Determinants of patient choice of healthcare providers: a scoping review.
Determinants of patient choice of healthcare providers: a scoping review.
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DOI：
10.1186/1472-6963-12-272
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发表时间：
2012-08-22
影响因子：
2.8
通讯作者：
Rademakers JJ
中科院分区：
文献类型：
--
作者：
Victoor A;Delnoij DM;Friele RD;Rademakers JJ
在几个西北欧国家，已经实施了一个需求驱动的医疗保健系统，强调病人选择医疗保健提供者的重要性。在这项研究中，我们正在进行范围审查，旨在绘制出什么是已知的决定因素，病人选择了广泛的医疗服务提供者。据我们所知，目前没有多少研究试图描绘出患者如何选择医疗保健提供者以及这一主题研究现状的总体情况。因此，这项研究是一个有价值的贡献，越来越多的文献对病人的选择。我们进行了一种特定类型的文献综述，称为范围综述。范围界定审查试图检查关于特定主题的现有知识的广度，因此不进行选择或应用质量限制。首先，我们定义了我们的研究问题，并在Embase，Medline和PubMed中检索文献。其次，对文献进行筛选，最后对资料进行分析和总结。我们的审查表明，患者的选择是由患者和提供者的特点之间的复杂的相互作用。患者的各种特征决定了患者是否做出选择，愿意和能够选择，以及如何选择。病人考虑到各种结构，过程和结果的特点提供者，不同的相对重要性，他们重视这些特点。没有典型的病人：不同的病人在不同的情况下做出不同的选择。比较信息似乎有一个相对有限的影响，许多病人和病人的基础上的各种提供者的特点，而不仅仅是结果的特点，他们的决定作出的选择。因此，卫生政策中关于病人选择的假设可能是对现实的过度简化。查明了若干需要进行后续研究的知识差距。
In several northwest European countries, a demand-driven healthcare system has been implemented that stresses the importance of patient healthcare provider choice. In this study, we are conducting a scoping review aiming to map out what is known about the determinants of patient choice of a wide range of healthcare providers. As far as we know, not many studies are currently available that attempt to draw a general picture of how patients choose a healthcare provider and of the status of research on this subject. This study is therefore a valuable contribution to the growing amount of literature about patient choice. We carried out a specific type of literature review known as a scoping review. Scoping reviews try to examine the breadth of knowledge that is available about a particular topic and therefore do not make selections or apply quality constraints. Firstly, we defined our research questions and searched the literature in Embase, Medline and PubMed. Secondly, we selected the literature, and finally we analysed and summarized the information. Our review shows that patients’ choices are determined by a complex interplay between patient and provider characteristics. A variety of patient characteristics determines whether patients make choices, are willing and able to choose, and how they choose. Patients take account of a variety of structural, process and outcome characteristics of providers, differing in the relative importance they attach to these characteristics. There is no such thing as the typical patient: different patients make different choices in different situations. Comparative information seems to have a relatively limited influence on the choices made by many patients and patients base their decisions on a variety of provider characteristics instead of solely on outcome characteristics. The assumptions made in health policy about patient choice may therefore be an oversimplification of reality. Several knowledge gaps were identified that need follow-up research.
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影响因子：
3.1
作者：
Chalder, Melanie;Montgomery, Alan;Salisbury, Chris
通讯作者：
Salisbury, Chris
影响因子：
2.2
作者：
Ahmad, F;Gupta, H;Stewart, DE
通讯作者：
Stewart, DE
DOI：
10.1046/j.1365-2753.2000.00256.x
发表时间：
2000-08-01
影响因子：
2.4
作者：
Bornstein, BH;Marcus, D;Cassidy, W
通讯作者：
Cassidy, W
影响因子：
10.7
作者：
Cutler, DA;Huckman, RS;Landrum, MB
通讯作者：
Landrum, MB
影响因子：
4.4
作者：
Cheraghi-Sohi, Sudeh;Hole, Arne Risa;Roland, Martin
通讯作者：
Roland, Martin