Bertl Marie, Schleitzer Jana, Kamp Marcel Alexander, von Sass Christiane, Schwarz Falko, Schöffski Oliver, Senft Christian Alexander, Dinc Nazife
Department of Neurosurgery, Jena University Hospital, Friedrich-Schiller-University, Jena, Germany.
Quality Management Jena University Hospital, Friedrich-Schiller-University, Jena, Germany.
Neurosurg Rev. 2025 Jun 7;48(1):494. doi: 10.1007/s10143-025-03654-3.
To evaluate the impact of Patient-Reported Experience Measures (PREMs) on satisfaction and care quality and identify factors influencing patient evaluations. A modified patient survey was conducted at the Department of Neurosurgery at the University Hospital Jena. Additionally, a comprehensive literature review was performed to contextualize the findings and assessed the significance and preferred applications of PREMs in current research.
This monocentric study employed a modified questionnaire developed in accordance with internal quality standards. The questionnaire was distributed anonymously to neurosurgical inpatients treated at the University Hospital Jena between May 1, 2023 and July 31, 2023. Data collection took place through postal surveys and during discharge management.
Of the 159 patients included, 69 completed the questionnaire, with 46 responding by post and 23 in person. The response rate was 66.7% for postal surveys and 33.3% for on-site collection (p < 0.001). Overall satisfaction was high, with 96.8% of respondents indicating that they would recommend the hospital. More than half of patients rated care quality and physician communication as "very good". Patients who provided positive evaluations of physician communication were significantly more likely to rate overall care quality as "good" to "very good" (p = 0.002). Additionally, surgical treatment and hospital recommendation were identified as significant predictors of care quality.
Physician communication strongly correlates with patient satisfaction, symptom improvement, and treatment adherence. Expanding the use of PREMs and providing clinician training in relationship-centered communication can enhance patient-centered care, leading to measurable improvements in healthcare outcomes.
评估患者报告体验指标（PREMs）对满意度和护理质量的影响，并确定影响患者评价的因素。在耶拿大学医院神经外科进行了一项改良的患者调查。此外，还进行了全面的文献综述，以将研究结果置于背景中，并评估PREMs在当前研究中的意义和首选应用。
这项单中心研究采用了根据内部质量标准制定的改良问卷。该问卷于2023年5月1日至2023年7月31日期间匿名分发给在耶拿大学医院接受治疗的神经外科住院患者。数据收集通过邮寄调查和出院管理期间进行。
在纳入的159名患者中，69名完成了问卷，其中46名通过邮寄回复，23名亲自回复。邮寄调查的回复率为66.7%，现场收集的回复率为33.3%（p < 0.001）。总体满意度较高，96.8%的受访者表示他们会推荐该医院。超过一半的患者将护理质量和医生沟通评为“非常好”。对医生沟通给予积极评价的患者将整体护理质量评为“好”至“非常好”的可能性显著更高（p = 0.002）。此外，手术治疗和医院推荐被确定为护理质量的重要预测因素。
医生沟通与患者满意度、症状改善和治疗依从性密切相关。扩大PREMs的使用并为临床医生提供以关系为中心的沟通培训可以加强以患者为中心的护理，从而在医疗结果方面带来可衡量的改善。
