伊朗人在提供服务时选择急诊医生的偏好。
Preferences of Iranians to select the emergency department physician at the time of service delivery.
机构信息
Guilan Road Trauma Research Center, Guilan University of Medical Sciences, Rasht, Iran.
Faculty of Health, School of Health Administration, Dalhousie University, Halifax, Canada.
出版信息
BMC Health Serv Res. 2021 Oct 25;21(1):1155. doi: 10.1186/s12913-021-07183-9.
BACKGROUND
Understanding patient preferences in emergency departments (EDs) can provide useful information to enhance patient-centred care and improve patient's experience in hospitals. This study sought to find evidence about patients' preference for physicians when receiving services in EDs in Iran.
METHODS
In this discrete choice experiment survey, 811 respondents completed the scenarios with 5 attributes, including type of physicians, price of services, time to receive services, physician work experience, and physician responsibility. Analyses were conducted for different social and economic groups as well as for the total population.
RESULTS
This study showed that the willingness to pay (WTP) for being visited by a physician with a high sense of responsibility was 67.104US$. WTP for being visited by an emergency medicine specialist (EMS) was 22.148US$. WTP for receiving ED services 1 min earlier was 0.417US$ and for being visited by 1 year higher experienced physician was 0.866US$. WTP varied across different age groups, sex, health status, education, and income groups.
CONCLUSION
As the expertise and experience of providers are important factors in selecting physicians in EDs by the patients, providing this information to patients when they want to select their providers can promote patient-centred care. This information can decrease patients' uncertainty in the selection of their services and improve their experience in hospitals.
背景
了解急诊科（ED）患者的偏好可以提供有用的信息，以增强以患者为中心的护理，并改善患者在医院的体验。本研究旨在寻找伊朗 ED 患者在接受服务时对医生偏好的证据。
方法
在这项离散选择实验调查中，811 名受访者完成了包含 5 个属性的情景，包括医生类型、服务价格、接受服务的时间、医生工作经验和医生责任。对不同的社会经济群体以及总人口进行了分析。
结果
本研究表明，愿意为有高度责任感的医生就诊支付的金额为 67.104 美元。愿意为急诊医学专家（EMS）就诊的金额为 22.148 美元。愿意提前 1 分钟接受 ED 服务的金额为 0.417 美元，愿意为经验丰富 1 年的医生就诊的金额为 0.866 美元。支付意愿因不同年龄组、性别、健康状况、教育程度和收入群体而异。
结论
由于提供者的专业知识和经验是患者在 ED 选择医生的重要因素，在患者选择提供者时向其提供这些信息可以促进以患者为中心的护理。这一信息可以减少患者在选择服务时的不确定性，并改善他们在医院的体验。
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