与未满足的医疗保健需求相关的因素在患者使用初级保健接入点在北克 (加拿大) 的独立患者
Mylaine Breton1, Catherine Lamoureux-Lamarche1, Véronique Deslauriers1
1Centre de Recherche Charles-Le Moyne, Université de Sherbrooke, Campus Longueuil, Longueuil, Canada.
PloS one
|January 30, 2026
概括
使用北克初级保健接入点 (GAP) 的独立患者经历了未满足的医疗保健需求,特别是当他们被引导到家庭医生以外的服务时. 年龄较小和健康状况不佳等因素增加了这种可能性,突出了需要改善服务的领域.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 获得初级保健服务 获得初级保健服务
- 医疗保健管理的管理
背景情况:
- 获得初级保健对有效的卫生系统至关重要.
- 北克实施了独立患者的初级保健接入点 (Guichet daccès première ligne;GAP),以解决接入障碍.
- 这项研究调查了影响未满足医疗保健需求的因素.
研究的目的:
- 确定使用GAP的患者中与未满足的医疗保健需求相关的因素.
- 要确定这些因素是否根据所收到的GAP导向类型而有所不同.
主要方法:
- 使用在线患者问卷数据进行的横截面研究 (2024年4月至7月).
- 样本包括20282名参与者,他们在使用GAP后回应调查.
- 数据来自三个地方卫生地区的集中等待名单上的患者.
主要成果:
- 年龄较小,自我报告的身体/精神健康状况不佳,LHT 3的服务和急诊室的访问与更高的未满足需求相关.
- 不被满足的需求因GAP方向而异;未被指向家庭医生的患者报告了最不被满足的需求.
- 年龄和ER使用是跨方向未满足需求的一致预测因素;健康状况因方向而异.
结论:
- 这项研究提供了对GAP有效性的初步以患者为中心的见解.
- 以非医生服务为导向的患者报告了最高的未满足需求.
- 需要进一步的研究来探索未满足需求的原因,并制定有针对性的干预措施.
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