Mortensen Betty, Borkowski Nancy, O'Connor Stephen J, Patrician Patricia A, Weech-Maldonado Robert
President of Innovative Healthcare Solutions, LLC, University of Alabama at Birmingham, Birmingham, AL, USA.
J Patient Exp. 2020 Apr;7(2):263-269. doi: 10.1177/2374373519836467. Epub 2019 Mar 26.
This study examined the association between interdepartmental transfers and the perceptions of care received by adult patients who were admitted and discharged from a 300-bed, not-for-profit community tertiary hospital in the Midwest. Transfers of patient care are daily and frequent hospital processes. However, limited attention has focused on the effect that intrahospital transfers of care have on the patient experience. Understanding this relationship is important, since value-based purchasing models directly tie patient experience measures into hospital reimbursements. The key finding of this study indicates that as patients' transfers increase, their perceptions of care decrease. Therefore, by reducing the frequency of interdepartmental transfers, patient satisfaction may increase. This research provides clinicians and administrators a better understanding of the relationship between a frequent and a daily hospital process (ie, interdepartmental transfers) and its influence on patients' perceptions of their experience.
本研究调查了中西部一家拥有300张床位的非营利性社区三级医院收治并出院的成年患者的科室间转诊与他们对所接受护理的认知之间的关联。患者护理的转诊是医院日常且频繁发生的流程。然而，对医院内部护理转诊对患者体验的影响关注有限。理解这种关系很重要，因为基于价值的购买模式直接将患者体验指标与医院报销挂钩。本研究的主要发现表明，随着患者转诊次数的增加，他们对护理的认知会降低。因此，通过减少科室间转诊的频率，患者满意度可能会提高。这项研究让临床医生和管理人员能更好地理解医院日常频繁发生的流程（即科室间转诊）与其对患者体验认知的影响之间的关系。
