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[医生了解并使用强制性质量报告吗?]

[Do physicians know and use mandatory quality reports?].

作者信息

Hermeling P, Geraedts M

机构信息

Institut für Gesundheitssystemforschung, Universität Witten/Herdecke, Germany.

出版信息

Gesundheitswesen. 2013 Mar;75(3):155-9. doi: 10.1055/s-0032-1321744. Epub 2012 Aug 3.

Abstract

OBJECTIVE

Physicians should be principal recipients of quality reports because they play a major role in referral decisions. The purpose of this study was to determine physicians' awareness and use of Germany's mandatory hospital quality reports.

METHOD

A retrospective observational study was carried out through structured telephone interviews of a stratified random sample of 300 physicians working in ambulatory care in Germany. We analysed absolute and relative frequencies of physicians' awareness and use of quality reports. Additionally we analysed physicians' awareness and use of quality reports in relation to age, sex, specialty, practice type and region of practice using binary regression analysis.

RESULTS

Less than half of the physicians were aware of the quality reports. Younger physicians were significantly more aware of the reports but did not use them more often than their older colleagues. Overall 10 % of the physicians already used them for counselling patients. Taking physicians' use of online comparative hospital guides into account, the combined total use was 14 %.

CONCLUSIONS

Germany's mandatory hospital quality reports play only a minor role in physicians counselling of patients who need hospital care because too few physicians know and use the reports.

摘要

目的

医生应是质量报告的主要接收者,因为他们在转诊决策中起着重要作用。本研究的目的是确定医生对德国强制性医院质量报告的知晓程度和使用情况。

方法

通过对德国300名从事门诊护理工作的医生进行分层随机抽样,进行结构化电话访谈,开展一项回顾性观察研究。我们分析了医生对质量报告的知晓程度和使用情况的绝对频率和相对频率。此外,我们使用二元回归分析,分析了医生在年龄、性别、专业、执业类型和执业地区方面对质量报告的知晓程度和使用情况。

结果

不到一半的医生知晓质量报告。年轻医生对报告的知晓程度明显更高,但使用频率并不比年长同事更高。总体而言,10%的医生已经将其用于为患者提供咨询。考虑到医生对在线医院比较指南的使用情况,综合使用总量为14%。

结论

德国的强制性医院质量报告在医生为需要住院治疗的患者提供咨询方面仅起次要作用,因为了解和使用这些报告的医生太少。

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