实施诊断相关分组前后患者对整合医学的满意度水平。
Levels of Patient Satisfaction on Integrative Medicine Before and After Implementation of Diagnosis-related Groups.
作者信息
Romeyke Tobias, Noehammer Elisabeth, Scheuer Hans Christoph, Stummer Harald
机构信息
UMIT-University of Health Sciences, Medical Informatics and Technology, Hall in Tirol, Austria.
Waldhausklinik Deuringen, Acute Hospital for Internal Medicine, Pain Therapy, Complementary and Individualized Patient Centred Medicine, Stadtbergen, Germany.
出版信息
Glob Adv Health Med. 2018 Feb 27;7:2164956118759256. doi: 10.1177/2164956118759256. eCollection 2018.
OBJECTIVES
The aim of this article is to study patient satisfaction with complementary and alternative medicine (CAM) in an in-hospital setting before and after the introduction of diagnosis-related groups (DRGs).
METHODS
Patients were interviewed regarding a general evaluation of their hospital stay, the psychological talking therapy, the nutrition therapy, and the overall success of the treatment.
RESULTS
The medical treatment was evaluated by 1158 patients. A very good success was reported by 347, a good by 609, a moderate by 181, and none by 21 patients. DRG implementation showed no significant effects. Psychological talking therapy was evaluated as "very good" ( ≤ .05). With regard to the success of the medical talking and nutrition therapy, there were no significant differences ( ≥ .05) between the time before and after DRG implementation.
CONCLUSION
Broadening conventional medical treatment with CAM practices can lead to a parallel treatment of DRGs in hospitals working with complementary medicine. This results in very patient-centered therapies, which may impact patient satisfaction.
目的
本文旨在研究在引入诊断相关分组（DRG）之前和之后，患者对医院环境中补充和替代医学（CAM）的满意度。
方法
就患者对住院的总体评价、心理谈话治疗、营养治疗以及治疗的总体成效对患者进行访谈。
结果
1158名患者对医疗进行了评价。报告成效非常好的有347人，好的有609人，中等的有181人，无成效的有21人。DRG的实施未显示出显著效果。心理谈话治疗被评价为“非常好”（P≤0.05）。关于医疗谈话和营养治疗的成效，DRG实施前后没有显著差异（P≥0.05）。
结论
在采用补充医学的医院中，用CAM方法拓宽传统医疗可以实现与DRG并行的治疗。这带来了非常以患者为中心的治疗方法，可能会影响患者满意度。
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