不响应偏差对急诊室服务不足的患者体验调查:一个横截面分析
Tony Zitek1, Luke Weber2, Daniel Aloise2
1Department of Emergency Medicine, Mount Sinai Medical Center, Miami Beach, Florida; Herbert Wertheim College of Medicine at Florida International University, Miami, Florida.
The Journal of emergency medicine
|February 7, 2025
概括
患者体验调查的响应率较低,特别是在社会经济地位较低的人群中. 这表明急诊室患者反的潜在偏见,影响了医生的评估.
科学领域:
- 紧急医疗 紧急医疗
- 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:
- 患者体验得分对于紧急医生的评估至关重要.
- 对患者体验调查的低响应率限制了其实用性.
- 之前的研究没有发现患者特征预测了调查反应.
研究的目的:
- 为了识别与急诊室 (ED) 相关的患者特征. 患者体验调查响应.
- 调查ED患者反中的潜在的非响应偏差.
主要方法:
- 从ED出院的2500名患者的横截面分析 (2022年1月至6月).
- 通过图表审查收集的数据,包括人口统计,保险和紧急情况严重程度指数.
- 多变量逻辑回归用于确定调查响应的预测因素.
主要成果:
- 调查的总体响应率为8.3% (207/2500).
- 在弱势地区 (5.9%),无保险 (4.9%) 和无家可归 (2.1%) 的独立ED患者中观察到最低的响应率.
- 较低的社会经济地位标志物与调查响应减少有显著的关联.
结论:
- 较低的社会经济地位与患者体验调查参与率的减少有关.
- 调查结果表明,对社会经济上处于劣势的个体有非响应偏见.
- 解决这种偏见对于准确的患者体验评估至关重要.
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