入院时关于治疗意愿的讨论与患者及其代理人对医院护理的满意度无关：多中心住院医师研究结果
Code status discussions at hospital admission are not associated with patient and surrogate satisfaction with hospital care: results from the multicenter hospitalist study.
作者信息
Anderson Wendy G, Pantilat Steven Z, Meltzer David, Schnipper Jeffrey, Kaboli Peter, Wetterneck Tosha B, Gonzales David, Arora Vineet, Zhang James, Auerbach Andrew D
机构信息
Division of Hospital Medicine, University of California, San Francisco, 94143, USA.
出版信息
Am J Hosp Palliat Care. 2011 Mar;28(2):102-8. doi: 10.1177/1049909110374352. Epub 2010 Aug 16.
BACKGROUND
Physicians may avoid code status discussions for fear of decreasing patient or surrogate satisfaction.
METHODS
Charts of patients admitted to medical services at 6 university hospitals were reviewed for documentation of a code status discussion in the first 24 hours of admission. Satisfaction with care provided during the hospitalization was assessed by telephone 1 month after discharge.
RESULTS
Of the 11 717 patients with 1-month follow-up, 1090 (9.3%) had a code status discussion documented. Patient or surrogate satisfaction did not differ by whether a discussion was documented. The lack of association persisted after adjusting for patient's severity of illness and using propensity adjustment for likelihood of having a discussion.
CONCLUSIONS
Discussing code status on admission to the inpatient setting did not affect patient or surrogate satisfaction.
背景
医生可能因担心降低患者或代理人的满意度而避免进行关于治疗意愿的讨论。
方法
回顾了6所大学医院内科收治患者的病历，以查看入院后24小时内是否有关于治疗意愿的讨论记录。出院1个月后通过电话评估患者对住院期间所提供护理的满意度。
结果
在11717例有1个月随访的患者中，有1090例（9.3%）有关于治疗意愿的讨论记录。患者或代理人的满意度不因是否有讨论记录而有所不同。在调整患者疾病严重程度并对进行讨论的可能性进行倾向调整后，这种缺乏关联的情况仍然存在。
结论
在患者入院时讨论治疗意愿不会影响患者或代理人的满意度。
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