Estimation of the impact of providing outpatients with information about SARS infection control on their intention of outpatient visit
Estimation of the impact of providing outpatients with information about SARS infection control on their intention of outpatient visit
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DOI：
10.1016/j.healthpol.2004.04.008
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发表时间：
2004-09-01
期刊：
影响因子：
3.3
通讯作者：
Sugie, S
中科院分区：
文献类型：
--
作者：
Ishizaki, T;Imanaka, Y;Sugie, S
为了解某城市医院传染病专科感染控制信息的提供对门诊患者门诊服务使用意愿的影响，在医院接受门诊医疗护理的受访者（N = 821）被问及如果发生严重急性呼吸综合征（SARS），患者被送入该单位。虽然56%的被访者在阅读信息前回答，如果SARS患者在医院住院，他们可以继续到该部门就诊，但阅读信息后，打算继续门诊的比例显著增加了15%。Logistic回归分析显示，经常到门诊就诊的被访者，（P < 0.001），阅读单位信息后感觉轻松（P < 0.001）和不担心院内SARS感染（P < 0.001）的患者更倾向于回答继续门诊就诊。我们估计，SARS患者入住该单位将导致在SARS患者入住该单位后的180天内，医院的累计门诊患者总数减少20%，而在阅读信息后，累计门诊患者总数增加了7%。这项研究表明，为门诊患者提供适当的信息，SARS感染控制在医院有一个统计学上显着的和实质性的影响，门诊患者的意愿，继续门诊就诊在医院。(C)2004爱思唯尔爱尔兰有限公司保留所有权利。
To examine the effect of provision of information about the infection control in the specific infection disease treatment unit in a city hospital on the outpatient's intention of outpatient service use, respondents who underwent outpatient medical care at the hospital (N = 821) were asked whether or not they intended to continue the outpatient visit at the hospital if a severe acute respiratory syndrome (SARS) patient was admitted to the unit. Although 56% of respondents replied that they could continue to visit the department if a SARS patient was admitted to the unit in the hospital before they read the information, the proportion of those who intended to continue outpatient care significantly increased by 15% after they read it. The logistic regression analyses revealed that respondents who had frequently visited the outpatient department (P < 0.001), those who felt relieved by reading the information about the unit (P < 0.001), and those who did not worry about nosocomial SARS infection inside the hospital (P < 0.001) were significantly more likely to reply that they would continue outpatient visits. We estimated that admission of a SARS patient to the unit would result in a 20% decrease in the cumulative total number of outpatients in the hospital during a 180-day interval after admission of a SARS patient to the unit, and the cumulative total number of outpatients increased by 7% after they read the information. This study suggests that providing outpatients with appropriate information about SARS infection control in the hospital had a statistically significant and substantial impact on the outpatients' intention to continue outpatient visits at the hospital. (C) 2004 Elsevier Ireland Ltd. All rights reserved.