住院护理体验在VA和非VA医院不同,根据健康,种族和种族有不同的模式
Marc N Elliott1, Megan K Beckett1, Christopher W Cohea2
1RAND, Santa Monica, CA, USA.
Medical care research and review : MCRR
|December 5, 2024
概括
从2017年到2021年,退伍军人卫生管理局 (VA) 医院的患者体验显著改善. 在大多数指标中,VA医院的表现优于非VA医院,特别是在少数群体和低健康状况群体中.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 改善医疗保健质量 改善医疗保健质量
- 公共卫生政策 公共卫生政策
背景情况:
- 有关2017年退伍军人卫生管理局 (VA) 医院质量存在担忧.
- 截至2021年,COVID-19大流行对医疗保健服务和患者体验产生了重大影响.
研究的目的:
- 为了比较VA和非VA医院在2017年和2021年的患者体验.
- 分析随着时间的推移,患者体验的变化,考虑不同的患者子组.
- 评估大流行对VA和非VA医疗保健质量的影响.
主要方法:
- 使用了来自医院医疗保健提供者和系统 (HCAHPS) 医院消费者评估调查的数据.
- 使用差异分析来估计患者体验的变化.
- 对比整体表现和特定患者人口统计学方面的表现.
主要成果:
- 在2017年,非VA医院通常提供更好的患者体验,除了护理过渡.
- 到2021年,与非VA医院相比,VA医院在大多数HCAHPS措施中表现优越.
- 美国退伍军人医院在2021年为黑人患者和健康状况不佳患者展示了改善的体验,超过非VA设施.
结论:
- 在VA医疗保健机构的患者体验在2017年至2021年期间大幅改善.
- 2017年后,VA医院的护理质量和患者满意度有所提高,特别是在弱势群体中.
- 这些发现表明VA医疗保健质量的积极轨迹,即使在COVID-19大流行的挑战中.
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