以人为中心的质量指标与医院出院后的非计划性护理使用有关
Kyle Kemp1, Brian Steele2, Sadia Ahmed2
1Community Health Sciences, University of Calgary, Calgary, Alberta, Canada kkemp@ucalgary.ca.
BMJ open quality
|January 4, 2024
概括
通过以人为中心的质量指标 (PC-QI) 捕获的患者对医院护理的反,可以预测计划外的医疗保健使用情况. 这些患者报告的经验与客观质量指标一致,表明它们在医疗保健质量评估中的价值.
科学领域:
- 改善医疗保健质量 改善医疗保健质量
- 患者报告的结果
- 医疗保健服务研究 医疗服务研究
背景情况:
- 传统的医疗保健绩效指标通常依赖于行政数据,可能会忽视患者的经验.
- 与患者共同创建以人为中心的质量指标 (PC-QI),以更好地反映他们对护理质量的看法.
- 这些新型PC-QI与随后的计划外医疗利用之间的关联在很大程度上仍未被探索.
研究的目的:
- 调查以人为中心的质量指标 (PC-QI) 是否与医院出院后未计划的医疗保健使用有关.
- 为了确定患者报告的护理经验是否可以预测再入院和急诊室访问.
- 探索主观患者反与医疗保健质量的客观措施之间的关系.
主要方法:
- 一项回顾性,横截面研究,利用加拿大患者体验调查 - 住院护理 (2014年4月 - 2020年9月) 的数据.
- 使用后勤回归模型来评估八个PC-QI和两个关键结果之间的关联:30天的无计划再入院和7天的急诊室访问.
- 分析包括超过114,000名患者的调查.
主要成果:
- 患者报告的经验,特别是与医生沟通,药物信息和出院过渡计划的经验,与急诊室访问的几率降低有关.
- 关于整体经验,医生沟通和药物信息的积极报告与30天再入院的几率较低有关.
- 特定的PC-QI显示了与预测出院后未计划的医疗保健利用的显著关联.
结论:
- 患者对医院体验的报告是未来医疗保健利用的有价值的预测指标.
- 共同创建的PC-QI显示了客观质量指标的一致性,验证了它们的有用性.
- 未来的研究应该考虑将个人报告的经验整合到现有的再接收预测模型中,以提高准确性.
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