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哪些医院能提供利于睡眠的患者体验?

Which Hospitals Promote a Sleep-Friendly Patient Experience?

作者信息

Gulati Jasmine, Arora Vineet, McDaniel Lauren, Affini Murtala, Mason Noah, Orlov Nicola

机构信息

Georgetown School of Medicine, Georgetown University, Washington, DC, USA.

Pritzker School of Medicine, University of Chicago, Chicago, IL, USA.

出版信息

J Patient Exp. 2023 Jan 17;10:23743735231151544. doi: 10.1177/23743735231151544. eCollection 2023.

Abstract

The Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey measures patient perceptions of hospital experience to determine the annual Center for Medicare and Medicaid Services (CMS) reimbursement. This study focuses on the "Quiet at Night" variable and identifies institutions with the highest scores to determine characteristics that facilitate patient sleep. The key findings were as follows: CMS Top Rated Hospitals have a mean score of 5 on the "Quiet at Night" variable.US News Honor Roll Hospitals have a mean score of 2.67, with a statistically significant difference of  < .001 between the groups.The key characteristics of the CMS Hospitals are that they are predominantly privately owned, specialized, surgical facilities with few total hospital beds.Knowing that HCAHPS scores directly impact and reflect patient experience, the objective of this study was to better understand the hospital practices that facilitate a high score on the "Quiet at Night" question to empower low scoring hospitals to improve their sleep practices at night and to score higher on the HCAHPS survey.

摘要

医院医疗服务提供者与系统消费者评估(HCAHPS)调查衡量患者对医院体验的看法,以确定医疗保险和医疗补助服务中心(CMS)的年度报销金额。本研究聚焦于“夜间安静”变量,找出得分最高的机构,以确定有助于患者睡眠的特征。主要研究结果如下:CMS评级顶尖医院在“夜间安静”变量上的平均得分为5分。《美国新闻与世界报道》荣誉榜医院的平均得分为2.67分,两组之间的统计学显著差异<0.001。CMS医院的主要特征是它们主要为私立专科医院,是手术设施,医院总病床数较少。鉴于HCAHPS评分直接影响并反映患者体验,本研究的目的是更好地了解有助于在“夜间安静”问题上获得高分的医院做法,以使低分医院能够改善其夜间睡眠措施,并在HCAHPS调查中获得更高分数。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5d0e/9869221/e92d932403c1/10.1177_23743735231151544-fig1.jpg

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