Damen Annelieke, Murphy Patricia, Fullam Francis, Mylod Deirdre, Shah Raj C, Fitchett George
PhD student Outcomes of Chaplaincy, University of Humanistic Studies, Utrecht, the Netherlands.
Department of Religion, Health, and Human Values, Rush University Medical Center, Chicago, IL, USA.
J Patient Exp. 2020 Dec;7(6):1174-1180. doi: 10.1177/2374373520918723. Epub 2020 Apr 19.
A developing body of evidence indicates that chaplain care is associated with higher levels of patient/family satisfaction with their hospital care. We examined the association between chaplain care and patient experience among patients at Rush University Medical Center in Chicago who responded to Hospital Consumer Assessment of Healthcare Providers and Systems and Press Ganey survey items between 2011 and 2017. Information about chaplain care was taken from the inpatients' electronic medical record. Our analyses included 11 741 patients, 26.5% of whom had received any chaplain care. Patients with lower self-rated health were more likely to have received chaplain care ( < .001). In bivariate analyses, chaplain care was associated with lower likelihood of reporting the highest score for 4 patient experience items ( < .001). In multi-variable models that adjusted for patient self-rated health and other factors, the association between chaplain care and the 4 patient experience items was nonsignificant. There was no effect modification for patient religious affiliation, self-rated health, or other demographic factors. The chaplain care-patient experience association may be more complex than has initially appeared, and further research is needed to help us better understand it.
越来越多的证据表明，牧师关怀与患者/家属对医院护理的更高满意度相关。我们调查了芝加哥拉什大学医学中心的患者中，牧师关怀与患者体验之间的关联，这些患者在2011年至2017年间对医疗服务提供者和系统的医院消费者评估以及Press Ganey调查项目做出了回应。关于牧师关怀的信息来自住院患者的电子病历。我们的分析包括11741名患者，其中26.5%接受过任何牧师关怀。自评健康状况较低的患者更有可能接受过牧师关怀（P<0.001）。在双变量分析中，牧师关怀与4项患者体验项目报告最高分的可能性较低相关（P<0.001）。在调整了患者自评健康状况和其他因素的多变量模型中，牧师关怀与这4项患者体验项目之间的关联不显著。对于患者的宗教信仰、自评健康状况或其他人口统计学因素，没有效应修正。牧师关怀与患者体验之间的关联可能比最初看起来更为复杂，需要进一步研究以帮助我们更好地理解它。
