Gálvez G, Jimenez M L, Manzanera R, Ávalos A, De Castro M, Moral I, Iruela A
Patient Evaluation and Experience Unit. Catalan Health Service, Government of Catalonia, Barcelona, Spain.
Department of Emergency Medicine University of the Philippines, College of Medicine, Manila, Philippines.
J Patient Exp. 2024 Oct 3;11:23743735241282702. doi: 10.1177/23743735241282702. eCollection 2024.
The study explores how Primary Health Care Team managers in Catalonia assess the gold standard criteria for excellence in Primary Health Care and whether there are differences in evaluations between the best and worst-rated centers by patients in a patient experience survey included in the Catalan Satisfaction Survey Plan (PLAENSA). The researchers used mixed methods to analyze 12 interviews done to Primary Care Team (PCT) managers. Interviews were transcribed and analyzed, yielding three themes and 12 subthemes. A Likert-type questionnaire was also used to compare results. Scores were observed between 4.8 and 3.5 regarding a constant relationship with the patient (longitudinality), and patient's experience, respectively. All managers highlight accessibility, nursing management, and administrative support as essential to patient experience. No significant differences exist in PCT's scores or gold standard element application. Disposing of good accessibility, crucial in Primary Health Care management, an administrative team, and efficiently prepared and motivated professionals, are key elements to a patient's experience in Primary Health Care. Contrary to other studies, interviewees described better accessibility in rural centers, which is likely why they are better valued by patients.
该研究探讨了加泰罗尼亚的初级卫生保健团队管理者如何评估初级卫生保健卓越的金标准标准，以及在加泰罗尼亚满意度调查计划（PLAENSA）中包含的患者体验调查中，患者评价最佳和最差的中心之间在评估上是否存在差异。研究人员采用混合方法分析了对初级保健团队（PCT）管理者进行的12次访谈。访谈内容被转录和分析，得出了三个主题和12个子主题。还使用了李克特式问卷来比较结果。在与患者的持续关系（纵向性）和患者体验方面，得分分别在4.8至3.5之间。所有管理者都强调可及性、护理管理和行政支持对患者体验至关重要。PCT的得分或金标准要素的应用不存在显著差异。具备良好的可及性，这在初级卫生保健管理中至关重要，一个行政团队，以及高效准备且积极性高的专业人员，是患者在初级卫生保健中体验的关键要素。与其他研究相反，受访者描述农村中心的可及性更好，这可能就是它们在患者中更受重视的原因。
