Budzi Dorothy, Lurie Sue, Singh Karan, Hooker Roderick
Dallas VA Medical Center, Dallas, Texas 75216, USA.
J Am Acad Nurse Pract. 2010 Mar;22(3):170-6. doi: 10.1111/j.1745-7599.2010.00489.x.
To examine the differences in patient satisfaction with care provided by nurse practitioners (NPs), physician assistants (PAs), and physicians in the Veterans Health Administration (VHA) system.
Secondary data was obtained from the VHA's Survey of Healthcare Experience of Patients (SHEP), a monthly survey designed to measure patient satisfaction. Descriptive statistics were calculated and categorical variables were summarized with frequency counts.
Of the 2,164,559 surveys mailed to the veterans, 1,601,828 (response rate 64%) were returned. The study found that satisfaction scores increased by 5% when the number of NPs was increased compared to 1.8% when the number of physicians was increased and slightly increased or remained the same when the number of PAs was increased. Physician to PA/NP ratio was 7:3.
The VHA is the largest healthcare system and the single largest employer of NPs and PAs in the country. This study shows that a majority of the primary care clinic patients prefer to see NPs as compared with PAs and physicians. Besides clinical care, NPs focus on health promotion, disease prevention, health education, attentiveness, and counseling. Physicians and PAs should be educated on these characteristics to promote patient satisfaction and expected outcomes.
研究退伍军人健康管理局（VHA）系统中，患者对执业护士（NP）、医师助理（PA）和医生所提供护理的满意度差异。
二级数据取自VHA的患者医疗体验调查（SHEP），这是一项旨在衡量患者满意度的月度调查。计算了描述性统计数据，并用频数计数总结了分类变量。
在邮寄给退伍军人的2164559份调查问卷中，有1601828份被退回（回复率64%）。研究发现，与增加医生数量时满意度得分提高1.8%相比，增加执业护士数量时满意度得分提高了5%，而增加医师助理数量时满意度得分略有提高或保持不变。医生与医师助理/执业护士的比例为7:3。
VHA是美国最大的医疗系统，也是该国执业护士和医师助理的最大单一雇主。这项研究表明，与医师助理和医生相比，大多数初级保健诊所的患者更愿意看执业护士。除了临床护理外，执业护士还注重健康促进、疾病预防、健康教育、关注度和咨询。应该让医生和医师助理了解这些特点，以提高患者满意度和预期结果。
