, Health Insurance Review and Assessment Service (HIRA), Wonju, Korea.
Journal of Korean medical science
|September 9, 2025
概括
韩国诊所是高血压 (HTN) 和糖尿病 (DM) 的初级保健中心,提供比医院更好的护理连续性. 加强基于诊所的初级保健对于患者的治疗结果至关重要.
科学领域:
- 医疗保健政策 医疗保健政策
- 初级护理研究初级护理研究
- 医疗服务研究 医疗服务研究
背景情况:
- 在韩国,诊所和医院往往被视为竞争对手.
- 本研究探讨了诊所和医院在初级保健提供中的重叠角色.
- 分析重点是对高血压 (HTN) 和糖尿病 (DM) 的初始诊断.
研究的目的:
- 分析患者首次接受HTN或DM诊断的医疗保健机构类型.
- 探索影响医疗机构选择的患者特征.
- 根据医疗机构类型,比较诊断后第一年医疗保健利用模式.
主要方法:
- 利用了来自健康保险审查和评估服务的2021年索赔数据.
- 包括599,955名新诊断的HTN患者和195,668名新诊断的DM患者的数据.
- 分析了诊断分布,患者特征,医疗保健利用率和护理连续性.
主要成果:
- 临床诊断了82.5%的HTN和66.6%的DM病例;医院诊断了剩余的.
- 年轻的患者,患有并发症的患者和非首尔居民更有可能使用医院.
- 诊所诊断的患者访问频率和总医疗费用较高,但护理连续性更好.
结论:
- 临床和非普通医院都对初级保健做出了重大贡献.
- 加强基于诊所的初级保健和确保医院初级保健的质量至关重要.
- 促进质量评估透明度的政策可以帮助患者做出决策.
相关概念视频
Primary Healthcare Services
2.0K
Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
2.0K
Hospitals-I
1.5K
Hospitals offer medical and surgical care to the sick and injured, along with accommodation while they recover. At the same time, they also provide outpatient, emergency, psychiatric, and rehabilitation services to meet various community needs. In addition to providing medical care, hospitals also act as hubs for medical research and training. Hospitals use clinical procedures and evidence-based practice standards to deliver patient care. To deliver safe and efficient care, a nurse must stay up...
1.5K
Hospitals-II
1.1K
Hospitals provide inpatient and outpatient services. Inpatient services provide care to patients that stay in the hospital for an extended period, ranging from days to months. Examples of inpatient services include intensive care units, hospital wards, or surgeries. Outpatient services provide care to patients who come to a hospital for a diagnostic or treatment but do not stay overnight —for example, diagnostic tests, surgical procedures, or health education.
Nurses that work in...
Nurses that work in...
1.1K
Secondary Healthcare System
2.0K
Secondary healthcare is offered by a specialist, generally in hospitals or clinics for patients referred by primary healthcare providers. It occurs when a person has an illness or injury that requires specific medical care. Secondary care is often referred to as acute care. Secondary care can range from uncomplicated care to repair a minor laceration or treat a strep throat infection to more complicated emergent care, such as treating a head injury sustained in an automobile accident. Whatever...
2.0K
Methods of Documentation VI: Case Management Model
864
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
For example, a patient with a chronic...
864
Specialized Care Centers and Settings-II
1.2K
Rural Health Centers
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
1.2K


