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患者就诊计划:一项突出患者满意度并重新聚焦组织文化的策略。

The Patient Visits Program: a strategy to highlight patient satisfaction and refocus organizational culture.

作者信息

Sidhu Mandeep, Berg Kent, Endicott Carola, Santulli William, Salem Deeb

机构信息

Tufts University School of Medicine, Boston, USA.

出版信息

Jt Comm J Qual Improv. 2002 Nov;28(11):605-13. doi: 10.1016/s1070-3241(02)28064-5.

DOI:10.1016/s1070-3241(02)28064-5
PMID:12425255
Abstract

BACKGROUND

Seeking patient input may improve patients' perceptions of the quality of care and provide managers with helpful information for strategic decision making. In addition, the involvement of senior hospital leadership is critical to successful implementation of quality improvement initiatives and illustrates an organization's commitment to enhancing quality from the top down. IMPLEMENTING THE PVP: Senior management's Patient Visits Program (PVP) at Tufts-New England Medical Center is a structured, ongoing initiative in which senior clinicians are paired with nonclinician administrators. During an initial evaluation period (Aug 1999-Feb 2001), PVP teams visited with patients and their families on a monthly basis to talk to them about their experiences. Patient suggestions were then evaluated and acted on.

DISCUSSION

The PVP has been beneficial for patients and for the hospital team members--clinicians and nonclinicians alike--who participated in the patient interviews. The PVP may serve as a mechanism to enhance organizational awareness of the importance of patient satisfaction. The program provides opportunities for immediate service recovery, and faster, broader-reaching responses to quality complaints due to the multispecialty nature of the PVP teams. In addition, based on early available data, the PVP shows promise as an interventional strategy to improve patient satisfaction scores.

CONCLUSIONS

A structured, ongoing program such as the PVP is an effective strategy to highlight the value of patient satisfaction, refocus organizational culture, and generate specific suggestions for improving the quality of patient care.

摘要

背景

征求患者意见可能会改善患者对医疗质量的看法,并为管理人员提供有助于战略决策的信息。此外,医院高层领导的参与对于成功实施质量改进举措至关重要,这表明一个组织自上而下致力于提高质量。实施患者访问计划(PVP):塔夫茨新英格兰医疗中心高级管理层的患者访问计划(PVP)是一项结构化的持续举措,高级临床医生与非临床管理人员配对。在初始评估期(1999年8月至2001年2月),PVP团队每月与患者及其家属会面,与他们谈论就医体验。然后对患者的建议进行评估并采取行动。

讨论

PVP对参与患者访谈的患者以及医院团队成员(包括临床医生和非临床医生)都有益处。PVP可作为一种机制,提高组织对患者满意度重要性的认识。该计划提供了即时服务补救的机会,并且由于PVP团队的多专业性质,能够对质量投诉做出更快、更广泛的回应。此外,根据早期可得数据,PVP有望作为一种干预策略来提高患者满意度得分。

结论

像PVP这样的结构化持续计划是一种有效的策略,可突出患者满意度的价值,重新调整组织文化,并产生改善患者护理质量的具体建议。

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