New Instrument to Measure Hospital Patient Experiences in Flanders.
New Instrument to Measure Hospital Patient Experiences in Flanders.
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DOI：
10.3390/ijerph14111319
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发表时间：
2017-10-30
影响因子：
--
通讯作者：
Vanhaecht K
中科院分区：
文献类型：
--
作者：
Bruyneel L;Tambuyzer E;Coeckelberghs E;De Wachter D;Sermeus W;De Ridder D;Ramaekers D;Weeghmans I;Vanhaecht K
实施标准化的患者体验调查可能会启动一个流程，向医院施加压力，要求其改善患者体验。比利时佛兰德斯于 2011 年至 2015 年间开展了佛兰德患者调查。初步版本是根据范围审查以及患者和专家焦点小组制定的，包括 8 个假设维度的 27 个项目：“住院准备”、“信息和沟通”、“协调”、“尊重”、“隐私”、“安全护理”、疼痛管理和“参与”。对 17 家医院的 1076 名患者进行探索性因子分析发现，数据与维度不相符。项目措辞和回复类别的调整基于美国医院消费者对医疗保健提供者和系统的评估。修订后的版本在 37 家医院的 22,143 名患者中显示出出色的模型拟合度。多组分析表明，随着时间的推移，测量在给药模式、护理单位类型和各种患者特征方面具有不变性。因此，事实证明，促进协作方法在实施标准化患者体验调查方面取得了成功。最新研究结果（2016 年）表明绩效不合格，需要进行患者组合调整。弗拉芒政府开发了一个专门的网站来公开调查结果，联邦政府目前在制定按质量付费计划时考虑了患者的体验。
Implementing a standardized patient experience survey may initiate a process to apply pressure on hospitals to attend to improving patient experiences. In Flanders, Belgium, the Flemish Patient Survey was developed between 2011 and 2015. A preliminary version was developed from a scoping review and patient and expert focus groups, and included 27 items for eight hypothesized dimensions: ‘preparing for hospital stay’, ‘information and communication’, ‘coordination’, ‘respect’, ‘privacy’, ‘safe care’, pain management’, and ‘participation’. Exploratory factor analysis for 1076 patients in 17 hospitals found that the data did not fit the dimensions. Adaptations in item wording and response categories were based on the US Hospital Consumer Assessment of Healthcare Providers and Systems. The revised version showed excellent model fit in 22,143 patients in 37 hospitals. Multiple group analysis pointed to evidence of measurement invariance over time across mode of administration, type of nursing unit, and various patient characteristics. Fostering a collaborative approach thus proved successful in implementing a standardized patient experience survey. The most recent findings (2016) illustrate substandard performance and a need for patient-mix adjustment. The Flemish government developed a dedicated website to make findings publicly available and the federal government currently considers patient experiences in devising a pay-for-quality scheme.
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