医院医疗系统中的整合与患者体验之间的关联:探索整合的水平和垂直形式
Jillian S Torres1, Mark L Diana2
1Department of Health Policy and Management, Tulane University, New Orleans.
概括
垂直整合在卫生系统中,就像医生和医院之间的联系一样,可能会改善患者的体验. 然而,多医院所有权 (水平整合) 没有给患者带来好处,因此需要谨慎.
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
- 患者体验 患者体验
背景情况:
- 美国医院部门越来越多地整合到大型卫生系统中.
- 越来越多的证据表明,整合可能会导致更高的成本和更低质量的护理.
- 不同的整合形式对患者体验的影响仍然不清楚.
研究的目的:
- 调查各种形式的卫生系统整合与医院患者体验分数之间的关联.
- 区分横向与垂直整合对患者报告结果的影响.
主要方法:
- 分析2019年医院消费者对医疗保健提供者和系统 (HCAHPS) 的评估数据.
- 利用了来自美国卫生系统汇编和AHA年度调查的数据.
- 采用多变量回归来评估横向和垂直整合对患者体验领域的影响.
主要成果:
- 横向整合 (多医院所有权) 对患者体验没有显著影响.
- 医生与医院的整合与整体印象得分增加2个百分点有关.
- 合同管理和集团采购组织与整体和环境评分的2-3个百分点上升有关.
- 投资者所有权与整体患者体验得分下降5%有关.
结论:
- 垂直整合,特别是医生和医院之间的联系,可能会增强患者的体验.
- 具体的垂直整合策略,如合同管理,有望改善患者报告的结果.
- 通过多医院所有权进行广泛的横向整合似乎对患者没有好处,因此应谨慎处理.
相关概念视频
Integrated Healthcare System
1.5K
An integrated healthcare system (IHS) is a set of organizations that provides for or arranges to provide coordinated and continuous service to a defined population. The IHS takes responsibility for that particular population's health status and outcome, both clinically and fiscally. An integrated healthcare system is a well-organized, well-coordinated, and collaborative network. The integrated delivery system is a network that connects different healthcare providers to deliver organized,...
1.5K
Hospitals-II
739
Hospitals provide inpatient and outpatient services. Inpatient services provide care to patients that stay in the hospital for an extended period, ranging from days to months. Examples of inpatient services include intensive care units, hospital wards, or surgeries. Outpatient services provide care to patients who come to a hospital for a diagnostic or treatment but do not stay overnight —for example, diagnostic tests, surgical procedures, or health education.
Nurses that work in...
Nurses that work in...
739
Nursing Clinical Information System
760
Nursing Clinical Information System (NCIS)
A Nursing Clinical Information System (NCIS) is a specialized type of healthcare information system tailored to meet the unique needs of nursing practice. It incorporates the principles of nursing informatics to streamline information management and improve the quality of care delivery.
Critical attributes of NCIS include:
A Nursing Clinical Information System (NCIS) is a specialized type of healthcare information system tailored to meet the unique needs of nursing practice. It incorporates the principles of nursing informatics to streamline information management and improve the quality of care delivery.
Critical attributes of NCIS include:
760
Patient-centered Care
2.0K
Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
2.0K
Health Information Technology and Healthcare Information System
811
Health Information Technology (HIT)
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
811
Introduction To Health Care Delivery System
2.7K
The healthcare system is constantly changing and complex. Various services are available from different healthcare providers, but gaining access to these services has become challenging for people with limited healthcare insurance. Uninsured people present a challenge to healthcare because they frequently postpone or forego treatment.
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
2.7K


