Family Experiences of Pediatric Inpatient Care in Alberta, Canada: Results From the Child HCAHPS Survey.
Family Experiences of Pediatric Inpatient Care in Alberta, Canada: Results From the Child HCAHPS Survey.
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DOI：
10.1542/hpeds.2017-0191
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发表时间：
2018-06-01
影响因子：
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通讯作者：
Santana, Maria J
中科院分区：
文献类型：
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作者：
Kemp, Kyle A;Ahmed, Sadia;Santana, Maria J
背景和结论：患者体验调查提供了关于医疗保健服务质量的反馈。不幸的是，许多调查往往集中在成人人群中，导致缺乏针对儿科人群的有效工具。2015年，阿尔伯塔省卫生服务部实施了儿童医院消费者对医疗保健提供者和系统的评估（儿童HCAHPS）调查。我们在目前的研究中的目标是描述使用儿童HCAHPS调查在阿尔伯塔，加拿大，并提出初步results.METHODS：父母和/或监护人完成了修改后的版本的儿童HCAHPS调查，通过电话在6周内，他们的孩子出院的14家医院（2个独立的儿科和12成人）。对于每一个调查综合项目和独立项目，报告了平均“最高分”分数，反映了最积极的答复选项。报告了总体结果，以及独立儿科和成人设施之间的最高评分比较结果：从2015年10月到2017年3月，完成了3389项调查。总体而言，平均最高得分范围从41.5%（“防止错误并帮助您报告问题”）到95.8%（“让您了解您孩子在急诊室的护理”）。独立的儿科医院往往表现优于成人的，特别是在全球评级的护理，父母参与决策，父母和providers.CONCLUSIONS之间的沟通：我们的研究结果，我们表明，在儿科住院护理领域正在交付以及，以及有针对性的领域，质量改进。我们的研究结果可能会在未来的比较中突出显示，其他人采用儿童HCAHPS。
BACKGROUND AND OBJECTIVES: Patient experience surveys provide feedback regarding the perceived quality of health care services. Unfortunately, many surveys have tended to be focused on an adult population, resulting in a lack of validated instruments for pediatric populations. In 2015, Alberta Health Services implemented the Child Hospital Consumer Assessment of Healthcare Providers and Systems (Child HCAHPS) survey. Our objectives in the current study were to describe the use of the Child HCAHPS survey in Alberta, Canada, and to present preliminary results.METHODS: Parents and/or guardians completed a modified version of the Child HCAHPS survey via telephone within 6 weeks of their child's discharge from 1 of 14 hospitals (2 stand-alone pediatric and 12 adult). For each of the survey composites and stand-alone items, the mean "top box" score is reported, reflecting the most positive response option. Overall results were reported, as were comparisons in top box scores between stand-alone pediatric and adult facilities.RESULTS: From October 2015 to March 2017, 3389 surveys were completed. Overall, mean top box scores ranged from 41.5% ("preventing mistakes and helping you report concerns") to 95.8% ("keeping you informed about your child's care in the emergency department"). Stand-alone pediatric hospitals tended to outperform the adult ones, particularly in global ratings of care, parental involvement in decision-making, and communication between parents and providers.CONCLUSIONS: With our findings, we indicate areas in which pediatric inpatient care is being delivered well, as well as targeted areas for quality improvement. Our results may be highlighted in future comparisons among others who have adopted the Child HCAHPS.