患者对医院综合医生的护理的看法
Asa Hartman1, Danielle Duran2, Isabella Ratto2
1Harvard Medical School, Boston, MA, USA.
Medical care research and review : MCRR
|December 31, 2025
概括
医院与医生的整合改善了患者报告的护理协调和质量,特别是在复杂的病例中. 然而,它并没有显著影响沟通或可访问性,这表明它对患者体验有微妙的影响.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 医疗保健管理的管理
- 患者体验 患者体验
背景情况:
- 医院医生垂直整合在医疗保健中越来越普遍.
- 现有的研究主要集中在临床结果上,对患者报告经验的数据有限.
研究的目的:
- 检查医院医生整合和患者报告的经验之间的关联.
- 评估整合如何影响对护理协调,质量,沟通和可访问性的看法.
主要方法:
- 使用了2021年医疗保险当前受益者调查.
- 为护理协调/质量,沟通和可访问性构建心理测量尺度.
- 分析了基于综合医生的护理比例的患者体验差异,控制了患者的特征.
主要成果:
- 综合护理与感知护理协调和质量有显著的积极关联.
- 这种积极的关联在具有高临床复杂性的患者中更为明显.
- 综合护理与患者报告的沟通或可访问性之间没有发现显著的关联.
结论:
- 医院与医生的整合对患者体验有着微妙的影响.
- 整合积极影响协调和质量,特别是在复杂的患者.
- 决策者在评估整合策略时,应该考虑患者的经验以及结果和成本.
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