从医院过渡到养老院:出院规划人员作为质量改善的潜在杆?
1Department of Healthcare Management, Friedrich-Alexander-Universität Erlangen-Nürnberg (FAU), Lange Gasse 20, 90403, Nürnberg, Germany. kristina.kast@fau.de.
Zeitschrift fur Gerontologie und Geriatrie
|July 17, 2024
概括
退院规划人员 (DP) 不使用养老院质量数据来指导患者,优先考虑距离和可用性等因素. 这限制了公众的报告.
科学领域:
- 医疗保健管理的管理
- 医疗保健服务研究 医疗服务研究
- 老年医疗护理 医疗护理
背景情况:
- 公共报告旨在区分养老院的表现,但患者难以获得高质量的信息.
- 退院规划人员 (DP) 可以帮助患者比较养老院的质量,并影响护理决策.
研究的目的:
- 调查出院规划人员 (DP) 的选择行为.
- 检查DP使用质量信息来选择养老院的情况.
- 评估DP可能影响患者对养老院的决策.
主要方法:
- 在德国有老年病房的医院中,对70名DP进行了在线调查.
- 评估DP的信息偏好,搜索工具,以及对质量报告数据的理解.
- 利用一个案例场景和一个3轮实验与养老院导航器.
主要成果:
- DP主要使用内部目录 (92.5%) 进行养老院搜索.
- 关键的决定标准包括距离 (28.80%),床位可用性 (26.7%) 和患者/亲属的愿望 (21.47%).
- 公众报告同意得分为46.28%,理解率为82.24%.
结论:
- 养老院工作人员不会积极向患者提供有关养老院工作表现的建议,而是会依赖患者的决定.
- 这种缺乏指导措施降低了公开报告对患者选择的影响.
- 公共报告改善养老院护理质量的潜力目前尚未实现.
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