Research and Analytics, Press Ganey Associates, Inc, South Bend, Indiana 46601, USA.
J Nurs Adm. 2012 Jun;42(6):321-5. doi: 10.1097/NNA.0b013e318257392b.
The objective of this study was to investigate how domains of patient satisfaction in hospitals predict Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) global rating scores to support hospital administrators in dealing with reimbursement changes.
Medicare's inpatient value-based purchasing program ties a portion of hospital payments to scores on the HCAHPS survey.
Logistical regression analysis of patient-level satisfaction domain scores from a standard, commercially available survey and HCAHPS top-box scores controlled for potential confounding variables.
Each 1-point increase in the nursing domain score increased the odds of achieving an HCAHPS top-box score by 4.9%. Increases in other domain scores also affected top-box odds, although to a smaller extent.
Hospital administrators wishing to maximize Medicare reimbursement will realize the greatest impact by improving patient satisfaction with nursing care.
本研究旨在探讨医院患者满意度的各个领域如何预测医院消费者评估医疗保健提供者和系统（HCAHPS）的总体评分，以支持医院管理人员应对报销变化。
医疗保险的住院患者基于价值的购买计划将医院支付的一部分与 HCAHPS 调查的评分挂钩。
对标准的、商业上可用的调查中的患者满意度领域评分进行逻辑回归分析，并控制了潜在的混杂变量的 HCAHPS 最佳框评分。
护理领域评分每增加 1 分，获得 HCAHPS 最佳框评分的几率就会增加 49%。其他领域评分的增加也会影响最佳框的几率，但程度较小。
希望最大限度地提高医疗保险报销的医院管理人员将通过提高患者对护理服务的满意度来实现最大的影响。
