Smith Sarah A
School of Nursing, University of Hawaii Hilo, HI, USA
Policy Polit Nurs Pract. 2014 Feb;15(1-2):30-41. doi: 10.1177/1527154414538102. Epub 2014 Jun 10.
Patient satisfaction with care is an important indicator of quality of care. As of 2013-2014, 30% of the Value-Based Purchasing score Medicare is using to determine hospital reimbursement is based on patient reports of care. This study determined whether significant relationships exists between Magnet (N = 160), Magnet-in-progress (N = 99), and non-Magnet hospital (N = 1,742) status and the highest ratings on the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey questions related to patient satisfaction with care. This study was a secondary analysis of data collected and compiled from three sources (the American Hospital Association, American Nurses Credentialing Center, and HCAHPS databases). Analysis revealed that Magnet and Magnet-in-progress hospitals have significantly (p < .007) higher scores than non-Magnet hospitals on six of the seven questions regarding patient-reported satisfaction with care. The implications of these results for nursing are discussed.
患者对医疗护理的满意度是护理质量的重要指标。截至2013 - 2014年，医疗保险用于确定医院报销的基于价值的采购评分中，有30%是基于患者的护理报告。本研究确定了磁铁医院（N = 160）、正在申请磁铁认证的医院（N = 99）和非磁铁医院（N = 1742）的状态与医疗服务提供者和系统医院消费者评估（HCAHPS）调查中与患者对护理满意度相关的最高评分之间是否存在显著关系。本研究是对从三个来源（美国医院协会、美国护士资格认证中心和HCAHPS数据库）收集和汇编的数据进行的二次分析。分析显示，在关于患者报告的护理满意度的七个问题中的六个问题上，磁铁医院和正在申请磁铁认证的医院的得分显著（p <.007）高于非磁铁医院。文中讨论了这些结果对护理工作的影响。
