Department of Family Medicine, Mayo Clinic, Jacksonville, Florida, United States of America.
PLoS One. 2021 Oct 14;16(10):e0258618. doi: 10.1371/journal.pone.0258618. eCollection 2021.
Hospital performance is often monitored by surveys that assess patient experiences with hospital care. Certain patient characteristics may shape how some aspects of hospital care are viewed and reported on surveys.
The aim of the study was to examine factors considered important to patients and determine whether there were differences in answers based on age, gender, or educational level.
Cross-sectional study based on a hospital survey developed via literature review and specialist recommendations. This study included randomly selected patients 18 years or older who were recently admitted to the hospital or admitted more than 50 days before the survey was being applied. Survey domains included age, gender, educational level, factors considered important for the health care in a hospital setting and sources of information about hospital quality used by each subject. Answers description and statistical analysis using Fisher exact test were performed.
The survey was applied to 262 patients who were admitted under different services. The most important concern reported was the risk of getting a hospital-acquired infection (67.18%), followed by understanding explanation from the doctors' plans (64.12%) and doctors' ability to listen carefully (58.78%). Women are more concerned about their risk of falling (p = 0.03). Patients older than 65 years find important that the doctors explain everything in a way they can easily understand (p = 0.02), while lower educated patients consider most if the doctor treats them with courtesy and respect (p = 0.0027).
Patient characteristics have an effect on how hospital care is perceived. Regardless of the characteristics of the population, the risk of getting an infection was the main concern overall, so it is important that hospitals promote actions to prevent it and share them with patients.
医院绩效通常通过评估患者对医院护理体验的调查来监测。某些患者特征可能会影响他们对某些方面的医院护理的看法和报告。
本研究旨在调查患者认为重要的因素,并确定这些因素是否因年龄、性别或教育水平的不同而存在差异。
这是一项基于文献回顾和专家建议制定的医院调查的横断面研究。本研究纳入了最近住院或在调查应用前 50 天以上住院的 18 岁及以上的随机患者。调查领域包括年龄、性别、教育水平、患者认为在医院环境中重要的医疗保健因素以及每个患者使用的有关医院质量的信息来源。对答案描述和 Fisher 精确检验进行了统计分析。
共对 262 名在不同科室住院的患者进行了调查。报告的最关注问题是发生医院获得性感染的风险(67.18%),其次是理解医生计划的解释(64.12%)和医生认真倾听的能力(58.78%)。女性更担心跌倒的风险(p=0.03)。65 岁以上的患者更希望医生以他们能轻松理解的方式解释所有事情(p=0.02),而受教育程度较低的患者则认为医生以礼貌和尊重的方式对待他们最为重要(p=0.0027)。
患者特征会影响他们对医院护理的看法。无论人群特征如何,感染风险始终是最主要的关注点,因此医院应重视采取行动预防感染,并与患者分享这些措施。