波折:医生减少需求的一种机制
Yanan Dai1,2, Yuchen Xu2, Jian Zhang2
1Department of Echocardiography, Zhongshan Hospital, Fudan University, Shanghai Institute of Cardiovascular Diseases, Shanghai Institute of Medical Imaging, Shanghai, 200032, China.
BMC health services research
|February 5, 2026
概括
医生可能会隐含地阻止患者再访以管理工作量,这是一个"波折"机制. 这影响了患者流动和运营效率,在立即救济和长期护理之间产生了权衡.
科学领域:
- 医疗保健操作 医疗保健操作
- 临床决策 - 临床决策
- 医疗保健服务研究 医疗服务研究
背景情况:
- 医生有时会隐性地阻止患者再访以管理高工作负载,这种现象被称为"波折"机制.
- 这种机制会影响患者的行为,运营效率以及工作负载管理和以患者为中心的护理之间的平衡.
研究的目的:
- 调查医生工作量与患者再访概率之间的关系.
- 确定医生策略来调节患者流量和需求.
- 为了量化患者再次访问的倾向,使用一种新的指标,样本透.
主要方法:
- 对200,426个门诊心脏病记录的分析.
- 引入样本透法来测量患者的"粘性" (重新访问倾向).
- 检查医生行为,如转诊和处方,以了解患者的流量调节.
主要成果:
- 医生工作量增加与较少的短期患者再访相关.
- 医生们为"粘性"患者开出更多的药物处方,并对"粘性"患者进行更少的诊断测试,以应对工作量.
- 这些行动减少了立即的工作量,但可能导致长期的低效率.
结论:
- "波折"机制在短期减轻工作负载和长期运营绩效之间进行了权衡.
- 医生驱动的需求调节,包括减少需求,可以影响患者护理和系统效率.
- 了解这种现象对于优化医疗保健和患者治疗结果至关重要.
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