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意大利医院急诊科的人性化服务:新特点和患者满意度。

Humanisation in the emergency department of an Italian hospital: new features and patient satisfaction.

机构信息

Department of Public Health, School of Specialization in Public Health, University of Turin, Turin, Italy.

出版信息

Emerg Med J. 2013 Jun;30(6):487-91. doi: 10.1136/emermed-2012-201341. Epub 2012 Jul 3.

Abstract

OBJECTIVES

The goal of this study was to describe and analyse interventions performed in the emergency department (ED) of an Italian hospital with the aim of humanising the patient care pathway. The actions taken are described and the changes analysed to determine whether they resulted in an increased level of patient satisfaction.

METHODS

An observational study was conducted between October 2010 and March 2011. The data were collected via a telephone questionnaire administered to patients who were admitted to the ED before and after humanisation interventions. The respondents were questioned about their general condition and their level of satisfaction.

RESULTS

The study population included 297 patients (158 before and 139 after the interventions). The highest overall patient satisfaction after the interventions was highly correlated with the humanisation interventions and not with other factors such as gender, age, educational level or the severity code triage. Specifically, in patients who went to the ED after the changes had been made, there was a greater level of satisfaction regarding comfort in the waiting room, waiting time for the first visit and the privacy experienced during the triage.

CONCLUSION

The results demonstrate that the interventions implemented in this study, designed to humanise the ED, improved overall patient satisfaction. Interventions may be taken to reduce the depersonalisation of patients in the emergency room.

摘要

目的

本研究旨在描述和分析意大利一家医院急诊科所实施的干预措施,以实现患者护理路径的人性化。本文描述了所采取的措施,并对其进行了分析,以确定这些措施是否提高了患者满意度。

方法

本研究采用观察性研究方法,于 2010 年 10 月至 2011 年 3 月期间开展。通过电话问卷调查的方式收集了急诊科收治的患者在实施人性化干预前后的数据。受访者被问及他们的一般情况和满意度。

结果

研究人群包括 297 名患者(干预前 158 名,干预后 139 名)。干预后患者整体满意度最高,这与人性化干预高度相关,而与性别、年龄、教育水平或分诊严重程度代码等其他因素无关。具体而言,在接受干预措施后到急诊科就诊的患者中,对候诊室的舒适度、首次就诊的等待时间和分诊过程中的隐私性的满意度更高。

结论

研究结果表明,本研究中实施的旨在使急诊科人性化的干预措施提高了整体患者满意度。可采取干预措施减少患者在急诊室中的去人性化体验。

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