Srinivas Rajagopal, Chavin Kenneth D, Baliga Prabhakar K, Srinivas Titte, Taber David J
Medical University of South Carolina, Charleston, SC.
Medical University of South Carolina, Charleston, SC
Am J Med Qual. 2015 Mar-Apr;30(2):180-5. doi: 10.1177/1062860613519163. Epub 2014 Jan 24.
This was a cross-sectional cohort study analyzing aggregate publicly reported data integrated from 2 primary sources and included all US accredited kidney transplant programs that report data within the Scientific Registry of Transplant Recipients and Hospital Compare; 188 kidney transplant programs, representing 15 710 transplants were included in this study. In general, the scores for patient satisfaction questions were higher for higher-performing transplant programs; 5 questions reached statistically significant associations (P < .05). A composite of these 5 questions demonstrated a strong association with a center's performance indices for both 1-month and 1-year graft and patient outcomes (69% vs 40%, P < .001, and 60% vs 44%, P = .035, respectively), which remained significant after controlling for baseline demographics. The results demonstrate that there is a positive and statistically significant correlation between a patient's perceived quality of care, as measured by HCAHPS data, and quantified clinical outcomes for graft loss and patient death in kidney transplant recipients.
这是一项横断面队列研究，分析了从两个主要来源整合的公开报告数据，纳入了所有在美国器官移植受者科学登记处和医院比较系统中报告数据的美国认证肾脏移植项目；本研究纳入了188个肾脏移植项目，代表15710例移植。总体而言，表现较好的移植项目在患者满意度问题上的得分更高；5个问题达到了统计学显著关联（P < 0.05）。这5个问题的综合结果显示，与中心1个月和1年的移植物及患者结局的表现指标有很强的关联（分别为69%对40%，P < 0.001，以及60%对44%，P = 0.035），在控制基线人口统计学因素后仍具有显著性。结果表明，通过医院患者医疗服务评估（HCAHPS）数据衡量的患者感知护理质量与肾脏移植受者移植物丢失和患者死亡的量化临床结局之间存在正相关且具有统计学显著性。
