引发新加坡家庭医院计划的患者偏好;一个离散选择实验
Sanjeewa Kularatna1, Low Lian Leng2,3,4, Michelle Tan Woei Jen3
1Health Services and Systems Research, Duke-NUS Medical School, 08 College Road, Singapore, Singapore. Sanjeewa.kularatna@duke-nus.edu.sg.
The patient
|October 18, 2025
概括
新加坡的患者非常喜欢在家医院 (H@H) 的护理,优先考虑医生的参与和可管理的成本. 这种替代护理模式显示出强大的采用潜力,为医院过度拥挤提供了可行的解决方案.
科学领域:
- 医疗保健管理的管理
- 医疗保健服务研究 医疗服务研究
- 患者的偏好 患者的偏好
背景情况:
- 新加坡医院过度拥挤是人口老龄化和对医疗服务需求增加所带来的关键问题.
- 医院在家 (H@H) 计划,利用远程医疗和家庭护理,正在成为替代解决方案.
- 了解患者的偏好对于H@H计划的成功实施至关重要.
研究的目的:
- 确定新加坡家庭医院计划中最喜欢的特点.
- 评估患者愿意采用H@H与传统住院护理相比.
主要方法:
- 设计了一个选择性实验,涉及诸如护理团队组成,沟通,成本和再接收地点等属性.
- 通过在线小组收集了602名新加坡成年人最近入院病史的数据.
- 采用了通过试点测试改进的分数因数设计.
主要成果:
- 自理费用 (71%) 和护理人员组成 (12%) 是最重要的决策因素.
- 患者强烈喜欢护理团队中的医生和重新入院到特定的病房而不是急诊室.
- 与住院护理相比,H@H的预期采用率超过83%.
结论:
- 新加坡临床符合条件的患者表明,接受住院护理模式的可能性很高.
- 私人提供者可以提供H@H服务,而不会损害患者的满意度或信任.
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