没有保险的病人去哪里? 在医院间转移中的协作网络动态的悖论
Minyoung Ku1, Jinyoung Cha2, Keon-Hyung Lee1
1Askew School of Public Administration and Policy, College of Social Sciences and Public Policy, Florida State University, Reubin O'D. Askew School of Public Administration and Policy, Bellamy Building 627, 113 Collegiate Loop, Tallahassee, FL, 32306-2250, USA.
Social science & medicine (1982)
|February 22, 2026
概括
医院间的患者转移显示了无保险患者获得护理的差异,网络动态使他们在紧急和非紧急情况下处于不利地位. 这些不平等甚至在COVID-19大流行期间仍然存在.
科学领域:
- 医疗保健管理的管理
- 健康和疾病的社会学
- 网络科学 网络科学
背景情况:
- 医院间患者转移是医疗保健合作的关键,提高了质量和效率.
- 像信任这样的关系机制促进了合作,但也可能造成排斥和差距.
- 现有研究强调了医疗保健网络中组织间协作的双重性质.
研究的目的:
- 检查医院转移网络中的协作动态.
- 调查这些动态如何导致基于保险状况的患者转移差异.
- 分析公共卫生危机期间这些差异的持续性.
主要方法:
- 利用关系事件模型来分析每日患者转移数据.
- 研究了佛罗里达州159家医院 (2018-2021) 中转移的时间动态.
- 检查的网络动态:惯性,互惠性和三元关闭.
主要成果:
- 网络动态 (惯性,互惠,三元关闭) 根据患者的保险状况不同地运行.
- 没有保险的患者在紧急和非紧急转移时都面临不便,特别是在紧急护理中.
- 网络驱动的差异在COVID-19大流行期间持续存在.
结论:
- 医院转移网络的动态可以加剧医疗保健获取现有的社会差异.
- 组织间协作机制可能无意中使弱势患者群体处于不利地位.
- 对于解决患者转移中网络驱动的不平等问题,存在政策和理论上的影响.
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