2025-06-24-世界银行-改善卫生服务提供_使用患者途径分析进行以人为本的卫生系统评估——第2卷_患者途径分析介绍以及来自现场和已发表文献的实例（英）_92页_3mb

Improving Health Service Delivery: Using Patient Pathway Analytics for Person-Centered Health System Assessments

Key Points:

• Patient Pathway Analysis (PPA) evaluates how patients navigate the healthcare system, analyzing their flow through touchpoints such as initial care-seeking, diagnosis, treatment, and follow-up.
• PPA combines qualitative and quantitative data, including demand-side (patient demographics, care-seeking behavior) and supply-side (provider profiles, service availability) information.
• The study design varies based on research questions, encompassing thirteen modules covering patient journey mapping, delays care-seeking diagnostics, healthcare costs, and geospatial mapping.
• Case studies from Bangladesh, Ghana, and India highlight that urban patients often bypass primary care due to inadequate infrastructure or provider preferences.
• Delays in diagnosis and financial barriers, particularly out-of-pocket costs in LMICs, significantly hinder effective care, while geospatial analysis reveals accessibility challenges tied to distance and transport infrastructure.

Conclusion:
PPA provides actionable insights for health system redesign, enabling person-centered care improvements, reduced inefficiencies, and enhanced patient outcomes through both supply-side and demand-side analyses.