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有与健康相关社会需求的患者更有可能报告较差的门诊体验。

Patients With Health-Related Social Needs More Likely to Report Poor Clinic Experiences.

作者信息

Gray Mary, Jones Kyle G, Wright Bill J

机构信息

Comagine Health, Portland, OR, USA.

Center for Outcomes Research and Education, Providence Health and Services, Portland, OR, USA.

出版信息

J Patient Exp. 2021 Apr 8;8:23743735211008307. doi: 10.1177/23743735211008307. eCollection 2021.

Abstract

Measuring patients' care experience is necessary to understanding and improving health care quality and is a core component of patient-centered care. In this study, we test whether patient health care experiences differed between patients with and without health-related social needs, above and beyond demographic differences previously studied. This study relies on survey data from 2341 patients who visited 1 of 7 primary care clinics in Portland, Oregon, and surrounding communities during the latter half of 2018. Survey analysis reveal that patients with at least 1 health-related social need had greater odds of reporting staff not always answering questions, not getting all the care they need, not getting the information to manage care, not being treated with respect by their provider, and getting care being a hassle. The findings from this study suggest that patients with health-related social needs are not getting the holistic care they expect in their primary care clinics and find it a hassle to get care regardless of their demographic characteristics and insurance status. This study may help to inform how health care systems and clinics can best serve patients with health-related social needs.

摘要

衡量患者的就医体验对于理解和改善医疗质量至关重要,并且是以患者为中心的医疗的核心组成部分。在本研究中,我们检验了有健康相关社会需求的患者与无此类需求的患者之间的就医体验是否存在差异,这超出了之前所研究的人口统计学差异。本研究依赖于2018年下半年访问俄勒冈州波特兰市及周边社区7家初级保健诊所中1家的2341名患者的调查数据。调查分析显示,至少有一项健康相关社会需求的患者更有可能报告工作人员并非总是回答问题、未得到所需的全部护理、未获得管理护理的信息、未得到医护人员的尊重以及就医很麻烦。本研究结果表明,有健康相关社会需求的患者在其初级保健诊所中未得到他们期望的全面护理,并且无论其人口统计学特征和保险状况如何,都觉得就医很麻烦。本研究可能有助于为医疗系统和诊所如何最好地服务有健康相关社会需求的患者提供信息。

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