荷兰开展的横断面研究旨在确定患者为中心的护理实际水平、护理差距（理想护理与实际护理提供之间的差距）和护理满意度之间的关系。

Cross-sectional research conducted in the Netherlands to identify relationships among the actual level of patient-centred care, the care gap (ideal vs actual care delivery) and satisfaction with care.

机构信息

Erasmus School of Health Policy and Management, Erasmus University, Rotterdam, The Netherlands.

出版信息

BMJ Open. 2019 Jan 21;9(1):e025147. doi: 10.1136/bmjopen-2018-025147.

DOI:10.1136/bmjopen-2018-025147

PMID:30670523

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6347885/

Abstract

OBJECTIVE

This study aimed to identify relationships among the actual level of patient-centred care (PCC), the care gap (ideal level of PCC vs actual care delivery) and satisfaction with care.

DESIGN

This study was a cross-sectional survey.

SETTING

This study was conducted at two locations of a Dutch hospital (Nieuwegein and Leidsche Rijn Utrecht).

PARTICIPANTS

Patients visiting the outpatient clinics for heart failure, chronic obstructive pulmonary disease (COPD) and cancer in March-May 2017 were asked to fill in a questionnaire. Inclusion criteria were diagnosis with COPD, heart failure or cancer and clinic visitation for a regular appointment. A total of 186 patients filled in the questionnaire.

PRIMARY AND SECONDARY OUTCOME MEASURES

Outcomes evaluated were the actual level of PCC, the care gap and satisfaction with care.

RESULTS

About half (45%) of the respondents were female, 38% had low educational levels and 31% were single. Respondents' mean age was 67.83 ± 10.02 (range, 16-94) years. Patients' experiences with actual care delivery and their conceptualisation of the ideal type of care differed significantly, representing care gaps, in all PCC dimensions. After controlling for background characteristics, patients' experiences with actual delivery and the care gap were related significantly to patients' satisfaction with care (β = 0.17 and β = - 0.41, respectively).

CONCLUSIONS

Patients' experiences with the actual level of PCC and the care gap are important for patients' satisfaction with care.

摘要

目的

本研究旨在确定患者为中心的护理（PCC）的实际水平、护理差距（PCC 的理想水平与实际护理提供之间的差距）与护理满意度之间的关系。

设计

本研究为横断面调查。

设置

本研究在荷兰一家医院的两个地点（Nieuwegein 和 Leidsche Rijn Utrecht）进行。

参与者

2017 年 3 月至 5 月，被邀请填写问卷的是在门诊就诊的心力衰竭、慢性阻塞性肺疾病（COPD）和癌症患者。纳入标准为 COPD、心力衰竭或癌症的诊断和常规预约的门诊就诊。共有 186 名患者填写了问卷。

主要和次要结局指标

评估的结果是 PCC 的实际水平、护理差距和护理满意度。

结果

约一半（45%）的受访者为女性，38%的人受教育程度较低，31%的人单身。受访者的平均年龄为 67.83 ± 10.02 岁（范围 16-94 岁）。患者对实际护理提供的体验及其对理想护理类型的概念化在所有 PCC 维度上存在显著差异，代表着护理差距。在控制背景特征后，患者对实际护理提供的体验和护理差距与患者对护理的满意度显著相关（β=0.17 和 β=-0.41）。