寻求医疗保健的患者如果没有限制
Serena Lee1, Martha M Gonzalez2, Rebecca S Etz2
1From the School of Medicine, Case Western Reserve University, Cleveland, Ohio (SL); Larry A. Green Center for the Advancement of Primary Health Care for the Public Good, Virginia Commonwealth University, Richmond, Virginia (MMG); Larry A. Green Center for the Advancement of Primary Health Care for the Public Good and Department of Family Medicine and Population Health, Virginia Commonwealth University, Richmond, Virginia (RSE); and Center for Community Health Integration, Larry A. Green Center for the Advancement of Primary Health Care for the Public Good, Case Western Reserve University, Cleveland, Ohio (KCS). sxl2010@case.edu.
大多数患者更喜欢为他们的健康问题提供初级保健,当成本和获取不是障碍时. 这凸显了加强初级保健服务的重要性,以改善患者的治疗结果.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 患者的偏好 患者的偏好
- 医疗保健提供系统
背景情况:
- 医疗保健系统面临着持续的运营变化和限制,影响患者寻求护理的行为.
- 患者对获得医疗保健的决策受各种系统级因素的影响.
研究的目的:
- 分析患者对寻求护理的偏好,当金融和访问限制被消除时.
- 了解医疗保健需求的理想首选,不管有什么限制.
主要方法:
- 进行了一项全国性调查 (2021年11月15日至23日),评估患者对无限制的医疗保健来源的偏好.
- 响应被分析使用一个三步过程:接地类别识别,频率计数和审计师验证.
- 获得了1211个可用的答案进行分析.
主要成果:
- 近一半的受访者 (49.1%) 选择初级保健作为他们处理大多数健康问题的首选.
- 其他显著的偏好包括医院/卫生系统 (11.9%) 和方便/可访问的来源 (11.6%).
- 专家 (8.0%) 和优先考虑质量护理的来源 (8.2%) 也被认为是优先选择.
结论:
- 绝大多数患者更喜欢初级保健,当消除进入和成本障碍时.
- 医疗保健系统应该通过支持和加强初级保健准入来与患者的偏好保持一致.
- 加强初级保健对于改善患者护理和健康结果至关重要.
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