Department of Psychology, San Diego State University, San Diego, CA 92120, USA.
J Pediatr Health Care. 2012 Jan-Feb;26(1):27-36. doi: 10.1016/j.pedhc.2010.06.016. Epub 2010 Jul 21.
In response to the increasing complexity of the health care system, the field of health care advocacy has emerged. However, little is known about variables that may influence a person's likelihood of hiring a health care advocate (HCA) for their chronically ill child.
Severity (high or low) and probability of mortality (high or low) of a child's chronic illness and the child's age (1, 7, or 13 years) were manipulated using vignettes. The dependent variable was a composite score of the eight items used to measure the participants' likelihood of hiring an HCA.
Participants (N = 1052) were more likely to hire an HCA for a child who was 1 year old than for a child who was 13 years old. Participants were more likely to hire an HCA for a child whose chronic illness was low rather than high in severity and whose chronic illness was high rather than low in probability of mortality.
Use of an HCA may increase patient satisfaction, decrease medical errors, and enhance pediatric health outcomes.
为应对医疗保健系统日益复杂的形势，医疗保健倡导领域应运而生。然而，人们对可能影响个人为其慢性病患儿聘请医疗保健倡导人的可能性的变量知之甚少。
利用情景描述来操纵儿童慢性病的严重程度（高或低）和死亡率概率（高或低）以及儿童年龄（1 岁、7 岁或 13 岁）。因变量是用于衡量参与者聘请医疗保健倡导人可能性的八项综合得分。
参与者（N=1052）更有可能为 1 岁的孩子聘请医疗保健倡导人，而不是为 13 岁的孩子聘请。参与者更有可能为慢性病严重程度较低而非较高、慢性病死亡率较高而非较低的孩子聘请医疗保健倡导人。
使用医疗保健倡导人可能会提高患者满意度，减少医疗失误，并改善儿科健康结果。
