Department of Labor Studies, Tel Aviv University, Tel-Aviv, Israel; Department of Sociology, Institute of Sociology and Social Psychology, University of Cologne, Germany.
Health Policy. 2024 Nov;149:105170. doi: 10.1016/j.healthpol.2024.105170. Epub 2024 Sep 26.
Hospital rules and regulations can contribute to standardizing care, streamlining processes, and improving the quality of care. Over the past decade, hospitals in Israel have introduced written rules and regulations for staff that provide guidance on quality control, patient safety, and the patient-provider relationship. This study aimed to explore how these written guidelines, when implemented, can promote responsive care for inpatients. Using a thematic analysis, the study analyzed the content of staff guidelines from six Israeli hospitals. The analysis found that hospital rules and regulations provide similar, relatively precise instructions with regard to improving the responsiveness to and dignity of care of patients. The guidelines address three essential aspects of responsiveness - disclosing medical information and respecting the patients' autonomy and physical space. The guidelines highlight that healthcare providers should implement security measures to safeguard medical information, respect patients' autonomy, involve patients in decision-making, and provide adequate physical space to maintain their privacy and modesty. The guidelines contribute to ensuring patients' legal and ethical rights. Policymakers should consider introducing and implementing the dimensions of responsiveness that were stressed by Israeli hospitals' rules and regulations. Further research is needed to confirm the relevance of the various rules and regulations for improving the quality of care provided to patients.
医院规章制度有助于规范护理、简化流程并提高护理质量。在过去十年中，以色列的医院为员工制定了书面的规章制度，为质量控制、患者安全和医患关系提供了指导。本研究旨在探讨这些书面指南在实施时如何促进住院患者的响应式护理。本研究采用主题分析方法，对来自六家以色列医院的员工指南内容进行了分析。分析发现，医院规章制度在提高对患者护理的响应性和尊严方面提供了类似的、相对精确的指导。这些准则涉及响应性的三个基本方面——披露医疗信息以及尊重患者的自主权和身体空间。准则强调，医疗保健提供者应采取安全措施来保护医疗信息、尊重患者的自主权、让患者参与决策，并提供足够的身体空间来维护他们的隐私和端庄。准则有助于确保患者的法律和道德权利。政策制定者应考虑引入并实施以色列医院规章制度强调的响应性维度。需要进一步研究以确认各种规章制度对于提高患者护理质量的相关性。
