护理连续性计数:高级临床医师骨折诊所的患者满意度
Emi Schwab1, Shanika De Silva1, Kristin Livingston1,2
1Department of Orthopaedic Surgery, Boston Children's Hospital.
Journal of pediatric orthopedics
|September 3, 2025
概括
在儿童骨折诊所中,同一个高级实践临床医生 (APC) 的持续护理显著提高了患者的满意度. 看到相同的提供者后续访问导致更高的评级实践建议和整体护理经验.
科学领域:
- 儿童整形医生
- 医疗服务研究
- 患者的经验
背景情况:
- 创伤中心的骨折诊所经常使用高级实践医生 (APC) 来管理基本骨折.
- 在这些诊所的短期医疗接触中,提供者连续性的重要性尚未得到充分证实.
- 本研究调查了APC领导的骨折诊所中提供者连续性和患者满意度之间的联系.
研究的目的:
- 确定护理连续性与患者满意度之间的关联.
- 评估在儿童三级护理环境中的APC急诊/骨折诊所的患者满意度.
主要方法:
- 从2021-2023年前期收集的患者满意度数据 (Press Ganey调查) 的回顾性审查.
- 分析包括230次儿童骨折诊所的随访.
- 统计模型评估了患者满意度的预测因素,重点关注提供者连续性的影响.
主要成果:
- 在4个测量领域中的3个中,患者在随访时与同一医疗服务提供者进行了更高的满意度.
- 对于工作人员的团队合作 (88%对76%),推实践 (94%对78%) 和整体护理评级 (93%对76%).
- 护理的连续性是一个独立的预测因素,增加了对实践建议 (4.7倍) 和整体护理 (3.8倍) 的积极评级的几率.
结论:
- 在儿童骨折诊所中,先进的临床医生的持续护理对患者的满意度产生了积极的影响.
- 与提供者连续性相比,患者的人口,地理和临床因素对满意度的影响很小.
- 一致性提供者在塑造整体患者体验方面起着至关重要的作用.
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