Setting priorities in preventative services

Setting priorities in preventative services
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确定预防性服务的优先顺序

DOI:
10.1007/s10389-013-0581-8
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发表时间:
2013
影响因子:
4.4
通讯作者:
Diederich
Diederich
中科院分区:
医学4区
文献类型:
--
作者:
Salzmann;Diederich

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Aim我们调查的意见,预防服务应给予优先资助;初级,二级和三级预防的重要性;和受访者的社会人口统计学,健康状况和生活方式和他们的preferences.Subjects和methodsComputer辅助个人访谈(CAPI)之间的二元关联进行了参与者从区域配额抽样的性别,年龄和社会经济地位(SES)在德国。参与者被要求说明他们是否会保持现状,扩大或减少对8个初级、6个二级和4个三级预防服务的保健提供。此外,他们还指出了一级、二级和三级预防的重要性,并采用了四分制的李克特量表。数据进行了评估,使用权变分析和对应analysis.ResultsOne和3人完成了调查。大多数参与者选择扩大非医疗初级预防服务,如健康教育和咨询,并扩大二级预防服务,如癌症筛查。对于三级预防,如康复,所需的服务分布取决于具体的预防服务。对提供初级、二级和三级预防的重要性问题的回答几乎没有差别。受访者的特征,如年龄,社会经济地位,健康状况和生活方式和他们的preference.ConclusionPrimary预防服务和疾病检测之间的双变量关联可以观察到更多的资金。在三级预防中,没有发现一致的模式。答复者对预防类型的重要性表示了一些不同的意见。这些差异与受访者的知识、个人情况和兴趣有关。
AimWe investigate opinions regarding which preventative services should be given priority funding; the importance of primary, secondary and tertiary prevention; and bivariate associations between the respondents’ sociodemographics, health status and lifestyle and their preferences.Subjects and methodsComputer-assisted personal interviews (CAPI) were conducted with participants from a regional quota sampling by sex, age and socioeconomic status (SES) in Germany. Participants were asked to indicate whether they would keep the status quo, expand or reduce health-care provision for eight primary, six secondary and four tertiary preventative services. Furthermore, they stated the importance of primary, secondary and tertiary prevention on a four-point Likert scale. Data were evaluated using contingency analysis and correspondence analyses.ResultsOne hundred and three people completed the survey. The majority of participants opted for expanding non-medical primary preventative services like health education and counselling and for expanding secondary preventative services like cancer screening. For tertiary prevention, like rehabilitation, the desired service distribution depends on the specific preventative services. There were few differences in answers to the questions on the importance of the provision in primary, secondary and tertiary prevention. Bivariate associations between the respondents’ characteristics like age, SES, health status and lifestyle and their preferences could be observed.ConclusionPrimary preventative services and disease detection should receive more funds. No consistent pattern could be detected for tertiary prevention. Respondents expressed some differences of opinion on the importance of types of prevention. The differences are related to knowledge, personal circumstances and interests of the respondents.
DOI: 10.1371/journal.pone.0036824
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