Ishizaki Tatsuro, Imanaka Yuichi, Hirose Masahiro, Hayashida Kenshi, Kizu Minoru, Inoue Akihiro, Sugie Susumu
Department of Healthcare Economics and Quality Management, School of Public Health, Kyoto University Graduate School of Medicine, Yoshida Konoe-cho, Sakyo-ku, Kyoto 606-8501, Japan.
Health Policy. 2004 Sep;69(3):293-303. doi: 10.1016/j.healthpol.2004.04.008.
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.
为了研究在某城市医院的特定传染病治疗单元提供感染控制信息对门诊患者使用门诊服务意愿的影响,我们询问了在该医院接受门诊治疗的受访者(N = 821),如果该单元收治了严重急性呼吸综合征(SARS)患者,他们是否打算继续在该医院就诊。尽管56%的受访者表示在阅读信息之前,如果医院该单元收治了SARS患者,他们仍可以继续前来就诊,但阅读信息后,打算继续接受门诊治疗的受访者比例显著增加了15%。逻辑回归分析显示,经常前往门诊就诊的受访者(P < 0.001)、阅读有关该单元的信息后感到安心的受访者(P < 0.001)以及不担心医院内SARS医院感染的受访者(P < 0.001),更有可能表示会继续门诊就诊。我们估计,该单元收治SARS患者后,在收治SARS患者后的180天内,医院门诊患者累计总数将减少20%,而阅读信息后门诊患者累计总数增加了7%。这项研究表明,向门诊患者提供有关医院SARS感染控制的适当信息,对门诊患者继续在该医院就诊的意愿具有统计学上的显著且实质性的影响。