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门诊儿科心脏病学中患者体验的关键驱动因素。

Key drivers of patient experience in ambulatory paediatric cardiology.

作者信息

Allam Shalini D, Mehta Mary, Ben Khallouq Bertha, Burrows James F, Rosen Paul

机构信息

1University of Central Florida College of Medicine,Orlando,Florida,United States of America.

2Pediatric Cardiology,Nemours Children's Health System,Pensacola,Florida,United States of America.

出版信息

Cardiol Young. 2017 Oct;27(8):1585-1590. doi: 10.1017/S1047951117000841. Epub 2017 May 18.

Abstract

Patient experience is becoming a central focus of healthcare. A broad range of studies on how to increase patient satisfaction ratings exists; however, they lack the specificity to adequately guide physicians and hospitals on how to improve patient experience. The objective of this study was to define the aspects of patient experience within paediatric cardiologist practices that can serve as predictors of excellent patient satisfaction. From 1 January, 2013 to 28 February, 2015 (26 months), outpatients who visited paediatric cardiologists were asked to complete a 39-question patient satisfaction survey regarding their experience. Surveys were collected over a 26-month period by Press Ganey, an independent provider of patient satisfaction surveys. Participants were asked to rate their experience on a 1-5 Likert-scale: a score of 1 demonstrated a "poor" experience, whereas a score of 5 demonstrated a "very good" experience. This retrospective study of 2468 responses determined that cheerfulness of the practice (r=0.85, p<0.001), a cohesive staff (r=0.83, p<0.001), and a care provider explaining problems and conditions (r=0.81, p<0.001) were key aspects of a paediatric cardiologist's practice that can be used as predictors of overall patient satisfaction. Awareness of how doctors can personalise a patient's experience is vital to achieve greater patient satisfaction and, ultimately, better patient outcomes.

摘要

患者体验正成为医疗保健的核心关注点。目前存在大量关于如何提高患者满意度评分的研究;然而,这些研究缺乏足够的针对性,无法充分指导医生和医院如何改善患者体验。本研究的目的是确定儿科心脏病专家诊疗过程中患者体验的各个方面,这些方面可作为患者高度满意的预测指标。在2013年1月1日至2015年2月28日(26个月)期间,要求前来就诊儿科心脏病专家的门诊患者完成一份关于其就医体验的包含39个问题的患者满意度调查问卷。患者满意度调查问卷的独立提供商Press Ganey在26个月的时间里收集了这些问卷。参与者被要求按照1 - 5李克特量表对他们的体验进行评分:1分表示“差”的体验,而5分表示“非常好”的体验。这项对2468份回复的回顾性研究确定,诊疗过程中的愉悦氛围(r = 0.85,p < 0.001)、团结协作的工作人员(r = 0.83,p < 0.001)以及护理人员对问题和病情的解释(r = 0.81,p < 0.001)是儿科心脏病专家诊疗过程中的关键方面,可作为总体患者满意度的预测指标。了解医生如何使患者体验个性化对于实现更高的患者满意度以及最终更好的患者治疗效果至关重要。

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