Woo May, Jafarifiroozabadi Roxana, MacNaughton Piers, Mihandoust Sahar, Kennedy Sara, Joseph Anjali
View Inc., Milpitas, CA, USA.
Clemson University, Clemson, SC, USA.
J Patient Exp. 2022 Jun 15;9:23743735221107240. doi: 10.1177/23743735221107240. eCollection 2022.
Evidence-based design has been fundamental to designing healthcare environments for patient outcomes and experience, yet few studies have studied how design factors drive patient choice. 652 patients who recently received care at hospitals across the United States were administered an online discrete choice survey to investigate the factors playing into their choice between hypothetical hospitals. Discrete choice models are widely used to model patient preferences among treatment alternatives, but few studies have utilized this approach to investigate healthcare design alternatives. In the current study, respondents were asked to choose between hypothetical hospitals that differed in patient room design, window features of the room, appointment availability, distance from home, insurance coverage, and HCAHPS ratings. The results demonstrate that patient room design that allowed unobscured access to daylight and views through windows, in-network insurance coverage, closer distance from home, and one-star higher patient experience rating increased the likelihood of a patient's hospital choice. The study broadly explores discrete choice model's applicability to healthcare design and its ability to quantify patient perceptions with a metric meaningful for hospital administrators.
循证设计对于为患者的治疗结果和体验设计医疗环境至关重要，但很少有研究探讨设计因素如何影响患者的选择。对652名近期在美国各地医院接受治疗的患者进行了一项在线离散选择调查，以研究影响他们在假设医院之间做出选择的因素。离散选择模型被广泛用于模拟患者在治疗方案之间的偏好，但很少有研究采用这种方法来研究医疗设计方案。在本研究中，受访者被要求在假设医院之间进行选择，这些医院在病房设计、房间窗户特征、预约便利性、离家距离、保险覆盖范围和医院患者医疗服务评估与系统（HCAHPS）评分等方面存在差异。结果表明，病房设计能够让患者不受遮挡地通过窗户获得自然采光和视野、网络内保险覆盖、离家更近的距离以及患者体验评分高一颗星，会增加患者选择该医院的可能性。该研究广泛探讨了离散选择模型在医疗设计中的适用性，以及它用对医院管理人员有意义的指标量化患者认知的能力。
