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谁来选择医院:从业者还是患者?

Who picks the hospital: practitioner or patient?

作者信息

Kurz R S, Wolinsky F D

出版信息

Hosp Health Serv Adm. 1985 Mar-Apr;30(2):95-106.

Abstract

This article presents the findings of a survey on consumer versus physician selection of a hospital. Forty-one percent of respondents reported that they or the affected household member selected the hospital. In addition, the perception of who chose the hospital was related to: 1) demographic (age and marital status); sociocultural (number of times moved in the past five years), and psychological (willingness to change physicians) factors which predispose hospital selection; 2) differences in individual resources (type of insurance coverage) which influence decision making; and 3) medical conditions (inpatient vs. outpatient status and the reason for the hospital utilization) which imply specific needs. Knowledge of these factors permits the correct classification of 70.2% of the cases, as opposed to 59.5% without such knowledge. The implications of these findings for healthcare marketing are discussed.

摘要

本文介绍了一项关于消费者与医生对医院选择的调查结果。41%的受访者表示是他们自己或受影响的家庭成员选择了医院。此外,对谁选择医院的认知与以下因素有关:1)人口统计学因素(年龄和婚姻状况)、社会文化因素(过去五年内搬家次数)以及心理因素(更换医生的意愿),这些因素预先影响医院选择;2)个人资源差异(保险覆盖类型),这会影响决策;3)医疗状况(住院与门诊状态以及医院利用的原因),这意味着特定需求。了解这些因素能够正确分类70.2%的案例,而在不了解这些因素的情况下,正确分类率为59.5%。本文还讨论了这些研究结果对医疗保健营销的影响。

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