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导致胆囊切除术的医疗服务使用的时间模式:一项使用保险记录的过程评估。

Temporal patterns in the use of health services leading to cholecystectomy: a process evaluation using insurance records.

作者信息

Horne J M, Beck R G

出版信息

Med Care. 1978 Dec;16(12):1006-18. doi: 10.1097/00005650-197812000-00004.

DOI:10.1097/00005650-197812000-00004
PMID:713627
Abstract

Data from Saskatchewan's public medical and hospital insurance programs are used to estimate a multivariate model of health services utilization among cholecystectomy patients. A methodology is developed which partitions the care process into an assessment period, a waiting period, and a hospitalization period. The general hypothesis is that presurgical and surgical decisions of physicians are influenced by extra-medical factors, including the social condition of the patient and the availability of health resources. This hypothesis is only weakly supported by the data.

摘要

来自萨斯喀彻温省公共医疗和医院保险项目的数据被用于估计胆囊切除术患者医疗服务利用情况的多变量模型。研究开发了一种方法,将护理过程划分为评估期、等待期和住院期。一般假设是医生的术前和手术决策受医疗以外因素的影响,包括患者的社会状况和医疗资源的可获得性。但该假设仅得到数据的微弱支持。

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Temporal patterns in the use of health services leading to cholecystectomy: a process evaluation using insurance records.导致胆囊切除术的医疗服务使用的时间模式:一项使用保险记录的过程评估。
Med Care. 1978 Dec;16(12):1006-18. doi: 10.1097/00005650-197812000-00004.
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