城市印度医疗保健推系统:从医生的角度进行定性探索
Maria Sabastin Sagayam1, Priya Gupta1, Ram Ramesh2
1Amrita School of Business, Amrita Vishwa Vidyapeetham, Bengaluru, India.
PloS one
|December 4, 2025
概括
印度的医生在非结构化的医疗保健系统中面临挑战,影响患者转诊. 他们强调需要明确的指导方针和可靠的信息系统,以便有效推流程.
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
- 定性研究是指质量研究.
背景情况:
- 印度医疗保健系统存在结构性问题,导致城市和农村地区的健康状况不佳.
- 对于患者护理轨迹至关重要的转诊系统的医生观点在印度研究不足.
研究的目的:
- 了解印度典型的医生推机制.
- 确定影响医生转诊实践的因素.
- 突出挑战,并提出解决方案,以有效推过程.
主要方法:
- 质量深入访谈62名医生 (全科医生和专科医生) 来自班加罗尔的公立和私立医院.
- 对收集的数据进行主题分析,以确定关键主题.
主要成果:
- 专家的可用性,可访问性,经验和声誉显著影响推.
- 缺乏提供商数据库导致人们依赖个人和专业网络.
- 医生考虑患者的负担能力和可访问性,但转诊咨询和沟通需要正式化.
- 障碍包括沟通问题,系统效率低下以及与患者相关的因素.
- 医生强调需要明确的指导方针,法规和政策来简化转诊系统.
结论:
- 医生承认有系统性缺陷,但觉得无法解决这些缺陷.
- 强大的互联信息系统对所有利益相关者至关重要.
- 政府的参与对于采用结构化推系统至关重要.
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