Merle V, Germain J-M, Tavolacci M-P, Brocard C, Chefson C, Cyvoct C, Edouard S, Guet L, Martin E, Czernichow P
Department of Epidemiology and Public Health, Rouen University Hospital, Rouen, France.
J Hosp Infect. 2009 Mar;71(3):263-8. doi: 10.1016/j.jhin.2008.11.025. Epub 2009 Jan 14.
The impact on patients' attitudes of quality report cards on infection control in hospitals has never previously been studied. In 2006, the French government implemented a mandatory report card on infection control activity (ICALIN) in all hospitals. This approach was aimed at encouraging professionals to change their routine practices in case they should lose patients due to a low ICALIN score. Our objective was to assess what impact ICALIN could have on patients' attitude as regards hospital choice. We performed a survey of patients and visitors in 14 randomly selected hospitals of various ICALIN scores. A convenience sample of 381 patients and visitors completed an anonymous questionnaire on ICALIN, their reasons for choosing a hospital and attitude in the event of a low ICALIN score. Factors associated with interest in ICALIN and impact of ICALIN on hospital choice were assessed by logistic regression. Our results showed that 77% of participants were interested in ICALIN. ICALIN was ranked sixth as a reason for choosing a hospital. In the case of a low ICALIN, 24.1% of participants would refuse admission and 54.9% would seek advice from their general practitioner. Sociodemographic factors had no influence on patients' attitude. In conclusion, our survey suggests that patients take note of poor performance on infection control report cards. As most patients rely on their general practitioner to interpret these report cards, there is a definite need for further communication with general practitioners on this issue.
此前从未研究过医院感染控制质量报告卡对患者态度的影响。2006年，法国政府在所有医院实施了感染控制活动强制报告卡（ICALIN）。这种做法旨在鼓励专业人员改变日常做法，以防因ICALIN得分低而导致患者流失。我们的目标是评估ICALIN对患者在医院选择方面的态度可能产生什么影响。我们对14家随机挑选的、具有不同ICALIN得分的医院中的患者和访客进行了调查。一个由381名患者和访客组成的便利样本完成了一份关于ICALIN、他们选择医院的原因以及在ICALIN得分低时的态度的匿名问卷。通过逻辑回归评估与对ICALIN的兴趣相关的因素以及ICALIN对医院选择的影响。我们的结果显示，77%的参与者对ICALIN感兴趣。ICALIN作为选择医院的原因排名第六。在ICALIN得分低的情况下，24.1%的参与者会拒绝入院，54.9%的参与者会向他们的全科医生寻求建议。社会人口统计学因素对患者的态度没有影响。总之，我们的调查表明患者会注意到感染控制报告卡上的不佳表现。由于大多数患者依赖他们的全科医生来解读这些报告卡，因此在这个问题上与全科医生进行进一步沟通显然是必要的。
