Anderson Paige M, Krallman Rachel, Montgomery Daniel, Kline-Rogers Eva, Bumpus Sherry M
University of Pittsburgh Medical Center, Pittsburgh, PA, USA.
Michigan Clinical Outcomes Research and Reporting Program, University of Michigan Health System, Ann Arbor, MI, USA.
J Patient Exp. 2020 Dec;7(6):1685-1692. doi: 10.1177/2374373520948389. Epub 2020 Aug 14.
Little is known about the relationship between patient satisfaction with inpatient care and post-discharge outcomes. This study examined inpatient hospital satisfaction after a cardiac event and outcomes through 6 months post-discharge. We examined 327 cardiac patients from the Bridging the Discharge Gap Effectively database who completed a patient satisfaction survey about their hospital admission and had post-discharge outcomes data. Higher patient satisfaction with the discharge process correlated with fewer readmissions at 90 days post-discharge. Higher patient satisfaction with hospital staff management of personal issues correlated with fewer emergency department visits at 6 months post-discharge. Higher patient satisfaction with overall assessment of care and hospitalization correlated with lower mortality rate at 6 months post-discharge. Being nonwhite correlated with lower nursing care satisfaction. Associations between cardiac patient satisfaction and outcomes exist. In this population, higher patient satisfaction correlated with better outcomes. Patient satisfaction data may be able to inform areas for health system improvement.
关于患者对住院护理的满意度与出院后结果之间的关系，我们所知甚少。本研究调查了心脏事件后的住院患者满意度以及出院后6个月的结果。我们从“有效弥合出院差距”数据库中选取了327名心脏病患者，这些患者完成了关于住院情况的患者满意度调查，并拥有出院后结果数据。患者对出院流程的满意度越高，出院后90天内的再入院次数越少。患者对医院工作人员处理个人问题的满意度越高，出院后6个月内的急诊就诊次数越少。患者对护理和住院总体评估的满意度越高，出院后6个月的死亡率越低。非白人与较低的护理满意度相关。心脏病患者满意度与结果之间存在关联。在这一人群中，患者满意度越高，结果越好。患者满意度数据或许能够为卫生系统的改进领域提供参考。
