Harrison James D, Weiss Rachel, Radhakrishnan Nila S, Hanson Catherine, Carnie Martha B, Evans Patricia, Banta Jim, Symczak Gina, Ziegler Georgiann, Holmes D'Anna, Michel-Leconte Safia J, Rogers Beverly, Wurst Melissa, Alikhaani Jacqueline, Davis Clark, Lee Tiffany, Schnipper Jeffrey L, Auerbach Andrew D, Romond John
Division of Hospital Medicine, University of California San Francisco, San Francisco, CA, USA.
Department of Medicine, University of Virginia School of Medicine, Charlottesville, VA, USA.
J Patient Exp. 2021 Oct 20;8:23743735211049646. doi: 10.1177/23743735211049646. eCollection 2021.
Researchers and patients conducted an environmental scan of policy documents and public-facing websites and abstracted data to describe COVID-19 adult inpatient visitor restrictions at 70 academic medical centers. We identified variations in how centers described and operationalized visitor policies. Then, we used the nominal group technique process to identify patient-centered information gaps in visitor policies and provide key recommendations for improvement. Recommendations were categorized into the following domains: 1) provision of comprehensive, consistent, and clear information; 2) accessible information for patients with limited English proficiency and health literacy; 3) COVID-19 related considerations; and 4) care team member methods of communication.
研究人员和患者对政策文件及面向公众的网站进行了环境扫描,并提取数据以描述70家学术医疗中心针对成人住院患者的新冠疫情探视限制情况。我们发现各中心在描述和实施探视政策方面存在差异。随后,我们采用名义群体技术流程来确定探视政策中以患者为中心的信息缺口,并提供改进的关键建议。建议分为以下几个领域:1)提供全面、一致且清晰的信息;2)为英语水平有限和健康素养较低的患者提供可获取的信息;3)与新冠疫情相关的考量因素;4)医护团队成员的沟通方式。