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非计划再住院影响因素及机制:研究综述及整合模型

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减少非计划再住院意味着节约医疗成本、提高医疗质量和增进患者健康,是提高医疗服务价值的潜在抓手之一.国内外学者对非计划再住院的研究愈加关注,但现有研究缺乏理论基础,再住院的影响因素、影响路径和多元主体交互效应等影响机制问题尚未达成共识.基于文献研究,对再住院影响因素及影响机制相关文献进行梳理,以安德森模型为基础,从供方、需方和环境因素多元视角构建非计划再住院影响机制的整合模型,将为今后的实证研究提供理论框架和研究基础,并为深化我国医疗卫生体系改革提供政策参考.
The Influencing Factors and Mechanisms of Unplanned Rehospitalization:Review and Integrated Model
Reducing unplanned rehospitalization means saving medical costs,improving medical quality and enhancing patients'health,which is one of the potential grasps to improve the value of medical services.Scholars at home and abroad have paid more and more attention to the research on unplanned rehospitalization,but the existing research lacks theoretical foundation,and the in-fluence mechanism issues such as the influence factors,influence path and multiple subject interaction effect of rehospitalization have not yet reached a consensus.Based on the literature research,it combs the literature related to the influencing factors and influencing mechanism of rehospitalization,and constructs an integrated model of the influencing mechanism of unplanned rehospitalization from the multiple perspectives of supply-side,demand-side,and environmental factors based on Anderson's model.It will provide a theoretical framework and a research foundation for future empirical studies,and provide policy references to deepen the reform of China's medical and healthcare system.

unplanned readmissionimpact mechanismhealth care system reform

赖莎、王泽晨、黄雅薇、冯俊妃

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西安交通大学公共政策与管理学院 西安 710049

非计划再住院 影响机制 医疗卫生体系改革

国家自然科学基金青年基金陕西省社会科学基金

720041802019S038

2024

中国卫生经济
中国卫生经济学会,卫生部卫生经济研究所

中国卫生经济

CSTPCDCHSSCD北大核心
影响因子:1.524
ISSN:1003-0743
年,卷(期):2024.43(4)
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