Departamento Salud San Juan-Alicante, Conselleria de Sanitat, Alicante, Madrid, Spain.
Med Princ Pract. 2014;23(1):92-4. doi: 10.1159/000353152. Epub 2013 Aug 21.
The objective of this study was to explore the theoretical relationship between the social reputation and the perceived safety of a hospital.
A random sample of 316 patients and 27 relatives of patients who were unable to respond themselves at four public hospitals in Madrid, Barcelona and Alicante were interviewed to establish a measure of reputation and perceived safety.
There were no different perceptions between patients and relatives regarding hospital reputation or safety perception (p > 0.05). The perception of patients or relatives of health professionals' competence (β = 0.07, 95% CI 0.01-0.12), the perception of a positive treatment output of surgical or medical treatment (β = 0.35, 95% CI 0.22-0.49) and hospital reputation (β = 0.08, 95% CI 0.02-0.14) were directly and positively associated with their perception that the hospital was a safe clinical environment in which few clinical errors are committed.
The data suggested that the social reputation of these hospitals and the perceptions of patients or relatives of patient safety were indeed correlated. Future research should assess whether efforts to enhance hospital reputation, by improving patients' perceptions of clinical safety, may contribute to reducing the frequency of litigation cases.
本研究旨在探讨医院社会声誉与感知安全性之间的理论关系。
在马德里、巴塞罗那和阿利坎特的四家公立医院中，随机抽取了 316 名患者和 27 名无法自行回答问题的患者亲属进行访谈，以建立声誉和感知安全性的衡量标准。
患者和亲属对医院声誉或安全感知没有不同的看法（p＞0.05）。患者或亲属对医疗专业人员能力的感知（β=0.07，95%CI 0.01-0.12）、对手术或医疗积极治疗效果的感知（β=0.35，95%CI 0.22-0.49）和医院声誉（β=0.08，95%CI 0.02-0.14）与他们对医院是一个安全的临床环境、很少发生临床错误的看法呈直接正相关。
数据表明，这些医院的社会声誉与患者或亲属对患者安全的感知确实存在相关性。未来的研究应评估通过改善患者对临床安全性的感知来增强医院声誉是否有助于降低诉讼案件的频率。
