概括
一本自我护理书并没有显著减少医生访问,即使有激励措施. 这本家庭护理指南的广泛发行并没有减少患者在急性医疗问题上对医生的依赖.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 患者教育 患者教育
- 行为医学是一种行为医学.
背景情况:
- 自我护理书籍旨在赋予患者管理健康问题的权力.
- 评估患者教育对医疗保健利用的影响对于资源管理至关重要.
研究的目的:
- 为了评估自我护理书在减少医生访问方面的有效性.
- 为了确定是否提供自我护理指南会影响寻求医疗保健的行为.
主要方法:
- 研究了三组家庭 (N=699):书 + 研讨会,书 + 研讨会 + 财务激励和控制.
- 医生访问率在6个月和12个月内进行了监测.
- 家庭对自理书的参与也得到了评估.
主要成果:
- 自理手册对任何一组的医生访问次数没有显著影响.
- 尽管读书人数很高,并用于特定问题,但寻求医疗保健的行为仍然没有改变.
- 财政激励并没有显著改变研究结果.
结论:
- 这本自我护理书的大量发行并没有导致减少医生依赖.
- 通过自我护理指南的患者教育可能不足以改变已有的寻求医疗保健的行为.
- 需要进一步的研究来确定有效的策略,以促进适当的医疗保健利用.
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