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手术后推手术诊所的驱动因素
Jarry T Porsius1, Marloes H P Ter Stege1, Ruud W Selles2
1Department of Plastic, Reconstructive and Hand Surgery, Erasmus MC, University Medical Center Rotterdam, Rotterdam, the Netherlands; Department of Rehabilitation Medicine, Erasmus MC, University Medical Center Rotterdam, Rotterdam, the Netherlands; Hand and Wrist Center, Xpert Clinics, the Netherlands.
患者与护理交付的经验,而不仅仅是结果,显著影响了手术后的诊所建议. 对设施的积极体验和医生沟通是患者转诊的关键驱动力.
科学领域:
- 医疗保健管理的管理
- 患者体验研究 研究研究
- 手术结果分析手术结果分析
背景情况:
- 患者建议是医疗保健质量和患者满意度的关键指标.
- 了解驱动患者转诊的因素对于改善临床绩效和患者留守至关重要.
研究的目的:
- 评估患者特征,治疗结果,满意度和护理过程经验对选择性手术后临床建议的相对贡献.
- 确定影响患者推专门门诊手术诊所的可能性的关键驱动因素.
主要方法:
- 一项回顾性队列研究,涉及来自专门门诊手术诊所的6895名患者.
- 利用净促进者得分 (NPS) 来衡量临床推的可能性.
- 采用线性回归分析来评估预测因素,包括患者特征,治疗结果,满意度和护理经验.
主要成果:
- 患者与护理交付的经验解释了临床推中最大比例的差异 (33.8%).
- 对治疗结果的满意度 (21.6%) 和治疗结果本身 (6%) 也有显著的贡献.
- 手术前患者的特征仅解释了1%的差异,设施质量和医生沟通是最强的预测因素.
结论:
- 患者对护理提供过程的体验是临床建议的更强有力的驱动力,而不是治疗结果或患者特征.
- 提高患者体验,特别是设施质量和医生沟通,对于增加患者转诊在选择性外科设置中至关重要.
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