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医生积极参与维持认证与患者护理调查视角之间的关系。

Relationship Between Physicians' Active Participation in Maintenance of Certification and Patients' Perspective of Care Surveys.

作者信息

Morrell Jessica, Stratman Erik J

机构信息

Dermatology Consultants, St. Paul, MN, USA.

Department of Dermatology, Marshfield Clinic, Marshfield, WI, USA.

出版信息

J Patient Exp. 2016 Jun;3(2):43-47. doi: 10.1177/2374373516652232. Epub 2016 Jun 8.

Abstract

OBJECTIVE

Medical specialty boards have a Maintenance of Certification (MOC) paradigm whose intention is to ensure high-quality patient care. How the patient experience is affected by physician MOC enrollment/participation is unknown. Our goal was to determine if patient experience is associated with physician board certification and MOC status.

METHODS

We analyzed physician experience and MOC databases to determine the relationships among physicians' patient experience national percentile rankings and board certification status and MOC enrollment and activity status.

RESULTS

Board-certified physicians enrolled in MOC did not have statistically significant different patient experience scores compared to board-certified physicians not enrolled in MOC. Mid-career physicians enrolled in MOC had patients more likely to recommend them and reported higher confidence in them. Patients did not perceive physicians participating in MOC patient safety modules as more cautious in providing patient care.

CONCLUSION

Although most analyses did not demonstrate significant differences in patient experience scores for physicians actively participating in MOC compared to those not, some differences were noted. Higher provider-specific patient experience scores were noted, particularly for mid-career physicians.

摘要

目的

医学专业委员会拥有持续认证(MOC)模式,其目的是确保高质量的患者护理。医生参与MOC如何影响患者体验尚不清楚。我们的目标是确定患者体验是否与医生的委员会认证和MOC状态相关。

方法

我们分析了医生经验和MOC数据库,以确定医生的患者体验全国百分位排名与委员会认证状态以及MOC注册和活动状态之间的关系。

结果

与未参加MOC的委员会认证医生相比,参加MOC的委员会认证医生的患者体验得分在统计学上没有显著差异。参加MOC的中年医生的患者更有可能推荐他们,并对他们报告更高的信心。患者并不认为参与MOC患者安全模块的医生在提供患者护理时更加谨慎。

结论

尽管大多数分析没有表明积极参加MOC的医生与未参加MOC的医生在患者体验得分上存在显著差异,但仍发现了一些差异。注意到特定提供者的患者体验得分较高,特别是对于中年医生。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ade3/5513620/146fb6cd08b1/10.1177_2374373516652232-fig1.jpg

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