与宿舍患者体验相关的设施和社区层面的因素
Mengying He1, Ganisher Davlyatov2, Gregory Orewa3
1Department of Management, College of Business & Economics, California State University, Los Angeles, CA, USA.
Palliative & supportive care
|November 12, 2024
概括
通过患者体验来衡量临终关怀护理的质量,与长寿等组织因素和收入等社区因素有关. 了解这些关联可以改善宿舍患者和家庭的体验.
科学领域:
- 医疗保健 质量 研究 研究
- 医疗保健服务研究 医疗服务研究
- 缓和护理研究 缓和护理研究
背景情况:
- 2010年"负担得起的医疗保健法案"要求宿舍参与质量报告.
- 如果不遵守宿舍质量报告计划,可能会导致医疗保险退款减少.
- 患者和家庭的经验是宿舍质量评估的关键指标.
研究的目的:
- 调查临终关怀组织特征和社区因素与所提供的护理质量之间的关系.
- 分析组织和社区变量如何影响患者和家庭体验,通过医院医疗保健提供者和系统 (CAHPS®) 消费者评估调查进行测量.
主要方法:
- 利用了来自Hospice Compare,医疗保健成本报告信息系统数据集,农村-城市通勤区代码和美国社区调查 (2017-2020) 的二次数据.
- 雇员宿舍年观察作为分析单位来检查协会.
- 专注于患者/家庭经验作为主要结果衡量标准.
主要成果:
- 营利性和连锁连锁的临终医院显示与CAHPS®分数的负相关性.
- 更长的组织任期和更高的医疗保险纳税人组合与CAHPS®分数有积极的相关性.
- 社区竞争增加,人均收入增加,种族/族裔少数群体比例增加与CAHPS®分数有负面关联.
结论:
- 临终关怀护理的质量,反映在患者/家庭经验中,受到组织和社区因素的重大影响.
- 旨在提高宿舍护理质量的未来干预措施应考虑这些已识别的组织和社区决定因素.
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