在COVID-19大流行期间,医院护理患者体验的变化
Marc N Elliott1, Megan K Beckett1, Christopher W Cohea2
1RAND Corporation, Santa Monica, California.
JAMA health forum
|August 25, 2023
概括
在COVID-19大流行期间,患者护理经验下降,工作人员的响应能力和清洁度大幅下降. 人员较少的医院在患者体验得分方面出现了最大的下降.
科学领域:
- 医疗保健管理的管理
- 患者体验研究 研究研究
- 公共卫生政策 公共卫生政策
背景情况:
- "COVID-19"大流行严重影响了医疗保健服务和患者护理体验.
- 评估这些不良关联对于理解与流行病相关的医疗保健挑战至关重要.
研究的目的:
- 量化2020-2021年患者体验的变化,与疫情前的趋势 (2018-2019) 相比.
- 确定与美国医院患者体验变化的变化相关的因素.
主要方法:
- 一项大型队列研究分析了来自3,381家美国医院的3,900,887名HCAHPS (医院医疗保健提供者和系统的消费者评估) 受访者的数据.
- 2020-2021年患者体验得分与基于2018-2019年季度数据的预期趋势进行了比较.
- 医院根据疫情前的星级和二级分析人员数量进行了分层.
主要成果:
- HCAHPS总结得分 (HCAHPS-SS) 显著下降,到2021年第四季度低于预期的3.6个百分点.
- 工作人员的响应能力和清洁度出现了最大的下降 (分别高达-5.6个百分点和-4.9个百分点).
- 疫情前员工和质量评级较低的医院经历了更大的下降,尽管高绩效的医院在2021年底也出现了显著下降.
结论:
- 在COVID-19大流行期间,患者体验得分明显恶化,特别是在工作人员响应和清洁方面.
- 资源较少,疫情前表现较差的医院对与疫情相关的挑战的抵抗力较低.
- 流行病相关的劳动力短缺和运营中断可能导致患者护理经验的下降.
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