Morris Brent J, Richards Justin E, Archer Kristin R, Lasater Melissa, Rabalais Denise, Sethi Manish K, Jahangir A Alex
*Vanderbilt Orthopaedic Institute Center for Health Policy; †Division of Orthopaedic Trauma; and ‡Service Measurement and Improvement Office, Vanderbilt University Medical Center, Nashville, TN.
J Orthop Trauma. 2014 Apr;28(4):e80-4. doi: 10.1097/01.bot.0000435604.75873.ba.
Patient satisfaction is a key determinant of the quality of care and an important component of pay for performance metrics. The purpose of this study was to evaluate the impact of a simple intervention aimed to increase patients' understanding of their orthopaedic trauma surgeon and improve patient satisfaction with the overall quality of inpatient care delivered by the attending surgeon.
Prospective quality improvement initiative using a randomized intervention.
Level 1 academic trauma center.
PATIENTS/PARTICIPANTS: Two hundred twelve patients were eligible; 100 patients were randomized to the intervention group, and 112 patients were randomized to the control group. Overall, 76 patients could be reached for follow-up satisfaction survey, including 34 patients in the intervention group and 42 patients in the control group.
Patients randomized to the intervention group received an attending biosketch card, which included a picture of the attending orthopaedic surgeon with a brief synopsis of his educational background, specialty, surgical interests, and research interests.
Our primary outcome measure was a patient satisfaction survey assessing patients' rating of the overall quality of inpatient care delivered by the attending surgeon.
Overall, 25 (74%) of 34 patients who received an attending biosketch card reported "excellent overall quality of doctor care," whereas only 22 (52%) of 42 patients in the control group reported "excellent overall quality of doctor care" (P = 0.05). Age, gender, race, education, insurance status, primary injury type, and the length of hospital stay were not significant with reference to "excellent" outcome.
Clinically significant improvements in satisfaction with the overall quality of inpatient care by the attending surgeon were identified in patients who received a biosketch card of his or her attending orthopaedic surgeon.
患者满意度是医疗质量的关键决定因素，也是绩效付费指标的重要组成部分。本研究的目的是评估一项简单干预措施的效果，该干预旨在提高患者对其骨科创伤外科医生的了解，并改善患者对主刀医生提供的住院护理整体质量的满意度。
采用随机干预的前瞻性质量改进计划。
一级学术创伤中心。
患者/参与者：212名患者符合条件；100名患者被随机分配到干预组，112名患者被随机分配到对照组。总体而言，76名患者可接受随访满意度调查，其中干预组34名患者，对照组42名患者。
随机分配到干预组的患者收到一张主治医生简介卡，其中包括主治骨科医生的照片以及其教育背景、专业、手术兴趣和研究兴趣的简要概述。
我们的主要结局指标是一项患者满意度调查，评估患者对主刀医生提供的住院护理整体质量的评分。
总体而言，收到主治医生简介卡的34名患者中有25名（74%）报告“医生护理整体质量优秀”，而对照组的42名患者中只有22名（52%）报告“医生护理整体质量优秀”（P = 0.05）。年龄、性别、种族、教育程度、保险状况、主要损伤类型和住院时间与“优秀”结局无关。
在收到其主治骨科医生简介卡的患者中，发现主刀医生提供的住院护理整体质量满意度有临床显著改善。
