Ortiz Glorimar
National Association of State Mental Health Program Directors Research Institute, Inc. (NRI), 3141 Fairview Park Dr., Suite 650, Falls Church, VA, 22042, USA,
Patient. 2014;7(3):301-12. doi: 10.1007/s40271-014-0052-5.
Our objectives were to examine patients' perceptions with psychiatric care to prioritize action for quality improvement (QI), and to explore differences in care experiences across domains of care by sample subgroups in psychiatric inpatient hospitals.
Analysis of frequency, central tendency, and variation examined the distribution of 11,778 Inpatient Consumer Surveys (ICS), from 67 psychiatric inpatient hospitals, by domain of care and Likert scale. The percentage of patients responding positively to each domain of care was evaluated. A performance-importance matrix was constructed to identify key drivers and prioritize action for QI. Chi-squared, t test, and analysis of variance (ANOVA) analyses evaluated the experiences of care by sample subgroups.
Overall, patients tended to be satisfied with the care received. However, patients perceived their care differently across hospitals. Hospitals scored lower in the rights domain, mainly attributed to problems with communication between patients and hospital staff. Patients' care experiences varied among sample subgroups; however, four sample characteristics were common to all domains of care. Patients who were Latinos, aged 65 years and older, who completed the survey at discharge, before leaving the hospital, had a higher perception of care across all domains of care.
Either an examination of the individual items on the ICS or the aggregation of them by domain of care, the ICS could be a significant tool for hospitals that continuously strive to improve the quality of care provided to psychiatric patients in a time driven by the needs and expectations of consumers.
我们的目标是调查患者对精神科护理的看法，以便确定质量改进（QI）的优先行动，并探索精神科住院医院中不同样本亚组在护理各领域的护理体验差异。
通过护理领域和李克特量表，对来自67家精神科住院医院的11778份住院患者消费者调查问卷（ICS）的频率、集中趋势和变异性进行分析，评估患者对每个护理领域给予积极回应的百分比。构建绩效-重要性矩阵，以确定关键驱动因素并确定质量改进的优先行动。卡方检验、t检验和方差分析（ANOVA）评估样本亚组的护理体验。
总体而言，患者倾向于对所接受的护理感到满意。然而，不同医院的患者对护理的看法有所不同。医院在权利领域得分较低，主要归因于患者与医院工作人员之间的沟通问题。患者的护理体验在样本亚组之间存在差异；然而，所有护理领域都有四个共同的样本特征。拉丁裔、65岁及以上、在出院前、离开医院之前完成调查的患者，对所有护理领域的护理感知更高。
无论是对ICS上的单个项目进行检查，还是按护理领域对其进行汇总，ICS都可能成为医院的重要工具，在一个由消费者需求和期望驱动的时代，这些医院不断努力提高为精神科患者提供的护理质量。
