Chen Jerome Gene, Lee Stacey, Khallouq Bertha Ben
Pediatric Critical Care Medicine, Arnold Palmer Hospital for Children, Orlando, FL, USA.
University of Florida Pediatric Residency Program at Orlando Health, Orlando, FL, USA.
J Patient Exp. 2020 Dec;7(6):1077-1085. doi: 10.1177/2374373520925251. Epub 2020 May 19.
There is limited research on patient experience in hospitalized pediatric patients. Our aim was to investigate the association of patient demographics and hospital stay characteristics with experience in a tertiary-care, freestanding children's hospital. We conducted a retrospective cross-sectional study of patient experience surveys. We designated the highest rating as "top-box" and examined data across 8 domains, including overall assessment (OA). A total of 4602 surveys were analyzed. Top-box percentages were lower for younger patients in 6 domains, including OA (0-<1 year old: 57.6%; 1-<4 years old: 61.3%; 4-<12 years old: 68.4%; ≥12 years old: 70.2%; < .001), and were lower for patients with private insurance in 5 domains, including OA (private 63.2%, public 68.9%; < .001). There was no association between other demographics (gender, race/ethnicity, primary language) and OA. Overall assessment was also not associated with length of stay ( = .071) and number of consulting services ( = .703). The most important domain predictor of OA was personal issues (odds ratio = 4.79), which assessed concern, sensitivity, and communication from staff. In conclusion, patient experience was associated with age and insurance status but not hospital stay characteristics.
关于住院儿科患者的就医体验的研究有限。我们的目的是调查在一家三级独立儿童医院中，患者人口统计学特征和住院时间特征与就医体验之间的关联。我们对患者体验调查进行了一项回顾性横断面研究。我们将最高评分指定为“顶级评分”，并检查了8个领域的数据，包括总体评估（OA）。总共分析了4602份调查问卷。在包括总体评估（OA）在内的6个领域中，年龄较小的患者顶级评分百分比更低（0至<1岁：57.6%；1至<4岁：61.3%；4至<12岁：68.4%；≥12岁：70.2%；P<0.001），在包括总体评估（OA）在内的5个领域中，有私人保险的患者顶级评分百分比更低（私人保险63.2%，公共保险68.9%；P<0.001）。其他人口统计学特征（性别、种族/民族、主要语言）与总体评估之间没有关联。总体评估也与住院时间（P=0.071）和咨询服务数量（P=0.703）无关。总体评估最重要的领域预测因素是个人问题（优势比=4.79），该因素评估了工作人员的关心、敏感度和沟通情况。总之，患者体验与年龄和保险状况有关，但与住院时间特征无关。
