Anderson F D, Maloney J P, Beard L W
Blanchfield Army Community Hospital, Fort Campbell, KY, USA.
Mil Med. 1998 Feb;163(2):90-4.
Strong national interest in health care delivery systems and a highly competitive marketplace have mandated that military hospital commanders be increasingly aware of organizational performance. Historically, one variable that has been used to assess such performance is patient satisfaction with the care received. The purpose of this study was to measure patient satisfaction at a major military medical center and to assess how patient satisfaction correlated with the variables of provider satisfaction and nurse/patient ratio. One hundred eighty-eight patients completed the LaMonica-Oberst Patient Satisfaction Scale. Data analysis revealed that, although overall patient satisfaction was high, it was significantly higher on the intensive care units and in other areas where the nurse/patient ratio was high. Interestingly, there was no correlation between the staff's perceptions of their work environment and patient satisfaction. Findings from this study serve to highlight the continued need for a low nurse/patient ratio and are suggestive of the need for refinement of patient satisfaction survey tools available at present.
国家对医疗保健提供系统的高度关注以及竞争激烈的市场环境,要求军队医院指挥官越来越重视组织绩效。从历史上看,用于评估此类绩效的一个变量是患者对所接受护理的满意度。本研究的目的是衡量一家大型军队医疗中心的患者满意度,并评估患者满意度与提供者满意度和护士/患者比例变量之间的相关性。188名患者完成了拉莫尼卡 - 奥伯斯特患者满意度量表。数据分析显示,虽然患者总体满意度较高,但在重症监护病房和护士/患者比例较高的其他区域,满意度明显更高。有趣的是,工作人员对其工作环境的看法与患者满意度之间没有相关性。本研究结果凸显了持续保持低护士/患者比例的必要性,并表明需要改进目前可用的患者满意度调查工具。