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与非教学医院医师相比,一项新的内科住院医师培训计划对教学医院医师教员患者满意度评分的影响。

The Impact of a New Internal Medicine Residency Program on Patient Satisfaction Scores for Teaching Hospitalist Faculty Compared to Non-teaching Hospitalist.

作者信息

Walker Janeane, Delzell John E

机构信息

Graduate Medical Education, Northeast Georgia Medical Center, Gainesville, USA.

出版信息

Cureus. 2021 Dec 29;13(12):e20795. doi: 10.7759/cureus.20795. eCollection 2021 Dec.

Abstract

INTRODUCTION

The Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) is a national survey sent to patients to measure their inpatient experience. Graduate medical education programs may affect a sponsoring institution in various ways, but there has been little research into the effect of teaching hospitalist faculty on HCAHPS scores in a community-based hospital. The aim of the current study is to evaluate if the introduction of internal medicine resident physicians would affect the HCAHPS scores of patients admitted by hospitalist faculty physicians.

METHODS

This was a retrospective analysis of anonymous patient satisfaction survey data for internal medicine hospitalist teams from January 2019 to December 2019. Data were retrieved from the Press Ganey database. We compared two groups: teaching hospitalists (N = 12) and non-teaching hospitalists (N = 34). Data were divided into two time periods: January to June (pre-residents) and July to December (post-residents).

RESULTS

From January to June (pre-residents), 646 HCAHPS surveys were returned. For the post-resident cohort (July to December), a total of 487 surveys were returned. The "Recommend" domain, showed a significant improvement in the mean pre-resident to post-resident (57% to 69%; p = 0.0351).

CONCLUSION

There was a significant increase in the mean rating of the "Recommend" hospital domain for the teaching hospitalists when compared to the non-teaching after the addition of a new internal medicine residency program.

摘要

引言

医院医疗服务提供者与系统消费者评估(HCAHPS)是一项面向患者的全国性调查,用于衡量他们的住院体验。毕业后医学教育项目可能会以多种方式影响主办机构,但关于教学医院医师对社区医院HCAHPS评分的影响,此前研究较少。本研究的目的是评估内科住院医师的引入是否会影响医院医师收治患者的HCAHPS评分。

方法

这是一项对2019年1月至2019年12月内科医院医师团队匿名患者满意度调查数据的回顾性分析。数据从Press Ganey数据库中检索。我们比较了两组:教学医院医师(N = 12)和非教学医院医师(N = 34)。数据分为两个时间段:1月至6月(住院医师入职前)和7月至12月(住院医师入职后)。

结果

1月至6月(住院医师入职前),共返回646份HCAHPS调查问卷。对于住院医师入职后的队列(7月至12月),共返回487份调查问卷。“推荐”领域显示,住院医师入职前到入职后的平均评分有显著提高(从57%提高到69%;p = 0.0351)。

结论

在增加新的内科住院医师培训项目后,与非教学医院医师相比,教学医院医师的“推荐”医院领域平均评分有显著提高。

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