Massachusetts General Hospital, Boston, Massachusetts.
Massachusetts General Hospital, Boston, Massachusetts.
J Surg Educ. 2018 Nov;75(6):e192-e203. doi: 10.1016/j.jsurg.2018.08.007. Epub 2018 Sep 5.
To describe inpatient satisfaction with surgical resident care given the increasing importance of patient satisfaction as a quality metric.
Surgical inpatients were invited to complete a survey that addressed their satisfaction with and attitudes regarding surgical resident care. The survey was based on the Consumer Assessment of Healthcare Providers and Systems Surgical Care Survey (S-CAHPS). Patients were required to positively identify photos of resident physicians prior to providing ratings. Adapted S-CAHPS items were scored using the "top-box" method.
Massachusetts General Hospital, a tertiary academic center.
General surgery inpatients recovering from elective, major abdominal surgery were recruited on postoperative days 2 to 4.
Ninety-one percent of approached patients participated (102/112, mean age = 62.9, 51.6% male). Patients positively identified both seniors and interns 88% of the time. Thirteen seniors and 19 interns were rated, with 1 to 14 evaluations per trainee. Overall quality of care ratings for seniors and interns were 9.35 and 9.09, respectively (0-10 scale, 10 = "best possible care"). Sixty-three percent of senior resident evaluations and 60% of intern evaluations received a score of 10. The proportion of residents receiving top-box scores ranged from 59.5% to 97.7% depending on the item. Forty percent of senior resident and 38% of intern evaluations received top-box scores for all 8 items. Over 96% of patients reported strong or moderate agreement with the statements "I feel it is important to help in the education of future surgeons."
Surgical inpatients willingly completed ratings about their surgery residents, typically can recognize their resident physicians, and rate quality of care highly. Despite many high ratings, there is room for improvement in some S-CAHPS domains. These results indicate patients are a valuable source of feedback regarding a resident's progress in several core competencies such as interpersonal skills, communication, professionalism, and patient care.
描述住院患者对住院医师护理的满意度，因为患者满意度作为一种质量衡量标准变得越来越重要。
邀请外科住院患者完成一项调查，该调查涉及他们对住院医师护理的满意度和态度。该调查基于医疗保健提供者和系统外科护理调查（S-CAHPS）的消费者评估。在提供评分之前，患者必须正确识别住院医师的照片。采用“最佳框”法对经过改编的 S-CAHPS 项目进行评分。
马萨诸塞州综合医院，一家三级学术中心。
从择期、大腹部手术后恢复的普通外科住院患者在术后第 2 至 4 天招募。
91%的受邀患者参与了调查（102/112，平均年龄 62.9 岁，51.6%为男性）。患者 88%的时间都能正确识别高年住院医师和住院医师。对 13 名高年住院医师和 19 名住院医师进行了评分，每位学员的评估人数为 1 至 14 人。高年住院医师和住院医师的整体护理质量评分分别为 9.35 和 9.09（0-10 分制，10 分表示“最佳护理”）。63%的高年住院医师评估和 60%的住院医师评估获得 10 分。根据项目的不同，接受最佳框评分的住院医师比例从 59.5%到 97.7%不等。40%的高年住院医师和 38%的住院医师评估在 8 项全部项目中获得最佳框评分。超过 96%的患者对以下陈述表示强烈或中度同意：“我觉得帮助未来的外科医生接受教育很重要。”
外科住院患者愿意对他们的住院医师进行评分，通常能够识别他们的住院医师，并对护理质量给予高度评价。尽管评分较高，但在一些 S-CAHPS 领域仍有改进的空间。这些结果表明，患者是评价住院医师在人际交往能力、沟通、专业精神和患者护理等核心能力方面进展的有价值的反馈来源。
