Nivel, the Netherlands Institute for Health Services Research, Utrecht, the Netherlands.
CAPHRI, Maastricht University, Maastricht, the Netherlands.
PLoS One. 2024 Aug 29;19(8):e0309382. doi: 10.1371/journal.pone.0309382. eCollection 2024.
Healthcare systems around the globe are facing challenges. There are increasing demands and costs at the same time as a diminishing health workforce. Without change, healthcare will become unsustainable. The Dutch government is searching for solutions, one of which is relocating healthcare. Relocating healthcare from expensive institutions to sites closer to patients' homes is an important part of this. This relocation is expected to reduce costs and lessen shortages of personnel. However, although citizens have an important stake in this, little is known about how they think about this topic. This research aims at investigating citizens' perspectives on relocating care.
In December 2021, three open-ended questions were sent to 1,500 members of Nivel's Dutch Healthcare Consumer Panel, 796 respondents responded. In addition, two citizen platforms were organised in March and April 2022. A total of 23 citizens participated.
Our results indicated that the following aspects are important for citizens in healthcare delivery: being treated by someone with expertise in the area of their need, familiarity with the healthcare provider and the treatment of less complex care close to home. When certain conditions are met, citizens prefer treatment for less complex care from their general practitioner rather than in a hospital. The most important condition is that the general practitioner has the right expertise regarding their health question. The willingness to relocate care from the general practitioner to other healthcare providers or to self-care is also present. One of the problems, however, is that citizens often do not know to which healthcare provider they should go or what they should do to increase self-care.
From a citizens' perspective, relocating care is an acceptable solution for keeping healthcare sustainable in the future, provided that certain conditions are met.
全球医疗体系面临挑战。在医疗劳动力不断减少的同时，需求和成本却在不断增加。如果不进行变革，医疗保健将变得难以为继。荷兰政府正在寻找解决方案，其中之一是重新配置医疗保健。将医疗保健从昂贵的机构转移到更接近患者家庭的地点是其中的重要组成部分。预计此举将降低成本并减少人员短缺。然而，尽管公民在这方面有重要的利益，但人们对他们如何看待这个问题知之甚少。这项研究旨在调查公民对重新配置护理的看法。
2021 年 12 月，向 Nivel 的荷兰医疗保健消费者小组的 1500 名成员发送了三个开放式问题，796 名受访者做出了回应。此外，2022 年 3 月和 4 月还组织了两个公民平台。共有 23 名公民参加。
我们的研究结果表明，以下几个方面对医疗保健服务的公民很重要：由在其需求领域具有专业知识的人进行治疗、熟悉医疗保健提供者以及在离家较近的地方治疗较简单的护理。在满足某些条件的情况下，公民更愿意在家庭医生处接受较简单的护理，而不是在医院。最重要的条件是家庭医生在他们的健康问题上具有正确的专业知识。愿意将护理从家庭医生转移到其他医疗保健提供者或自我护理的意愿也存在。然而，存在的一个问题是，公民通常不知道他们应该去哪家医疗保健提供者，或者他们应该做些什么来增加自我护理。
从公民的角度来看，重新配置护理是保持未来医疗保健可持续性的可接受解决方案，前提是满足某些条件。
