Department of Psychiatry, UC San Diego Health, La Jolla, California, USA.
University of Applied Sciences Northwestern Switzerland FHNW, Olten, Switzerland.
Int J Health Plann Manage. 2023 Sep;38(5):1409-1419. doi: 10.1002/hpm.3669. Epub 2023 Jun 9.
Continuously rising healthcare costs have led to financial pressure on the healthcare systems. One of the trends for the reduction of costs is the shift towards outpatient treatment. However, research has not focused on the patients' preferences regarding inpatient versus outpatient treatment settings. The purpose of this review is to examine existing studies surveying patients' preferences related to inpatient and outpatient treatment methods. The aim is to find out whether patients' wishes were queried and considered in the decision-making process.
Therefore, the reviewers performed a systematic approach utilizing the PRISMA standards and screened 1'646 articles out of 5'606 articles from the systematic search.
The screening resulted in 4 studies that analyzed exclusively the patient's choice of treatment setting. The search showed an apparent paucity of current literature and highlights the need for further research. The authors' recommendation includes a better involvement of patients in the decision-making process as well as adding preferred treatment settings to advanced treatment directives and patient satisfaction questionnaires.
不断上涨的医疗保健成本给医疗系统带来了财务压力。降低成本的趋势之一是向门诊治疗转移。然而,研究并未关注患者对住院和门诊治疗环境的偏好。本综述的目的是研究调查患者对住院和门诊治疗方法的偏好的现有研究。目的是确定在决策过程中是否询问和考虑了患者的意愿。
因此,审查员采用了系统方法,利用 PRISMA 标准,从系统搜索中筛选出 5606 篇文章中的 1646 篇。
筛选出 4 项专门分析患者治疗环境选择的研究。该搜索表明,目前的文献明显匮乏,这凸显了进一步研究的必要性。作者的建议包括让患者更好地参与决策过程,并将首选治疗环境添加到高级治疗指令和患者满意度问卷中。