Ding Liwen, Chen Chu, Wang Jianjian, Pan Jay
HEOA Group, West China School of Public Health and West China Fourth Hospital, Sichuan University, Chengdu, People's Republic of China.
Institute for Healthy Cities and West China Research Center for Rural Health Development, Sichuan University, Chengdu, People's Republic of China.
Int J Chron Obstruct Pulmon Dis. 2024 Dec 12;19:2719-2728. doi: 10.2147/COPD.S489520. eCollection 2024.
Ambulatory Care Sensitive Conditions (ACSCs) refer to hospital encounters that could potentially be prevented with improved primary care. Chronic Obstructive Pulmonary Disease (COPD) as one of the typical ACSCs, and its hospitalization is considered potentially preventable through the quality primary care. However, the literature on factors influencing Potentially Preventable Hospitalization (PPH) has rarely been conducted from the patient perspective, especially in China. Our study aims to explore the factors influencing PPH for COPD patients.
This was a qualitative study. Twenty participants hospitalized by COPD were recruited from the healthcare institutions in China. The semi-structured interviews were conducted from July to August 2022. The data were gathered and analyzed systematically using thematic analysis.
Patients' experiences for PPH generated two main themes: environmental characteristics and personal characteristics. Sub-themes included accessibility of healthcare resources, medical services capability, healthcare insurance policy, working environment, disease cognition, health awareness, disease burden, income constrain, disease perception, negative emotions, and comorbidity.
Environmental characteristics and personal characteristics are factors associated with PPH for COPD patients. It is important to enhance the medical service ability, improve the accessibility of healthcare resources and the health literacy of patients.
门诊医疗敏感疾病（ACSCs）是指通过改善初级保健有可能预防的医院就诊情况。慢性阻塞性肺疾病（COPD）作为典型的门诊医疗敏感疾病之一，其住院治疗被认为通过高质量的初级保健有可能预防。然而，关于影响潜在可预防住院（PPH）因素的文献很少从患者角度进行研究，尤其是在中国。我们的研究旨在探讨影响COPD患者潜在可预防住院的因素。
这是一项定性研究。从中国的医疗机构招募了20名因COPD住院的参与者。于2022年7月至8月进行了半结构化访谈。使用主题分析法对数据进行系统收集和分析。
患者潜在可预防住院的经历产生了两个主要主题：环境特征和个人特征。子主题包括医疗资源的可及性、医疗服务能力、医疗保险政策、工作环境、疾病认知、健康意识、疾病负担、收入限制、疾病感知、负面情绪和合并症。
环境特征和个人特征是与COPD患者潜在可预防住院相关的因素。提高医疗服务能力、改善医疗资源的可及性和患者的健康素养很重要。
