Institute of Health and Wellness Design, Department of Architecture, The University of Kansas, Lawrence, KS 66047, USA.
Health Systems Management, Rush University, Chicago, IL 60612, USA.
Int J Environ Res Public Health. 2021 Sep 16;18(18):9747. doi: 10.3390/ijerph18189747.
This study explores the relationship between inpatient unit design and patient experience and how spatial features and visibility impact patients' perception of staff responsiveness. The first part of this study is a retrospective pre-post and cross-sectional study evaluating the impacts of unit design on patient experience at the unit level. This study compares patient experiences based on Press Ganey and HCAHPS surveys in two orthopedic units (existing unit in Atrium building and new unit in Tower) with differing design features at Rush University Medical Center. The chi-square test results show that when moving from the old orthopedic unit to the new unit, almost all patient survey items related to patient experience showed statistically significant improvements. The second part of this study is a room level on the new unit. The ANOVA and Pearson correlation tests revealed that the visibility measure of metric step depth had significant impacts on patients' perception of staff's "promptness in responding to call button" and "help with toileting". This study confirms that inpatient unit design plays a direct role in improvement for patient experience and should be considered as an important area of focus for future development.
本研究探讨了住院病房设计与患者体验之间的关系，以及空间特征和可见性如何影响患者对医护人员响应能力的感知。本研究的第一部分是一项回顾性前后和横断面研究，评估了单元设计对 Rush 大学医疗中心两个骨科单元（中庭大楼中的现有单元和塔楼上的新单元）的患者体验的影响。卡方检验结果表明，当从旧的骨科单元转移到新的单元时，几乎所有与患者体验相关的患者调查项目都显示出统计学上的显著改善。本研究的第二部分是对新单元的房间层面进行研究。方差分析和 Pearson 相关检验显示，度量步深的可见性测量对患者对医护人员“响应呼叫按钮的及时性”和“协助如厕”的感知有显著影响。本研究证实，住院病房设计对改善患者体验有直接作用，应被视为未来发展的一个重要关注领域。
