医生对医院质量信息的沟通是否影响患者的医院选择? 一个实验性的图片研究
Moo Hyuk Lee1, Soela Kim2, Young Kyung Do2,3
1Department of Biomedical Sciences, Seoul National University College of Medicine, Seoul, South Korea.
概括
医生对医院质量的沟通显著减少了患者前往手术的意图. 该策略通过在临床接触期间提供关键的质量信息来支持知情的医院选择.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 患者的决策能力
- 医疗保健的质量 医疗保健的质量
背景情况:
- 医院质量信息减少了信息不对称性,影响了患者的选择.
- 医生沟通是影响患者决策的可行和有效道.
- 医生提供的高质量信息对医院选择的影响尚未得到充分研究,特别是在患者外流量较高的环境中.
研究的目的:
- 检查医生提供的医院质量信息是否会影响患者的医院选择.
- 评估结构质量信息 (SQI) 和结果质量信息 (OQI) 对移民出境意向的影响.
主要方法:
- 实验性图片设计与1679名成年人 (19-69岁),不包括首尔居民.
- 在假设的癌症诊断后随机分配到控制,SQI或OQI组.
- 使用ANOVA,回归和调解进行分析,以评估信心和结果感知.
主要成果:
- 医生对质量信息的沟通显著降低了出国移民的意图 (71.7%的控制对比59.2%的SQI,55.3%的OQI).
- 出国移民意向的减少是显著的 (14.8%的SQI,19.4%的OQI).
- 调解分析显示,通过信心和感知结果完全调解,信心途径更强.
结论:
- 医生对医院质量信息的沟通显著影响患者的医院选择.
- 将质量讨论纳入临床接触,有助于患者做出明智的决策.
- 这种方法对于管理患者外流和改善医疗保健利用率至关重要.
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