印度城市一家私立医院中老年人的就医经历。
Experiences of Older Persons in Seeking Care at a Private Hospital in Urban India.
作者信息
Ganorkar Sachin, Kabir Zarina Nahar, Rustomfram Nasreen, Thakur Harshad
机构信息
Tata Institute of Social Sciences, Mumbai, India.
Karolinska Institute, Stockholm, Sweden.
出版信息
Gerontol Geriatr Med. 2020 Apr 4;6:2333721420910639. doi: 10.1177/2333721420910639. eCollection 2020 Jan-Dec.
The study aims to describe the experiences of older persons in seeking health care in a private hospital in urban India. Semi-structured interviews were conducted with 50 older persons admitted in or visiting a private hospital in Hyderabad city in India between the period November 2017 and April 2018. The data were analyzed using Content Analysis. Dimensions related to payment mechanisms, quality of health care staff, and hospital quality were reported to be important for the older persons. Payment mechanisms were related to discounts, insurance support, and reducing out-of-pocket expenditure. Quality of care was related to optimizing hospital operational processes like discharge time, standard of treatment, and trustworthiness of the medical staff. Payment mechanism can be made friendly for the older persons. Quality of hospital including its staff can be enhanced by developing geriatric-specific competencies which can help them to understand and treat complex health problems specific for the older population.
该研究旨在描述印度城市一家私立医院中老年人寻求医疗保健的经历。2017年11月至2018年4月期间，对印度海得拉巴市一家私立医院收治或就诊的50名老年人进行了半结构化访谈。采用内容分析法对数据进行分析。据报告，与支付机制、医护人员素质和医院质量相关的维度对老年人很重要。支付机制与折扣、保险支持和减少自付费用有关。护理质量与优化医院运营流程有关，如出院时间、治疗标准和医护人员的可信度。可以使支付机制对老年人更友好。通过培养针对老年人的特定能力来提高医院包括其工作人员的素质，这有助于他们理解和治疗老年人群特有的复杂健康问题。
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