Hospital and ambulatory service use by the urban elderly under different health care delivery systems.
Hospital and ambulatory service use by the urban elderly under different health care delivery systems.
复制标题
不同医疗服务体系下城市老年人对医院和门诊服务的使用情况。
DOI：
10.1097/00005650-198808000-00001
复制
发表时间：
1988
期刊：
影响因子：
3
通讯作者：
Thomas,C
中科院分区：
文献类型：
--
作者：
Kelman,HR;Thomas,C
对生活在城市社区的老年人样本而言，利用保健服务的模式因受访者是否确定以下三种按服务收费提供系统中的一种作为其主要护理来源而有所不同：医院、私人医生或医疗团体。即使在人口健康和社会经济特征得到控制的情况下，利用模式的差异仍然存在，并可归因于系统结构的差异或人口对这些护理系统的行为反应。正如预期的那样，健康变量，以及人们是否有护理来源，是解释住院和门诊就诊总量的最重要因素。此外，特定的护理来源和社会经济变量在解释住院时间和门诊就诊类型方面具有重要意义。本文讨论了这些研究结果和相关研究结果的政策含义。
For a sample of elderly persons living in an urban community, patterns of use of health-care services varied according to whether or not respondents identified one of three fee-for-service delivery systems as their primary source of care: a hospital, a private physician, or a medical group practice. Differences in utilization patterns persisted even when population health and socioeconomic characteristics were controlled, and are attributable either to differences in system structure or to the population's behavioral response to these systems of care. As expected, the health variables, as well as whether or not persons had a source of care, were the most important factors in explaining aggregate inpatient and ambulatory care visits. In addition, particular sources of care and socioeconomic variables were significant in explaining duration of time spent in hospital and types of ambulatory care visits. Policy implications of these and related findings are discussed.