Expectations and experiences with physician care among patients receiving post-acute care in US skilled nursing facilities.
Expectations and experiences with physician care among patients receiving post-acute care in US skilled nursing facilities.
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DOI：
10.1186/s12877-020-01869-1
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发表时间：
2020-11-10
期刊：
影响因子：
4.1
通讯作者：
Hodgson NA
中科院分区：
文献类型：
--
作者：
Ryskina KL;Foley KA;Karlawish JH;Uy JD;Lott B;Goldberg E;Hodgson NA
在美国，熟练护理机构 (SNF) 的急性后期护理很常见，但不同机构的结果差异很大。在医院向 SNF 过渡期间，患者及其护理人员对医生护理的期望知之甚少。我们的目标是 (1) 描述患者及其护理人员在 SNF 中对 SNF 医生的体验和期望，以及 (2) 识别有认知障碍的患者与没有认知障碍的患者之间的不同模式。这项定性研究使用扎根理论方法来分析从 2018 年 1 月至 8 月对 5 个 SNF 进行半结构化访谈收集的数据。提前 5-10 天入院接受短期 SNF 护理的患者有资格参与。进行主题分析以检测反复出现的主题，重点关注医生护理的可修改方面。根据患者认知障碍（在访谈时通过蒙特利尔认知评估进行测量）进行分层分析。五十名患者和六名护理人员接受了采访。主要主题是：（1）患者对负责其护理的医生认识不足； （2）对与医生互动的频率不满意； (3) 参与者重视接受医生个性化护理的感觉。认知障碍较轻的患者更担心与医生的互动有限，并且更有可能报告尝试寻求医生。患者和护理人员对 SNF 医生的期望与他们的经历并不一致。旨在提高护理满意度的 SNF 可能会集中精力在这一领域，例如促进医生、患者和护理人员之间的频繁沟通。本文随附的补充信息为 10.1186/s12877-020-01869-1。
In the US, post-acute care in skilled nursing facilities (SNFs) is common and outcomes vary greatly across facilities. Little is known about the expectations of patients and their caregivers about physician care during the hospital to SNF transition. Our objectives were to (1) describe the experiences and expectations of patients and their caregivers with SNF physicians in SNFs, and (2) identify patterns that differed between patients with vs. without cognitive impairment. This qualitative study used grounded theory approach to analyze data collected from semi-structured interviews at five SNFs in January–August 2018. Patients admitted for short-term SNF care 5–10 days prior were eligible to participate. Thematic analysis was performed to detect recurrent themes with a focus on modifiable aspects of physician care. Analysis was stratified by patient cognitive impairment (measured by the Montreal Cognitive Assessment at the time of the interview). Fifty patients and six caregivers were interviewed. Major themes were: (1) patients had poor awareness of the physician in charge of their care; (2) they were dissatisfied with the frequency of interaction with the physician; and (3) participants valued the perception of receiving individualized care from the physician. Less cognitively impaired patients were more concerned about limited interactions with the physicians and were more likely to report attempts to seek out the physician. Patient and caregiver expectations of SNF physicians were not well aligned with their experiences. SNFs aiming to improve satisfaction with care may focus efforts in this area, such as facilitating frequent communication between physicians, patients and caregivers. Supplementary information accompanies this paper at 10.1186/s12877-020-01869-1.
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影响因子：
7.4
作者：
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通讯作者：
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影响因子：
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