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患者评论和患者体验评分与急诊室等待时间有很强的相关性
Diane Kuhn1, Peter S Pang, Benton R Hunter
1Author Affiliations: Department of Emergency Medicine (Dr Kuhn and Messrs Pang, Hunter, Musey, Lardaro, Smith, and Strachan); Department of Surgery (Mr Bilimoria); Department of Biostatistics and Health Data Science (Drs Li and Monahan), Indiana University School of Medicine; and Data and Insights (Dr Canfield), Indiana University Health, Indianapolis, Indiana.
更长的急诊等待时间降低了患者的满意度和推的可能性. 患者注意到并评论延误,影响医疗保健质量倡议.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 患者体验测量 患者体验测量
- 医疗保健运营管理 医疗保健运营管理
背景情况:
- 基于价值的购买将医院补偿与护理质量联系在一起.
- 患者体验调查是优质激励计划的关键指标.
- 假设急诊室 (ED) 的运营效率,特别是等待时间,会影响患者的体验.
研究的目的:
- 为了确定ED等待时间和患者体验等级之间的关联.
- 评估患者的评论是否反映了对ED等待时间的认识.
主要方法:
- 在两年时间 (2019-2020年) 中对16个ED进行了横截面观察研究.
- 分析患者经验数据 (推可能性 - LTR) 和操作数据 (等待时间).
- 混合效应多变量顺序逻辑回归用于分析等待时间和LTR类别和患者评论之间的关系.
主要成果:
- 在ED等待时间增加30分钟与积极的LTR类别的0.83概率比率有关.
- 随着等待时间的增加,患者对等待时间发表评论的几率增加了1.49.
- 50,833名独特参与者的响应率为8.1%;10.9%的评论提到"等待".
结论:
- 增加ED等待时间会对患者体验评级产生负面影响.
- 患者反直接反映了人们对等待时间的担忧.
- 解决ED等待时间对于医疗保健系统实现质量改善目标至关重要.
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