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与眼科患者患者盖恩斯满意度评分相关的因素。

Factors Associated with Patient Press Ganey Satisfaction Scores for Ophthalmology Patients.

机构信息

Stanford University School of Medicine, Stanford, California.

Department of Biology, Stanford University, Stanford, California.

出版信息

Ophthalmology. 2016 Feb;123(2):242-247. doi: 10.1016/j.ophtha.2015.09.044. Epub 2015 Nov 3.

Abstract

PURPOSE

To determine which metrics from the Press Ganey patient satisfaction survey best correlate with "likelihood to recommend" among patients in an academic tertiary medical center practice setting.

DESIGN

Cross-sectional study.

PARTICIPANTS

Over a 3-month period, patients presenting to an academic practice who agreed to participate were enrolled in the study if they met the following entry criteria: (1) age ≥18 years, (2) ability to read and speak English, and (3) followed in this practice between 4 months and 4 years. A total of 196 patients were recruited.

METHODS

A 26-item abridged version of the Press Ganey survey typically distributed to patients via mail or e-mail after visiting the Stanford University Hospital was administered privately to each eligible patient of 2 different attending clinics at the conclusion of his or her visit. The 26 survey items were not modified for the purposes of the study and were administered such that participants could not be individually identified. The arithmetic mean score for the item "Likelihood of your recommending our practice to others" was calculated by assigning a value (0-100) to the Likert value associated with survey responses and correlated with the 25 other items using the differences in the mean scores.

MAIN OUTCOME MEASURES

Response to survey items graded on a 1 to 5 standard Likert scale.

RESULTS

The weighted mean patient survey score for the "likelihood to recommend" item for the junior faculty member was 95.9% and for the senior faculty member was 94.5%, respectively. For the remaining 25 items, "Amount of time the care provider spent with you" (Diff[1-2]=1.03; P < 0.0001) and "Ease of scheduling your appointment" (Diff[1-2]=0.99; P < 0.0001) best correlated with likelihood to recommend. In contrast, "Friendliness/courtesy of the care provider" (Diff[1-2]=0.29; P = 0.0045) correlated least with likelihood to recommend. Stratification based on provider did not affect the study results.

CONCLUSIONS

The perception of time spent with the practitioner and ease of appointment scheduling are the 2 variables that best correlate with patients recommending their ophthalmologists to other prospective patients.

摘要

目的

确定在学术型三级医疗中心实践环境中,来自 Press Ganey 患者满意度调查的哪些指标与患者“推荐意愿”最相关。

设计

横断面研究。

参与者

在 3 个月的时间内,向在学术实践中就诊并同意参与研究的患者招募参与者,如果他们符合以下纳入标准:(1)年龄≥18 岁,(2)能够阅读和说英语,以及(3)在本实践中就诊时间为 4 个月至 4 年。共招募了 196 名患者。

方法

向在斯坦福大学医院就诊的患者通过邮件或电子邮件通常分发的 Press Ganey 调查的 26 项简化版进行私人管理,在每位符合条件的患者就诊结束时对 2 个不同的主治诊所的患者进行管理。为了研究的目的,26 项调查项目没有进行修改,并且以参与者无法单独识别的方式进行管理。通过将与调查回复相关联的李克特值分配(0-100)来计算项目“您推荐我们的实践给他人的可能性”的算术平均值得分,并使用平均值得分的差异与其他 25 项进行相关。

主要观察指标

对标准李克特量表 1 到 5 级评分的调查项目的回复。

结果

初级教员的“推荐意愿”项目的加权平均患者调查评分分别为 95.9%和 94.5%,高级教员的评分分别为 95.9%和 94.5%。对于其余 25 项,“护理提供者与您共度的时间”(差异[1-2]=1.03;P<0.0001)和“安排预约的难易程度”(差异[1-2]=0.99;P<0.0001)与推荐意愿相关性最好。相比之下,“护理提供者的友善/礼貌”(差异[1-2]=0.29;P=0.0045)与推荐意愿相关性最差。基于提供者的分层不影响研究结果。

结论

与患者将其眼科医生推荐给其他潜在患者相关的两个最佳变量是实践医生与患者共度的时间和预约安排的容易程度。

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