使用安德森的行为模型影响急诊室使用的因素:马来西亚一家公立医院的横截面研究
Norbaidurah Ithnain1, Saiful Adli Suhaimi1, Evi Diana Omar2
1Institute for Health Behavioural Research, National Institutes of Health, Ministry of Health Malaysia, Shah Alam, Selangor, Malaysia.
紧急部门的过度拥挤是由非紧急访问驱动的. 婚姻状况,保险和疾病持续时间显著影响寻求医疗保健的行为,影响急诊室的利用率.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 公共卫生 公共卫生
- 医疗保健管理的管理
背景情况:
- 紧急部门 (ED) 过度拥挤是一个持续的全球挑战.
- 受行为,社会经济和系统因素影响的非紧急访问对ED过度拥挤有很大影响.
研究的目的:
- 调查影响马来西亚成年人急诊室 (ED) 使用模式的因素.
- 应用安德森的行为模型来理解影响ED访问的倾向性,启用性和需求因素.
主要方法:
- 马来西亚Tengku Ampuan Rahimah Klang医院急诊室进行的一项横截面研究.
- 对381名马来西亚成年游客进行了便利抽样,采用基于安德森行为模型的结构化调查问卷.
- 在SPSS 29.0.0.中使用描述统计和多重物流回归的数据分析.
主要成果:
- 大多数受访者是年轻人和低收入者,他们认为非危急症状是紧急的.
- 对护理质量的信任和设施的近距离是ED访问的主要原因.
- 婚姻状况,保险覆盖和疾病持续时间显著影响了ED使用和获得替代服务.
结论:
- 根据安德森的模型,预示性 (婚姻状况),支持性 (保险覆盖) 和需要性 (疾病持续时间) 因素影响了ED的使用情况.
- 研究结果支持开发战略,整合行为见解,初级保健改进,患者教育和服务规划.
- 这些策略对于减少非紧急急救访问和提高马来西亚公共卫生系统效率至关重要.
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