Berg-Weger M, Gockel J, Rubio D M, Douglas R
Saint Louis University School of Social Service, MO 63103, USA.
Soc Work Health Care. 1998;27(1):15-31. doi: 10.1300/J010v27n01_02.
With challenges continuing to be presented to health care delivery, inappropriate out-patient service utilization is of utmost concern to all health care service providers. This study is an examination of the utilization patterns of 189 veterans in an urban Veterans Administration Medical Center (VAMC). Factors found to be related to high utilization of ambulatory care triage clinic services for veterans who had presented for at least two unscheduled visits in the past six months include: patient perception of health status; number of prescription medications; and social needs. Implications for social work practice, program development and research are discussed.
随着医疗服务面临的挑战不断出现，门诊服务的不当使用成为所有医疗服务提供者最为关注的问题。本研究对一家城市退伍军人管理局医疗中心（VAMC）的189名退伍军人的使用模式进行了调查。研究发现，对于过去六个月内至少有两次非预约就诊的退伍军人，门诊护理分诊诊所服务高使用率的相关因素包括：患者对健康状况的认知、处方药数量以及社会需求。文中还讨论了对社会工作实践、项目开发和研究的启示。
