Patient satisfaction associated with lower emergency department use but more hospitalisations and higher costs and mortality
Patient satisfaction associated with lower emergency department use but more hospitalisations and higher costs and mortality
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患者满意度与急诊科使用率较低、住院次数增加以及费用和死亡率较高相关
DOI：
10.1136/eb-2012-100756
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发表时间：
2012
期刊：
影响因子：
--
通讯作者：
J. Harman
中科院分区：
文献类型：
--
作者：
M. Maciejewski;J. Harman
评论：芬顿JJ，Jerant AF，Bertakis KD，et al.满意度的成本：一项关于患者满意度，医疗保健利用率，支出和死亡率的全国性研究。Arch Intern Med 2012; 172：405- 11. [OpenUrl][1][CrossRef][2][PubMed][3][Web of Science]
随着美国以病人为中心的医疗之家和负责任的护理组织的兴起，病人满意度被视为一个结果，应该提升到与护理过程同等的绩效指标。鼓励卫生系统以病人为中心，鼓励病人成为消费者，根据满意度（和其他）指标选择提供者。预计较低的公开报告的满意度评分将激励医院提高护理质量和患者满意度，以保持市场份额。目前，医疗保险和医疗补助服务中心正在测试患者满意度的潜在力量，该中心于2005年创建了医院比较网站，使医疗保险受益人能够按患者的需求比较医院。
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Commentary on: Fenton JJ, Jerant AF, Bertakis KD, et al. The cost of satisfaction: a national study of patient satisfaction, health care utilization, expenditures, and mortality. Arch Intern Med 2012; 172: 405– 11.[OpenUrl][1][CrossRef][2][PubMed][3][Web of Science][4]
With the ascent of patient-centred medical homes and accountable care organisations in the USA, patient satisfaction is being seen as an outcome that should be elevated to a performance measure on par with the process of care. Health systems are encouraged to be patient-centred, and patients are encouraged to be consumers and choose providers on the basis of satisfaction (and other) metrics. It is expected that lower publicly reported satisfaction scores will motivate hospitals to improve care quality and patient satisfaction to retain the market share. The potential power of patient satisfaction is currently being tested by the Centers for Medicare and Medicaid Services, which created the Hospital Compare website in 2005 to enable Medicare beneficiaries to compare hospitals by patient …
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