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预测医疗护理满意度的因素:来自27212名受伤工人长达14年的调查数据。

Factors That Predict Satisfaction With Medical Care: Data From 27,212 Injured Workers Surveyed for 14 Years.

作者信息

Joshi Anand B, McCormick Zachary L, Sully Kate, Garvan Cynthia, Plastaras Christopher T

机构信息

Department of Orthopaedic Surgery, Duke University Medical Center, Durham, NC (Dr Joshi); Department of Physical Medicine & Rehabilitation, Northwestern McGaw Medical Center/The Rehabilitation Institute of Chicago, IL (Dr McCormick); Department of Physical Medicine & Rehabilitation, University of Pennsylvania, Philadelphia (Dr Sully and Dr Plastaras); College of Nursing, University of Florida, Gainesville (Dr Garvan).

出版信息

J Occup Environ Med. 2016 Jan;58(1):101-7. doi: 10.1097/JOM.0000000000000578.

DOI:10.1097/JOM.0000000000000578
PMID:26565708
Abstract

OBJECTIVE

the aim of this study is to report satisfaction rates and identify factors predicting satisfaction in the Pennsylvania Workers' Compensation (WC) system.

METHODS

Cross-sectional survey data on satisfaction and care experience of injured workers were collected annually for 14 years with 27,712 injured workers responding.

RESULTS

The overall response rate was 19.44%. The overall proportion of satisfied workers was 83.97% with a range of 80.43% to 88.13%. Obtaining a correct initial diagnosis [odds ratio (OR) = 4.26], explanation of WC rights (OR = 2.58), and physician explanation of treatment options (OR = 1.83) most strongly predicted satisfaction.

CONCLUSIONS

Injured worker satisfaction with their medical care exceeded 80% in all years surveyed. Patient perception of a correct initial diagnosis, explanation of WC rights, and explanation of treatment options were the strongest predictors of satisfaction during the 14-year study period.

摘要

目的

本研究旨在报告宾夕法尼亚州工人赔偿(WC)系统中的满意度,并确定预测满意度的因素。

方法

连续14年每年收集受伤工人关于满意度和护理体验的横断面调查数据,共有27712名受伤工人做出回应。

结果

总体回应率为19.44%。满意工人的总体比例为83.97%,范围在80.43%至88.13%之间。获得正确的初始诊断(优势比[OR]=4.26)、对WC权利的解释(OR=2.58)以及医生对治疗选择的解释(OR=1.83)对满意度的预测作用最强。

结论

在所有调查年份中,受伤工人对其医疗护理的满意度均超过80%。在为期14年的研究期间,患者对正确初始诊断、WC权利解释和治疗选择解释的认知是满意度的最强预测因素。

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