Maniaci Michael J, Torres-Guzman Ricardo A, Garcia John P, Avila Francisco R, Maita Karla C, Forte Antonio J, Paulson Margaret R
Division of Hospital Internal Medicine, Mayo Clinic, Jacksonville, FL, USA.
Division of Plastic Surgery, Mayo Clinic, Jacksonville, FL, USA.
SAGE Open Med. 2022 Apr 22;10:20503121221092589. doi: 10.1177/20503121221092589. eCollection 2022.
Traditional hospital at home models often have high patient experience scores. The purpose of this study is to look at the patient experience of a new virtual hybrid model of hospital at home called Advanced Care at Home.
Patients in Mayo Clinic's Advanced Care at Home program received a survey via email from 1 January-31 May 2021. Each survey consisted of 20 questions divided into 18 multiple-choice and two open-ended questions.
Ninety-nine surveys were sent and 41 partially or completely finished surveys were returned for a response rate of 41.4%. Patients responded positively, denoted by answering "strongly agree or somewhat agree," with regard to the ability to reach the team right away 100% of the time, being kept informed 92% of the time, the command center responding promptly to their needs 95% of the time, the team providing comfort and support 98% of the time, feeling comfortable with interacting with their provider by phone or tablet 95% of the time, the ease of use from the equipment 97% of the time, the virtual and in-person staff working well together 98% of the time, the staff treating patients with courtesy and respect 100% of the time, and the ease of understanding the discharge process and feeling ready to leave the program 100% of the time. All providers received positive responses on listening ⩾88% of the time. Patients gave a top rating in likelihood to recommend the program 100% of the time.
Overall, the Advanced Care at Home model of hospital at home was highly recommended by patients. Patients scored the program high on responsiveness, staff engagement and communication, ease of equipment use, and readiness for discharge, strengthening the overall confidence in this novel program.
传统的居家医院模式通常患者体验得分较高。本研究的目的是考察一种名为“居家高级护理”的新型虚拟混合居家医院模式的患者体验。
梅奥诊所“居家高级护理”项目的患者在2021年1月1日至5月31日期间通过电子邮件收到一份调查问卷。每份调查问卷由20个问题组成,分为18个多项选择题和2个开放式问题。
共发送了99份调查问卷,41份部分或全部完成的调查问卷被收回,回复率为41.4%。患者给出了积极的回应,在以下方面回答“强烈同意或有些同意”:100%的时间都能立即联系到团队;92%的时间能随时了解情况;指挥中心95%的时间能迅速响应他们的需求;团队98%的时间能提供安慰和支持;95%的时间对通过电话或平板电脑与医护人员互动感到自在;97%的时间设备使用方便;虚拟和现场工作人员98%的时间配合良好;工作人员100%的时间礼貌且尊重地对待患者;100%的时间易于理解出院流程并感觉准备好离开该项目。所有医护人员在倾听方面⩾88%的时间得到了积极回应。患者100%的时间对推荐该项目给出了最高评价。
总体而言,患者对“居家高级护理”这种居家医院模式给予了高度推荐。患者在响应能力、工作人员参与度和沟通、设备使用便利性以及出院准备方面对该项目评分很高,增强了对这个新项目的总体信心。