| 引用本文：胡广宇, 刘倩楠, 尹畅, 张芹, 丁春光, 吕慧, 张彰, 叶晓丽, 程晓英.全国儿童区域医疗中心患者体验评价研究[J].中国卫生政策研究,2021,14(7):11-17 |
|
| 全国儿童区域医疗中心患者体验评价研究 |
| 投稿时间：2021-04-07 修订日期：2021-05-17 PDF全文浏览 HTML全文浏览 |
| 胡广宇1, 刘倩楠2, 尹畅2, 张芹3, 丁春光4, 吕慧5, 张彰6, 叶晓丽7, 程晓英8 |
1. 中国医学科学院医学信息研究所/卫生政策与管理研究中心 北京 100020;
2. 国家卫生健康委医院管理研究所 北京 100044;
3. 哈尔滨市儿童医院 黑龙江哈尔滨 150010;
4. 广州市妇女儿童医疗中心 广东广州 510623;
5. 首都医科大学附属北京儿童医院 北京 100045;
6. 新疆维吾尔自治区儿童医院 新疆乌鲁木齐 839000;
7. 重庆医科大学附属儿童医院 重庆 400014;
8. 浙江大学医学院附属儿童医院 浙江杭州 310052 |
| 摘要:目的：通过开展患者体验评价，从需方视角了解国家儿童区域医疗中心的住院医疗服务质量，为改善儿童住院医疗服务质量提供证据。方法：采用横断面研究设计，纳入全国6个国家儿童区域医疗中心所在医院，以18岁以下出院患儿的家属为调查对象，采用标准化患者体验调查工具，邀请调查对象自愿参与医院评价。报告18项评价指标领先水平的总体均值、方差和分布区间，通过回归分析检验调查对象特征与患者体验评价结果的关联性，比较不同医院评价结果的差异。结果：2021年1-3月共有2 708名患儿家属参与并完成调查。全部评价指标领先水平的总体均值处于59.4%（病房安静）至91.0%（诊疗告知-急诊）之间。样本医院的整体评分领先水平总体均值为83.2%。不同医院之间病房安静的评价结果差异最大（SD=14.7%）。患儿总体健康状况和调查对象年龄与患者体验总体评价关联密切（P<0.05）。西南区域国家儿童区域医疗中心的患者体验具有领先优势。结论：国家儿童区域医疗中心的住院医疗服务同质性有待提升，建议建立患者体验的监测评价和持续改善机制，促进全国儿童医疗网络的诊疗水平和管理能力双提升。 |
| 关键词:儿童医院 住院 医疗质量 患者体验 调查 |
| 基金项目:中央高校基本科研业务费（3332019087）；国家卫生健康委医院管理研究所专项基金（YLZLXZ-2021-003） |
|
| A study on patient experience evaluation in China's regional medical centers for children |
| HU Guang-yu1, LIU Qian-nan2, YIN Chang2, ZHANG Qin3, DING Chun-guang4, LV Hui5, ZHANG Zhang6, YE Xiao-li7, CHENG Xiao-ying8 |
1. Center for Health Policy and Management, Instituet of Medical Information, Chinese Academy of Medical Sciences, Beijing 100020, China;
2. National Institute of Hospital Administration, NHC, Beijing 100044, China;
3. Harbin Children's Hospital, Harbin Heilongjiang 150010, China;
4. Guangzhou Women and Children's Medical Center, Guangzhou Guangdong 510623, China;
5. National Center for Children's Health, Beijing Children's Hospital, Capital Medical University, Beijing 100045, China;
6. Children's Hospital of Xinjiang Uygur Autonomous Region, Urumqi Xingjiang 839000, China;
7. Children's Hospital of Chongqing Medical University, Chongqing 400014, China;
8. The children's hospital ZheJiang university school of medicine, Hangzhou Zhejiang 310052, China |
| Abstract:Objective: Based on an evaluation of patient experience and from the perspective of the demand side, this paper aims to making a research into inpatient medical services in China's regional medical centers for children, thus providing bases for improving children's inpatient medical services. Methods: Through a cross-sectional study on family members of hospitalized children under the age of 18 who were discharged from hospitals, we adopted standardized patient experience survey tools and invited volunteers to evaluate hospitals within six regional medical centers for children in China. Based on the population mean, variance and distribution interval of leading feedbacks of 18 evaluation indicators, this paper applies the regression analysis approach to investigate the correlation between the characteristics of participants and the evaluation results of patient experience, and compares the differences among evaluation results of different hospitals. Results: A total of 2 708 family members of discharged children participated in the survey from January to March 2021. The population mean of leading feedbacks on all indicators is between 59.4% (Quietness of hospital rooms) to 91.0% (Medical notification-emergency treatment), while the population mean of overall leading feedbacks on sample hospitals is 83.2%. The quietness of hospital rooms records the highest difference among different hospitals (SD=14.7%). The overall health status of children and the age of participants are highly related to the overall patient experience (P<0.05), and the patient experience of regional medical centers for children in Southwest China has leading advantages. Conclusions: As the homogeneous inpatient medical services in China's regional medical centers for children need further improvements, this paper suggests establishing a mechanism to monitor, evaluate and continuously improve patient experience, with a view to enhancing the diagnosis and treatment quality and management capabilities of children's medical networks in China. |
| Key words:Children's hospital Inpatient care Quality of health care Patient experience Survey |
| 摘要点击次数: 1624 全文下载次数: 682 |
|
|
|
|
|
