A Qualitative Study of Hospitalists' Perceptions of Patient Satisfaction Metrics on Pain Management.
A Qualitative Study of Hospitalists' Perceptions of Patient Satisfaction Metrics on Pain Management.
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DOI：
10.1080/00185868.2017.1300479
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发表时间：
2017-01-01
期刊：
影响因子：
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通讯作者：
Koester, Stephen
中科院分区：
文献类型：
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作者：
Calcaterra, Susan L;Drabkin, Anne D;Koester, Stephen
医院促进疼痛管理的举措可能会无意中导致过量的阿片类药物处方。为了更好地了解住院医师对疼痛管理满意度指标的看法，作者对25名住院医师进行了访谈。转录访谈进行了系统的分析，以确定新兴的主题。医院医生感受到了获得高疼痛满意度评分的制度压力，他们认为这影响了阿片类药物处方的实践。他们觉得将薪酬与满意度挂钩是一种商品化的痛苦。住院医生认为，随着在床边花费的时间增加，满意度会提高。专注于改善医患沟通的方法，同时保持临床实践的效率，可能会促进以患者为中心的疼痛管理和满意度。
Hospital initiatives to promote pain management may unintentionally contribute to excessive opioid prescribing. To better understand hospitalists' perceptions of satisfaction metrics on pain management, the authors conducted 25 interviews with hospitalists. Transcribed interviews were systematically analyzed to identify emergent themes. Hospitalists felt institutional pressure to earn high satisfaction scores for pain, which they perceived influenced practices toward opioid prescribing. They felt tying compensation to satisfaction scores commoditized pain. Hospitalists believed satisfaction would improve with increased time spent at the bedside. Focusing on methods to improve patient-physician communication, while maintaining efficiency in clinical practice, may promote both patient-centered pain management and satisfaction.