手术患者的医院经验分数:邻居背景概念框架
Ashley Wendell Kranjac1, Dinko Kranjac2, Michelle A Fortier3,4,5
1From the Department of Sociology, Chapman University, Orange, CA.
概括
地理编码患者地址揭示了社区因素显著影响医院体验得分,甚至超出了个体患者的特点. 这凸显了社会经济劣势在患者报告结果中的重要性.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 医疗保健中的地理信息系统 (GIS)
- 患者体验测量 患者体验测量
背景情况:
- 评估患者在手术环境中的经验需要了解邻居的影响.
- 患者报告的体验得分可能会受到超出患者个体属性的因素的影响.
研究的目的:
- 开发一种新的模型,检查影响患者报告体验得分的个人和住宅背景因素.
- 研究社区特征对手术环境中的患者体验评级的影响.
主要方法:
- 地理编码住宅地址从电子医疗记录到人口普查区级别.
- 将个体患者数据与人口普查通道水平特征联系起来.
- 使用等级回归分析来评估邻里对患者体验的影响.
主要成果:
- 在社会经济上处于不利地位的社区的个人报告了更高的经验评级.
- 社区特征,如公共援助率,独立地影响了医院经验得分.
- 这些邻居效应持续超出了个体患者的因素,如年龄,性别和疼痛水平.
结论:
- 地理编码是分析手术患者体验的宝贵工具.
- 社区层面的社会经济因素显著影响医院体验评级,独立于个体患者特征.
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