Nadarević-Stefanec Vesna, Malatestinić Dulija, Mataija-Redzović Andrea, Nadarević Tin
Croatian Institute for Health Insurance, Department of Family Medicine, School of Medicine, University of Rijeka, Rijeka, Croatia.
Coll Antropol. 2011 Sep;35 Suppl 2:213-6.
Patient satisfaction has been a widely investigated subject in health care research. Quality of care from the patient perspective, especially in home health care, however has been investigated only very recently. Home health care is a system of care provided by skilled practitioners to patients in their homes under the direction of a physician. Multidisciplinary nature of home health care services present challenges to quality measurement that differ from those found in a more traditional hospital settings. The aim of the study was to investigate the satisfaction of elderly patients living on islands with home health care. Participants receiving skilled nursing care in their homes, for any diagnosis, who met selection criteria, were surveyed about their perception of the quality of health care. The research was conducted during the year 2010 among the residents of Kvarnerian islands (Krk, Cres and Mali Losinj) under the authority of Croatian Institute for Health Insurance that approved the protocols employed in the investigation. Most older patients (96.2%) reported high levels of satisfaction with health services delivery. Common leading diagnosis among home health care patient include diseases of circulatory system (28.9% of patients), nutritional and metabolic disease (14.5%), malignant diseases (13.2%), musculoskeletal and connective tissue disease (11.8%), diseases of the nervous system (9.2%), followed by injury and poisoning (7.9%). Provision of home health care was well received by elderly patients. Home health care providers seek to provide high quality, safe care in ways that honour patient autonomy and accommodate the individual characteristics of each patients home and family. The demographics of an aging society will sustain the trend towards home-based care. Therefore, research on effective practices, conducted in home health care settings, is necessary to support excellent and evidence-based care.
患者满意度一直是医疗保健研究中广泛探讨的课题。然而，从患者角度来看的医疗质量，尤其是在家庭医疗保健方面，直到最近才得到研究。家庭医疗保健是由专业医护人员在医生指导下为患者在家中提供的一种护理体系。家庭医疗保健服务的多学科性质给质量衡量带来了挑战，这些挑战与传统医院环境中的不同。本研究的目的是调查居住在岛屿上的老年患者对家庭医疗保健的满意度。对符合选择标准、在家中接受专业护理的患者，就其对医疗质量的看法进行了调查。该研究于2010年在克罗地亚健康保险研究所管辖的克瓦内尔群岛（克尔克岛、 Cres岛和马里洛辛岛）的居民中进行，该研究所批准了调查中采用的方案。大多数老年患者（96.2%）对医疗服务的提供表示高度满意。家庭医疗保健患者中常见的主要诊断包括循环系统疾病（占患者的28.9%）、营养和代谢疾病（14.5%）、恶性疾病（13.2%）、肌肉骨骼和结缔组织疾病（11.8%）、神经系统疾病（9.2%），其次是损伤和中毒（7.9%）。老年患者对家庭医疗保健的提供反响良好。家庭医疗保健提供者力求以尊重患者自主权并适应每个患者家庭和个人特点的方式提供高质量、安全的护理。老龄化社会的人口结构将维持向居家护理发展的趋势。因此，有必要在家庭医疗保健环境中开展关于有效实践的研究，以支持优质的循证护理。
