在美国医院提供牧师服务:战略性合规视角
Health care management review
|August 24, 2023
概括
提供牧师服务的医院往往有更好的以患者为中心的护理. 诸如认证和所有权等因素会影响提供,但资源和共识仍然是普遍访问的障碍.
科学领域:
- 医疗保健管理局的管理.
- 患者体验 患者体验
- 精神上的照顾 精神上的照顾
背景情况:
- 医院面临着越来越多的对以患者为中心的护理的期望,包括精神需求.
- 牧师服务对于满足精神需求和对健康结果产生积极影响至关重要.
- 牧师服务的不均可用性表明医院采用不一致.
研究的目的:
- 调查医院牧师服务的可用性.
- 确定影响提供这些基本服务的因素.
主要方法:
- 分析美国医院协会数据 (2010-2019) 结合区域健康资源文件.
- 对45384个一般,急性护理社区医院年观察的物流回归分析.
- 在医院层面集群标准错误,以进行可靠的统计推断.
主要成果:
- 联合委员会认证,医院规模 (病床),非营利性/政府所有权,教学地位,重症监护病房,医疗保险使用率,教会成员资格和系统成员资格与更高的牧师服务提供相关.
- 创伤医院认证和市场竞争并没有显著影响服务的可用性.
- 在不同类型的医院中,牧师服务提供存在显著差异.
结论:
- 资源有限,劳动力短缺,以及对范围缺乏共识,阻碍了大范围的牧师服务实施.
- 牧师是未充分利用的资源,影响患者体验和临床医生的福祉.
- 解决这些障碍对于所有医院的公平,以患者为中心的精神护理至关重要.
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