卓越之路®对患者满意度的影响
Hyunmin Yu1, Daniela Golinelli, Matthew D McHugh
1Author Affiliations: Postdoctoral Research Fellow (Dr Yu), Research Professor (Dr Golinelli), and Professors of Nursing (Drs McHugh, Brooks Carthon, and Aiken), Center for Health Outcomes and Policy Research, University of Pennsylvania School of Nursing, Philadelphia.
获得"通往卓越之路®" (Pathway) 的医院患者满意度有所提高. 这种指定可能是提高患者体验和医院评级的有效策略.
科学领域:
- 医疗保健管理
- 护理的卓越
- 患者的经验
背景情况:
- "通往卓越之路"计划确定了最佳实践环境的医院.
- 有限的研究存在于路径状态对患者满意度的影响.
研究的目的:
- 研究"通向卓越"的地位与患者满意度之间的关联.
- 将Pathway指定医院与非指定医院的患者满意度进行比较.
主要方法:
- 跨截面研究将患者满意度数据 (HCAHPS),医院指定的数据 (ANCC路径和磁铁) 和医院特征 (AHA年度调查) 联系起来.
- 主要分析包括2721家非磁铁医院;次要分析包括606家医院 (磁铁和路径).
- 分析医院评级和推意愿的倾向性评分回归.
主要成果:
- 与没有Pathway或Magnet地位的医院相比,Pathway医院的患者评级和推意愿显著提高.
- 在Pathway和Magnet医院之间没有观察到患者满意度的显著差异.
结论:
- 获得"通向卓越"®认证似乎是提高患者满意度的有效策略.
- 追求途径指定的过程可能有助于改善患者体验.
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