Summary Patient choice How patients choose and how providers respond

Summary Patient choice How patients choose and how providers respond
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摘要 患者选择 患者如何选择以及提供者如何回应

DOI:
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发表时间:
2010
期刊:
影响因子:
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通讯作者:
Helen Magee
Helen Magee
中科院分区:
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文献类型:
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作者:
Anna Dixon;Ruth Robertson;John Appleby;Peter Burge;Nancy Devlin;Helen Magee

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1. 国民保健制度应继续促进并为病人提供选择医院的机会。即使选择非本地提供者的患者相对较少,我们的证据也发现了给予选择能力的内在价值。2. 患者反馈可能仍然是质量改进的重要推动力。选择似乎间接地影响了质量,因为它给医疗服务提供者带来了可能失去病人的威胁。3. 在所有研究领域,患者的选择和竞争都在一定程度上起作用。我们的研究结果挑战了选择只与城市地区或特定年龄、性别、种族或教育群体相关的观点,表明目前的选择机会是相当公平的。4. 重要的是要有法规来维持质量标准,确保所有提供者达到最低标准,以保护患者,特别是那些无法获得交通工具或生活在不利地区的患者,这可能妨碍他们获得选择提供者的能力5。选择的成本和收益应该明确量化,以说服全科医生和提供者其价值。
1. The NHS should continue to promote and offer patients a choice of hospital. Even if relatively few patients chose a non-local provider, our evidence found an intrinsic value in granting the ability to choose. 2. Patient feedback is likely to remain a significant driver of quality improvement. Choice appears to impact on quality indirectly, by creating a threat to providers that they might potentially lose patients. 3. Patient choice and competition operate to some extent in all study areas. Our findings challenged the belief that choice is relevant only in urban areas or for certain age, gender, ethnic or education groups, suggesting that present opportunities for choice are reasonably equitable. 4. It is important that regulation exists to maintain quality standards that ensure all providers meet minimum standards to protect patients, specifically for those who lack access to transport or in disadvantaged areas, which could impede their ability to access choice of provider 5. The costs and benefits of choice should be clearly quantified to convince GPs and providers of its value.
DOI: 10.2307/1593788
发表时间: 2003-12-01
影响因子: 2.3
作者:
Tay, A
通讯作者: Tay, A