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丹麦护士和医生根据自身或近亲住院经历对医院护理质量进行的评估。

Quality of hospital care evaluated by Danish nurses and doctors--based on experience from their own or a close family member's hospitalization.

作者信息

Gyntelberg Finn, Suadicani Poul, Rix Bo Andreassen, Skov Peder, Nielsen Poul Ebbe, Juhl Erik

机构信息

Epidemiological Research Unit, Clinic of Occupational and Environmental Medicine, Bispebjerg University Hospital, Copenhagen NV, Denmark.

出版信息

Dan Med Bull. 2006 Aug;53(3):342-8.

Abstract

INTRODUCTION

No studies have systematically asked larger groups of health professionals about their own experience as patients. This study estimated the level of satisfaction with hospital care among health professionals based on experience from their own hospital admission or that of a close family member.

METHODOLOGY

A cross-sectional questionnaire study of 1995 doctors (41% women) and 1472 nurses (98% women) drawn randomly from union registers. Response rate: 70%.

RESULTS

Twenty-seven percent had themselves been hospitalized within the preceding five years, and 31% had followed a hospital stay for a close relative during the preceding two years. At least 85% were satisfied with these conditions: information from the hospital, nursing staff, and doctors before admission; quality of the sickroom; level of smoke exposure; quality of breakfast, lunch, and beverages; nursing staff's and doctors' communication with the patient, and; doctors' treatment and diagnostics. Dissatisfaction above 15% was seen for several other factors associated with facilities, care, and treatment. One severe observation was related to the degree of treatment complications, reported by 23% of the patients. When reporting on behalf of an admitted relative a tendency was found to be slightly more critical. Generally, the results of this study are in agreement with previous Danish studies on patient satisfaction.

CONCLUSION

The results of the present study indicate room for improvement in several respects in Danish hospital care: Better physical facilities, improved patient information, and a continuous quality surveillance to prevent treatment errors.

摘要

引言

此前尚无研究系统地向大批医疗专业人员询问他们作为患者的自身经历。本研究基于医疗专业人员自身住院经历或其近亲的住院经历,估算了他们对医院护理的满意度。

方法

一项横断面问卷调查研究,从工会登记册中随机抽取了1995名医生(41%为女性)和1472名护士(98%为女性)。回复率:70%。

结果

27%的人在过去五年内曾住院,31%的人在过去两年内曾陪伴近亲住院。至少85%的人对以下方面感到满意:入院前医院、护理人员和医生提供的信息;病房质量;接触烟雾程度;早餐、午餐和饮品质量;护理人员和医生与患者的沟通,以及医生的治疗和诊断。对于与设施、护理和治疗相关的其他几个因素,不满意率超过15%。一项严重的观察结果与治疗并发症的程度有关,23%的患者报告了这一情况。当代表住院亲属报告时,发现批评倾向略强。总体而言,本研究结果与丹麦此前关于患者满意度的研究一致。

结论

本研究结果表明,丹麦医院护理在几个方面仍有改进空间:改善物理设施、加强患者信息提供以及持续进行质量监测以防止治疗失误。

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