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匈牙利人报告的门诊医疗服务等待时间:基于全国代表性样本的横断面调查结果。

Self-Reported Waiting Times for Outpatient Health Care Services in Hungary: Results of a Cross-Sectional Survey on a National Representative Sample.

机构信息

Department of Health Economics, Corvinus University of Budapest, Fővám tér 8, H-1093 Budapest, Hungary.

Department of Public and Occupational Health, Amsterdam UMC, University of Amsterdam, Amsterdam Public Health research institute, Meibergdreef 9, 1105 AZ Amsterdam, The Netherlands.

出版信息

Int J Environ Res Public Health. 2021 Feb 24;18(5):2213. doi: 10.3390/ijerph18052213.

Abstract

: System-level data on waiting time in the outpatient setting in Hungary is scarce. The objective of the study was to explore self-reported waiting time for an appointment and at a doctor's office. : An online, cross-sectional, self-administered survey was carried out in 2019 in Hungary among a representative sample (n = 1000) of the general adult population. Chi-squared test and logistic regression analysis were carried out to explore if socioeconomic characteristics, health status, or residence were associated with waiting times and the perception of waiting time as a problem. : Proportions of 90%, 41%, and 64% of respondents were seen within a week by family doctor, public specialist, and private specialist, respectively. One-third of respondents waited more than a month to get an appointment with a public specialist. Respondents in better health status reported shorter waiting times; those respondents were less likely to perceive a problem with: (1) waiting time to get an appointment (OR = 0.400) and (2) waiting time at a doctor's office (OR = 0.519). : Longest waiting times were reported for public specialist visits, but waiting times were favorable for family doctors and private specialists. Further investigation is needed to better understand potential inequities affecting people in worse health status.

摘要

匈牙利门诊候诊时间的系统数据稀缺。本研究旨在探讨预约和在医生办公室的自报候诊时间。

2019 年,匈牙利采用在线、横断面、自我管理的调查方式,对一般成年人群的代表性样本(n=1000)进行了调查。采用卡方检验和逻辑回归分析,探讨社会经济特征、健康状况或居住地是否与候诊时间以及将候诊时间视为问题的看法有关。

分别有 90%、41%和 64%的受访者在一周内由家庭医生、公共专科医生和私人专科医生就诊。三分之一的受访者等待一个月以上才能预约公共专科医生。健康状况较好的受访者报告的候诊时间较短;他们不太可能认为:(1)预约候诊时间存在问题(OR=0.400)和(2)在医生办公室候诊时间存在问题(OR=0.519)。

报告的公共专科医生就诊等候时间最长,但家庭医生和私人专科医生的等候时间更有利。需要进一步调查,以更好地了解影响健康状况较差人群的潜在不平等现象。

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