Opportunity loss: care team job satisfaction and urgent care, emergency department, and hospital costs for patients with cardiovascular disease.
Opportunity loss: care team job satisfaction and urgent care, emergency department, and hospital costs for patients with cardiovascular disease.
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机会损失：护理团队的工作满意度以及心血管疾病患者的紧急护理、急诊室和医院费用。
DOI：
10.1093/fampra/cmac023
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发表时间：
2022
期刊：
影响因子：
2.2
通讯作者：
Zakletskaia,LarissaI
中科院分区：
文献类型：
--
作者：
Mundt,MarlonP;Zakletskaia,LarissaI
目的探讨心血管疾病(CVD)患者的急诊、急诊科、住院费用与初级保健团队工作满意度之间的关系。研究设计电子健康记录(EHR)提取观察性研究，同时进行横断面健康护理专业调查。方法对美国5家初级保健诊所的143名卫生专业人员进行工作满意度横断面调查。每个护理团队的患者小组在过去12个月的紧急护理就诊、急诊科就诊、医院就诊天数和医疗费用都是从EHR中提取的。三级分层模型评估了团队诊断为心血管疾病的患者在过去12个月中团队工作满意度、紧急护理就诊、急诊科就诊、住院天数和医疗费用之间的联系。结果respectively)fortheirpatientswithCVD.Overalljobsatisfactionwasnotsignificantlyassociatedwithcostofcare.ConclusionsHealthcareemployeejobsatisfactioninprimarycareisanimportantfactortoconsiderineffortstolowermedicalcostsforpatientswithCVD.的每名患者对工作方法、工作时间和收入的自由满意度越高，住院天数越少(优势比分别为0.85%、0.72%和0.81%)，医疗费用也越低，−474、−650和−397
Objective This study evaluates the association between primary care team job satisfaction and urgent care, emergency department, and hospital costs for their patients with cardiovascular disease (CVD). Study design Electronic health record (EHR)-extracted observational study alongside a cross-sectional health care professional survey. Methods A total of 143 health professionals, including physicians and clinical staff, at 5 US primary care clinics participated in a cross-sectional survey about job satisfaction. Urgent care visits, emergency department visits, hospital visit days, and medical costs in the past 12 months for each care team’s panel of patients were extracted from the EHR. Three-level hierarchical modelling evaluated the link between team job satisfaction, urgent care visits, emergency department visits, hospital visit days, and medical care costs in the past 12 months for the team’s patients with diagnosed CVD. Results Teams with higher satisfaction with their freedom of work methods, work hours, and income were associated with fewer hospital days (odds ratio= 0.85, 0.72, and 0.81, respectively) and lower medical care costs− 474,− 650, and− 397perpatient,respectively)fortheirpatientswithCVD.Overalljobsatisfactionwasnotsignificantlyassociatedwithcostofcare.ConclusionsHealthcareemployeejobsatisfactioninprimarycareisanimportantfactortoconsiderineffortstolowermedicalcostsforpatientswithCVD.