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评估患者对缺乏资源的患者进行手术导航计划的体验
Linda M Saikali1, Christopher D Herrera2, Angela T Chen1
1Center for Surgical Health, Department of Surgery, University of Pennsylvania, 3400 Spruce Street, Philadelphia, PA, USA; University of Pennsylvania Perelman School of Medicine, 3400 Civic Center Boulevard, Philadelphia, PA, USA; Leonard Davis Institute of Health Economics, University of Pennsylvania, 3641 Locust Walk, Philadelphia, PA, USA.
American journal of surgery
|September 14, 2024
概括
患者报告在手术公平计划中对导航服务的满意度很高. 导航员满意度对整体护理满意度产生了积极的影响,尽管财务和可访问性方面需要改进.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 医疗外科的股权资本
- 患者导航 患者导航
背景情况:
- 实施了一项新的导航计划,以改善贫困社区的外科护理接入.
- 患者满意度是评估医疗保健计划有效性的关键指标.
研究的目的:
- 在一个独特的计划中,描述患者对导航员和外科护理的满意度.
- 确定与患者满意度相关的因素及其对整体护理体验的影响.
主要方法:
- 患者对导航员 (PSN-I) 和护理 (PSQ-18) 的满意度使用经过验证的问卷进行了评估.
- 二次分析探讨了患者人口统计学,满意度得分和护理满意度之间的关联.
主要成果:
- 在294名接触患者中,有88名患者作出反应 (29.9%),主要是西班牙裔/拉丁裔,西班牙语和没有保险的患者.
- 导航员 (平均38.5/45) 和大多数护理领域的满意度很高,财务方面和可访问性/方便性得分较低.
- 导航员满意度增加与需要手术和更高的护理满意度相关 (OR 1.1).
结论:
- 患者对所提供的导航服务表示相当满意.
- 导航服务是这一手术股权倡议中一个有价值的,以前未被研究的组成部分.
- 解决财务和可访问性障碍可能会进一步提高患者对手术护理的满意度.
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