评估初级保健系统干预后的患者满意度:一项后续研究
Noleen Marie Fabian1,2, Carol Stephanie Chua Tan-Lim2,3, Leonila F Dans2,3
1College of Nursing, University of the East Ramon Magsaysay Memorial Medical Center Inc, Quezon City, Philippines nmcfabian@gmail.com.
由于系统改进,城市初级保健机构的患者满意度有所提高,但在资金停止后,农村和偏远地区的患者满意度有所下降. 持续改善系统, 不仅仅是资金, 是患者满意度的关键.
科学领域:
- 医疗服务研究
- 主要护理管理
- 患者满意度研究
背景情况:
- 菲律宾初级保健研究引入了加强城市,农村和偏远社区初级保健的干预措施.
- 这项研究评估了患者干预后两三年的满意度趋势.
研究的目的:
- 描述初级护理干预后患者满意度随时间变化.
- 在不同环境中确定影响患者满意度的因素.
主要方法:
- 采用了一系列的横截面研究设计.
- 在三个初级保健中心使用16项问卷来评估患者的满意度.
- 在基线,第二年和第三年收集数据,并对显著变化进行对照测试.
主要成果:
- 城市:到3年,12/16个满意度项目显著改善,归因于系统变化.
- 农村地区:满意度在4/16项下降,特别是在处理和一般感知方面.
- 远程站点:到第3年,满意度的8/16项显著下降,影响了医疗服务的可用性,效率,环境,位置和通信.
结论:
- 系统的改进提高了城市地区的患者满意度,
- 农村和偏远地区的下降表明,在没有财政援助的情况下维持改进具有挑战性,并突出了未实现预期的影响.
- 适度的资金和系统性改进可以提高初级保健的满意度,但可持续性至关重要,尤其是在服务不足的地区.
更多相关视频
06:28Biomechanical Changes Related to Low Back Pain: An Innovative Tool for Movement Pattern Assessment and Treatment Evaluation in Rehabilitation
Published on: December 13, 2024
06:05The Participant-Reported Implementation Update and Score PRIUS: A Novel Method for Capturing Implementation-Related Data Over Time
Published on: February 19, 2021
相关概念视频
Nursing Evaluation
Secondary Healthcare System
Primary Healthcare Services
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
Nursing Process for Patient and Caregiver Teaching III: Evaluation and Documentation
Nurses can use several methods to evaluate patient outcomes. For example, oral questions can assess cognitive learning,...
Traditional Level Of Health Care System
The preventive healthcare service includes tests for screening. Preventive health care services include identifying and reducing disease risk...
Methods Of Healthcare Delivery System
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
