Quality of communication about medicines in United States hospitals: A national retrospective study
Quality of communication about medicines in United States hospitals: A national retrospective study
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DOI：
10.1016/j.sapharm.2016.09.005
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发表时间：
2017-07-01
影响因子：
3.9
通讯作者：
Sankaranarayanan, Jayashri
中科院分区：
文献类型：
--
作者：
Mullings, Lauren;Sankaranarayanan, Jayashri
背景资料：尽管改善跨护理过渡的益处，但美国（U.S.）工作人员关于住院患者“药物沟通”（ComMed）的文献非常有限。hospitals.Objectives:根据医院特点评价ComMed质量差异。在一项对公开的美国医疗保险医院消费者医疗保健计划评估调查（HCAHPS）数据的横断面回顾性研究中，（2013年1月2014年9月），ComMed质量（高=高于平均水平/优秀与低=平均水平/低于平均水平/差星星评级）对3125家医院进行了跨地区、城乡位置、和卫生信息技术（HIT）基础设施，使供应商能够访问患者的电子医疗记录。结果：调整其他因素后，中西部医院与西部地区医院（OR = 1.55，95%CI：1.21-1.98，p= 0.001）比较，差异有统计学意义（P <0.01）。
Background: Despite the benefits of improving transitions across care, literature is very limited on inpatient "Communication about Medicines" (ComMed) by staff across United States (U.S.) hospitals.Objectives: To evaluate ComMed quality variations by hospital characteristics.Methods: In a cross-sectional, retrospective study of publicly available U.S. Medicare's Hospital Consumer Assessment of Health Care Plans Survey (HCAHPS) data (January 2013 September 2014), ComMed quality (high = above average/excellent vs. low = average/below average/poor star ratings) of 3125 hospitals were compared across region, rural-urban location, and health information technology (HIT) infrastructure giving providers access to patients' electronic medical records. Multivariate logistic regression analysis was conducted with adjusting for confounders (hospital - bed size, ownership, type, ED services, the number of completed HCAHPS surveys).Results: After adjusting for other characteristics, Midwest versus Western region hospitals (OR = 1.55, 95% CI: 1.21-1.98, p=