Distinct enough? A national examination of Catholic hospital affiliation and patient perceptions of care.
Distinct enough? A national examination of Catholic hospital affiliation and patient perceptions of care.
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够鲜明吗？
DOI：
10.1097/hmr.0b013e31828dc491
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发表时间：
2014
影响因子：
2.5
通讯作者：
Wall,BarbraMann
中科院分区：
文献类型：
--
作者：
Kutney-Lee,Ann;Melendez-Torres,GJ;McHugh,MatthewD;Wall,BarbraMann
背景：天主教医院在美国提供医疗保健方面发挥着至关重要的作用;然而，在这些机构中，患者结局的经验证据在文献中几乎是缺失的。目的：本研究的目的是确定在全国医院样本中，与非天主教医院相比，天主教医院的患者对护理的感知是否更有利。方法：这项横断面二次分析使用了来自2008年美国医院协会年度调查、2008年医院消费者对医疗保健提供者和系统的评估（HCAHPS）调查、2008年医疗保险病例组合指数文件、和2010年宗教集会和成员研究。这项研究包括全国3,400多家医院，其中包括494家天主教医院。倾向得分匹配和普通的最小二乘回归模型被用来研究天主教隶属关系和各种HCAHPS measures.Findings之间的关系：我们的研究结果显示，在天主教医院治疗的患者似乎率他们的医院经验相似，在非天主教医院治疗的患者。天主教医院保持一个非常轻微的优势，超过他们的非天主教同行五HCAHPS措施有关护士沟通，接收出院信息，安静的房间在晚上，整体评级，并建议hospital.Practice的;然而，这些差异是最小的：如果天主教医疗保健服务的生存取决于如何提供护理是不同的，天主教医院的管理者必须更清楚地显示差异。鉴于天主教医院在美国数百万患者的健康的重要性，这项研究提供了一套天主教医院的目标领域，重点改进工作，特别是在目前的薪酬绩效的举措。
Background:Catholic hospitals play a critical role in the provision of health care in the United States; yet, empirical evidence of patient outcomes in these institutions is practically absent in the literature.Purpose:The purpose of this study was to determine whether patient perceptions of care are more favorable in Catholic hospitals as compared with non-Catholic hospitals in a national sample of hospitals.Methodology:This cross-sectional secondary analysis used linked data from the 2008 American Hospital Association Annual Survey, the 2008 Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey, the 2008 Medicare Case Mix Index file, and the 2010 Religious Congregations and Membership Study. The study included over 3,400 hospitals nationwide, including 494 Catholic hospitals. Propensity score matching and ordinary least-squares regression models were used to examine the relationship between Catholic affiliation and various HCAHPS measures.Findings:Our findings revealed that patients treated in Catholic hospitals appear to rate their hospital experience similar to patients treated in non-Catholic hospitals. Catholic hospitals maintain a very slight advantage above their non-Catholic peers on five HCAHPS measures related to nurse communication, receipt of discharge information, quietness of the room at night, overall rating, and recommendation of the hospital; yet, these differences were minimal.Practice Implications:If the survival of Catholic health care services is contingent upon how its provision of care is distinct, administrators of Catholic hospitals must show differences more clearly. Given the great importance of Catholic hospitals to the health of millions of patients in the United States, this study provides Catholic hospitals with a set of targeted areas on which to focus improvement efforts, especially in light of current pay-for-performance initiatives.