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罗马尼亚奥维迪乌斯临床医院患者报告的补充 COVID-19 防护行动体验指标的效用与应用情况

Utility and Utilization of Patient-Reported Experience Measures for the Supplementary COVID-19 Protective Actions at the Ovidius Clinical Hospital in Romania.

作者信息

Pana Bogdan C, Radu Ciprian Paul, Furtunescu Florentina L, Mociu Adrian, Ciufu Nicolae

机构信息

Department of Public Health, University of Medicine and Pharmacy Carol Davila, 050463 Bucharest, Romania.

Ovidius Clinical Hospital, 905900 Constanta, Romania.

出版信息

Healthcare (Basel). 2024 Feb 1;12(3):377. doi: 10.3390/healthcare12030377.

Abstract

Patient-reported experience measures (PREMs) provide assessments of patients' subjective experiences and perceptions regarding their interactions with the healthcare system and its services. We present a cross-sectional study of the patient perception and evolution of COVID-19 cases performed at Ovidius Clinical Hospital in Romania during the COVID-19 pandemic. The study objective is to explore the utility and the utilization of PREMs in monitoring patient perceptions of the supplementary protective actions. During the pandemic, the hospital implemented early supplementary protective actions, like PCR and lung CT, to all surgically admitted patients in the hospital alongside government-recommended actions. At the same time, functional PREMs were used to evaluate patient perceptions regarding these supplementary actions. The research was carried out for 19 months between June 2020 and December 2021. The findings revealed that opinions about the severity of the COVID-19 pandemic, the personal risk of infection, and the perception of protective actions in the hospital were not correlated. Conclusions: The patients' appreciation of the COVID-19 protective actions taken by the hospital is related more to the general perceptions induced by the number of cases presented in the mass media and less by perceptions of the gravity of the problem or the risk of infection. In a hospital, the primary mission of patient safety is essential, and it must be fulfilled even if the patients are not sure or fully convinced that this is for their benefit. For management decisions and monitoring, using PREMs can be essential in a situation when general evidence is not conclusive.

摘要

患者报告体验测量(PREMs)可评估患者对其与医疗保健系统及其服务互动的主观体验和认知。我们呈现了一项在新冠疫情期间于罗马尼亚奥维迪乌斯临床医院开展的关于新冠病例患者认知及演变的横断面研究。该研究的目的是探讨PREMs在监测患者对补充防护措施认知方面的效用及应用情况。在疫情期间,医院除了实施政府推荐的措施外,还对所有手术入院患者实施了早期补充防护措施,如PCR检测和肺部CT检查。与此同时,使用功能性PREMs来评估患者对这些补充措施的认知。该研究在2020年6月至2021年12月期间进行了19个月。研究结果显示,关于新冠疫情的严重程度、个人感染风险以及对医院防护措施的认知之间并无关联。结论:患者对医院采取的新冠防护措施的评价更多地与大众媒体报道的病例数量所引发的总体认知有关,而与对问题严重性或感染风险的认知关系较小。在医院中,患者安全的首要任务至关重要,即便患者不确定或不完全相信这对他们有益,也必须予以落实。对于管理决策和监测而言,在一般证据不确凿的情况下,使用PREMs可能至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/77f0/10855417/128057b3703e/healthcare-12-00377-g001.jpg

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