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学术泌尿外科医生比社区泌尿外科医生更容易接触风险管理活动:对患者投诉数据的经验分析
C J Stimson1, Jan Karrass2, Roger R Dmochowski1
1Department of Urologic Surgery, Vanderbilt University Medical Center, Nashville, Tennessee.
Urology practice
|June 10, 2023
概括
学术泌尿科医生比社区泌尿科医生收到的患者投诉更多,特别是关于访问和沟通的问题. 这些发现表明,学术医生有更高的不当行为诉讼风险,突出了潜在干预的领域.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 医疗保健服务研究 医疗服务研究
- 医疗不当行为 医疗不当行为
背景情况:
- 以前的研究将患者的投诉与泌尿器科子专业联系起来.
- 投诉与实践环境 (学术与社区) 之间的关系仍然未被探索.
- 患者投诉是医疗不当诉讼风险的代表.
研究的目的:
- 调查泌尿外科医生实践环境与患者投诉的类型/率之间的关联.
- 在学术与社区环境中识别导致患者不满的因素.
主要方法:
- 对357名泌尿科医生 (2011-2014) 提出的2883起患者投诉的回顾性分析.
- 泌尿科医生分为学术 (医学院教师) 或社区 (独立组) 实践环境的分类.
- 统计分析以比较实践环境之间的投诉数量和类型.
主要成果:
- 与社区泌尿科医生相比,学术泌尿科医生每位医生的投诉明显更多.
- 在学术环境中,观察到关于护理/治疗,沟通和访问的投诉率更高.
- 在学术和社区实践环境之间,投诉类型有很大差异.
结论:
- 学术泌尿科医生面临的患者投诉数量较高,这表明医疗不当诉讼风险增加.
- 投诉中的差异是由与患者获取,沟通和护理质量相关的问题驱动的.
- 实施有针对性的干预措施以改善患者体验,特别是访问,可能会减轻不良做法索赔活动.
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