用脚投票：公立医院、医疗改革与患者选择
Voting with their feet: public hospitals, health reform, and patient choices.
作者信息
Ansell D, Schiff G, Dick S, Cwiak C, Wright K
机构信息
Cook County Hospital, Chicago, Ill. 60612, USA.
出版信息
Am J Public Health. 1998 Mar;88(3):439-41. doi: 10.2105/ajph.88.3.439.
OBJECTIVES
This study identified public hospital patients' preferences under managed care and health reform.
METHODS
A cross-sectional survey of 348 ambulatory public hospital patients was conducted.
RESULTS
Patients reported a high degree of loyalty to the public hospital given several hypothetical reform scenarios. Those patients who stated they would remain at the hospital increased (from 74.2% to 85.5%) when care elsewhere required copayment for medications and physician visits.
CONCLUSIONS
Patients at one public hospital reported a high likelihood of remaining in the public system, and this likelihood increased when copayment for services was required elsewhere.
目的
本研究确定了公立医院患者在管理式医疗和医疗改革下的偏好。
方法
对348名公立医院门诊患者进行了横断面调查。
结果
在几种假设的改革情景下，患者报告对公立医院有高度的忠诚度。当在其他地方就医需要支付药品和医生诊疗费用时，那些表示会留在该医院的患者比例有所增加（从74.2%增至85.5%）。
结论
一家公立医院的患者报告称留在公共医疗体系的可能性很高，并且当在其他地方就医需要支付费用时，这种可能性会增加。
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