热情的环境是否会影响女性退伍军人的初级护理经验?
Danielle E Rose1, Melissa M Farmer1, Sabine M Oishi1
1VA HSR Center for the Study of Healthcare Innovation, Implementation & Policy, VA Greater Los Angeles Healthcare System, Los Angeles, California.
概括
在退伍军人卫生管理局 (VA) 设施中创造一个欢迎的环境对女性退伍军人至关重要. 研究表明,积极的环境改善了他们对提供者沟通和护理全面性的评分.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 患者体验 患者体验
- 健康 公平 卫生 公平
背景情况:
- 热情的环境对患者的护理体验产生重大影响,特别是对于代表性不足的群体,如退伍军人卫生管理局 (VA) 的女性退伍军人.
- 女性退伍军人面临着独特的挑战,包括在VA设施内潜在的负面评论和不安全感,这会影响她们的整体体验.
- 这项研究调查了报告的与性别有关的环境问题与女性退伍军人患者报告的结果之间的联系.
研究的目的:
- 评估与护理问题的性别相关环境与VA设施中患者报告的结果之间的关联.
- 了解环境因素如何影响妇女退伍军人初级保健体验的质量.
- 为女性退伍军人创造一个更具包容性和欢迎的医疗保健环境,确定需要改进的领域.
主要方法:
- 利用来自消费者评估健康计划和系统以患者为中心的医疗家 (CAHPS-PCMH) 调查的全国患者报告结果,对4,961名女退伍军人进行了调查.
- 综合数据与127名女退伍军人项目经理关于与性别相关的护理环境问题的报告,从2016-2017年.
- 采用多层次的双变物流回归,根据各种患者,地点和区域特征进行调整,并应用设计权重.
主要成果:
- 不到15%的女性退伍军人计划经理报告了严重 (大/极端) 的护理环境问题.
- 在有报告问题的机构接受护理的女性退伍军人不太可能为提供者沟通提供最佳评级.
- 这些网站还显示了较低的最佳评级对护理的全面性,特别是关于心理健康.
结论:
- 确保一个欢迎和安全的环境对于改善女退伍军人的初级保健体验至关重要.
- 解决与性别相关的环境问题可以提高患者的满意度和对护理质量的感知.
- 促进包容性的有针对性的干预措施可能会导致VA系统内的女性退伍军人获得更好的健康结果.
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