Why do patients keep coming back? Results of a readmitted patient survey.

Why do patients keep coming back? Results of a readmitted patient survey.
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DOI:
10.1080/00981389.2014.966881
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发表时间:
2015
影响因子:
2.2
通讯作者:
Stewart MK
Stewart MK
中科院分区:
法学4区
文献类型:
--
作者:
Felix HC;Seaberg B;Bursac Z;Thostenson J;Stewart MK

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再次入院可能会对成本和患者结局产生负面影响。30天再入院的预测因素主要是使用医疗索赔数据确定的。这里报告的是作为定期医院质量保证活动的一部分开发的患者调查的结果。三分之二的患者报告了良好的出院经历,但仍再次入院。三分之一的出院患者安排了出院后的医生预约;一半的患者在预约之前再次入院。结果表明,出院后的经验可以改善,特别是随访医生预约的时间。在调查过程中发现的弱点突出需要参与调查方法学家在努力了解病人的经验。
Hospital readmissions can negatively impact cost and patient outcomes. Predictors of 30-day readmissions have been primarily identified using medical claims data. Reported here are results of a patient survey developed as part of regular hospital quality assurance activities. Two-thirds of patients reported good discharge experiences but were still readmitted. One-third of patients discharged had a post-discharge doctor appointment scheduled; half were readmitted before that scheduled appointment. Results suggest post-discharge experiences could be improved, especially the timing of follow up doctor appointments. Identified weaknesses in the survey process highlight need for engagement of survey methodologists in efforts to understand patient experiences.