Danielsen Kirsten, Garratt Andrew M, Bjertnaes Øyvind Andresen, Pettersen Kjell I
Norwegian Knowledge Centre for the Health Services, Oslo, Norway.
Scand J Public Health. 2007;35(1):70-7. doi: 10.1080/14034940600858615.
To assess the association between patient experiences, aspects of healthcare delivery, and patient characteristics for adult somatic inpatients attending hospitals throughout Norway.
The Patient Experiences Questionnaire (PEQ) was mailed to 26,938 patients attending inpatient clinics at 62 Norwegian hospitals during 2002 and 2003 within a six-week period. Reminders were mailed at four weeks. Scores for the PEQ were regressed on whether the patient felt that he/she had received incorrect treatment, had spent the night in a corridor bed, had been an emergency or routine admission, his/her number of previous admissions, hospital teaching status, hospital size and location, health status, and sociodemographic variables.
A total of 13,700 (50.9%) patients responded. Patients who felt that they had received incorrect treatment had significantly poorer scores for all 10 PEQ dimensions. Those spending the night in a corridor bed had significantly poorer scores for six dimensions. Emergency admissions and the previous number of inpatient stays were significantly associated with poorer experiences for 10 and 7 dimensions respectively. Hospital size and university status had negative relationships with scores for six and four dimensions respectively.
Whether the patient felt that he/she had received the incorrect treatment had by far the strongest association with patient experiences. Future studies of patient experiences and satisfaction should include this variable. As found in previous research, patient experiences were significantly associated with age and health status.
评估挪威各地医院成年躯体疾病住院患者的就医体验、医疗服务提供方面以及患者特征之间的关联。
2002年至2003年期间，在六周内，将患者体验问卷（PEQ）邮寄给挪威62家医院住院诊所的26938名患者。四周后邮寄提醒函。根据患者是否觉得自己接受了不当治疗、是否在走廊加床过夜、是急诊入院还是常规入院、既往住院次数、医院教学状况、医院规模和位置、健康状况以及社会人口统计学变量，对PEQ得分进行回归分析。
共有13700名（50.9%）患者做出回应。觉得自己接受了不当治疗的患者在PEQ的所有10个维度上得分显著更低。在走廊加床过夜的患者在6个维度上得分显著更低。急诊入院和既往住院次数分别与10个和7个维度上较差的就医体验显著相关。医院规模和大学附属状况分别与6个和4个维度的得分呈负相关。
患者是否觉得自己接受了不当治疗与就医体验的关联最为紧密。未来关于患者体验和满意度的研究应纳入这一变量。正如先前研究所发现的，患者体验与年龄和健康状况显著相关。
