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患者对医疗服务的认知与医院医疗质量相关:对4605家医院的调查

Patients' perceptions of care are associated with quality of hospital care: a survey of 4605 hospitals.

作者信息

Stein Spencer M, Day Michael, Karia Raj, Hutzler Lorraine, Bosco Joseph A

机构信息

NYU Hospital for Joint Diseases, New York, NY.

NYU Hospital for Joint Diseases, New York, NY

出版信息

Am J Med Qual. 2015 Jul-Aug;30(4):382-8. doi: 10.1177/1062860614530773. Epub 2014 Apr 16.

Abstract

Favorable patient experience and low complication rates have been proposed as essential components of patient-centered medical care. Patients' perception of care is a key performance metric and is used to determine payments to hospitals. It is unclear if there is a correlation between technical quality of care and patient satisfaction. The study authors correlated patient perceptions of care measured by the Hospital Consumer Assessment of Healthcare Providers and Systems scores with accepted quality of care indicators. The Hospital Compare database (4605 hospitals) was used to examine complication rates and patient-reported experience for hospitals across the nation in 2011. The majority of the correlations demonstrated an inverse relationship between patient experience and complication rates. This negative correlation suggests that reducing these complications can lead to a better hospital experience. Overall, these results suggest that patient experience is generally correlated with the quality of care provided.

摘要

良好的患者体验和低并发症发生率已被视为以患者为中心的医疗服务的重要组成部分。患者对医疗服务的感知是一项关键绩效指标,用于确定医院的支付款项。目前尚不清楚医疗技术质量与患者满意度之间是否存在关联。该研究的作者将通过医疗服务提供者和系统的医院消费者评估分数衡量的患者对医疗服务的感知与公认的医疗质量指标进行了关联分析。使用医院比较数据库(4605家医院)来研究2011年全国各医院的并发症发生率和患者报告的体验。大多数相关性表明患者体验与并发症发生率之间呈负相关关系。这种负相关表明减少这些并发症可带来更好的医院体验。总体而言,这些结果表明患者体验通常与所提供的医疗服务质量相关。

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