农村和患者的医院经验:从美国医疗保健系统的多站点分析
Iman Fawad1, Karen M Fischer2, Hanieh Sadat Tabatabaei Yeganeh3
1Division of Hospital Internal Medicine, Mayo Clinic, Rochester, Minnesota, United States of America.
PloS one
|August 8, 2024
概括
与城市同行相比,农村患者报告了类似或更好的医院体验. 积极经验的关键驱动因素,如护理过渡,在所有领域都是一致的,为有针对性的改进提供了信息.
科学领域:
- 医疗保健管理的管理
- 农村健康差异 农村健康差异
- 患者体验 患者体验
背景情况:
- 患者住院乡村和医院经验之间的关联还不清楚.
- 现有的研究对农村地区如何影响患者对医院护理的看法提供了有限的见解.
研究的目的:
- 为了比较居住在农村和非农村地区的患者之间的医院体验.
- 在不同农村分类中确定影响医院体验的因素.
主要方法:
- 使用了医院后医院医疗保健提供者和系统的消费者评估 (HCAHPS) 调查数据,来自美国中西部17家医院的56685名患者.
- 使用农村-城市通勤区域代码 (大都市,小城市,小城镇,农村) 进行分类的患者住所农村.
- 使用后勤回归和关键驱动分析来评估患者特征,HCAHPS项目和整体医院评级之间的关联.
主要成果:
- 来自大都市,小城市和小城镇的患者报告说,与农村患者相比,整体医院评级的概率较低.
- 特定的HCAHPS项目显示了与农村地区的不同关联;例如,微城市患者推医院的几率较低.
- 护理过渡,关于药物的沟通和环境被确定为全球医院评级的关键驱动因素,无论患者居住的农村地区.
结论:
- 农村患者通常比非农村患者报告了类似或更有利的医院体验.
- 了解不同农村级别的有利医院体验的决定因素可以指导全系统和有针对性的质量改进举措.
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