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常规患者调查:患者的偏好和医疗保健提供者获得的信息。

Routine patient surveys: Patients' preferences and information gained by healthcare providers.

机构信息

Section of Healthcare Research and Rehabilitation Research, Faculty of Medicine and Medical Center, University of Freiburg, Freiburg, Germany.

Department of Orthopaedics and Traumatology, University Hospital Basel, Basel, Switzerland.

出版信息

PLoS One. 2019 Aug 1;14(8):e0220495. doi: 10.1371/journal.pone.0220495. eCollection 2019.

Abstract

BACKGROUND

Patient feedback after contact with a hospital is regarded as an important source of information for the improvement of local healthcare services. Routine patient surveys are in widespread use to obtain such feedback. While general principles for the composition of this kind of surveys have been described in the literature, it is unknown which method of contact and topics of feedback are important to patients in postcontact healthcare surveys.

MATERIAL AND METHODS

We invited 2931 consecutive patients who had in- or outpatient contact with the Department of Orthopaedics and Traumatology at the University Hospital Basel to an anonymous survey. They were asked whether they were generally in favor of feedback surveys. They also had the opportunity to state their preferred form of contact (text message, app, email, online or letter) and provide up to three topics that they regarded as specifically important in patient surveys.

RESULTS

A total of 745 patients participated in the survey (25.4%), of these 61.9% expressed the preference to be surveyed, and 69.1% selected letter' as one of the preferred forms of contact. Favoring only letter' contact increased substantially with age. Overall 54.6% of patients stated at least one topic that they wished to give feedback on. The most frequent topics were related to treatment and rather general aspects regarding staff and overall impression. The wish to include suggestions for improvements was rarely mentioned as specific topic.

CONCLUSIONS

The majority of patients seem to be rather indifferent to the existence and content of patient surveys. They mention a wide range of topics from general to specific ones, but do not express interest in the opportunity to suggest changes. There is a need to effectively engage patients in healthcare planning using new approaches to obtain valuable feedback on patients' hospital stay and contact experiences. These new approaches should ideally be more informative and cost-effective than the current practice.

摘要

背景

患者在与医院接触后的反馈被视为改善当地医疗服务的重要信息来源。常规的患者调查被广泛用于获取此类反馈。虽然文献中已经描述了此类调查组成的一般原则,但尚不清楚哪种联系方式和反馈主题对患者在接触后医疗调查中是重要的。

材料和方法

我们邀请了在巴塞尔大学医院骨科和创伤科有门诊或住院接触的 2931 名连续患者参加匿名调查。他们被问到是否普遍赞成反馈调查。他们还有机会选择他们认为在患者调查中特别重要的首选联系方式(短信、应用程序、电子邮件、在线或信件),并提供最多三个主题。

结果

共有 745 名患者参与了调查(25.4%),其中 61.9%表示赞成调查,69.1%选择“信件”作为首选联系方式之一。仅选择“信件”联系的比例随着年龄的增长而大幅增加。总的来说,54.6%的患者表示至少有一个他们希望提供反馈的主题。最常见的主题与治疗以及与员工和整体印象相关的一般性方面有关。很少有患者提到将改进建议作为特定主题。

结论

大多数患者似乎对患者调查的存在和内容漠不关心。他们提到了从一般到具体的广泛主题,但对提出变更的机会不感兴趣。需要使用新方法有效地让患者参与医疗保健规划,以获得对患者住院和接触体验的宝贵反馈。这些新方法在理想情况下应该比当前做法更具信息量和成本效益。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3b83/6675389/2fc01a85a2f1/pone.0220495.g001.jpg

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