Patient and carer satisfaction with 'hospital at home': quantitative and qualitative results from a randomised controlled trial.
Patient and carer satisfaction with 'hospital at home': quantitative and qualitative results from a randomised controlled trial.
复制标题
患者和护理人员对“在家医院”的满意度：随机对照试验的定量和定性结果。
DOI：
--
复制
发表时间：
2002
期刊：
影响因子：
--
通讯作者：
H. Parker
中科院分区：
文献类型：
--
作者：
A. Wilson;Alison T Wynn;H. Parker
背景
为了响应 NHS 计划，英国将增加“在家医院”计划。迄今为止，关于患者及其护理人员对这些计划的可接受性还没有做任何详细的工作。
目的
比较家庭医院患者和护理人员对医院护理的满意度。
研究设计
务实的随机对照试验。
环境
连续被评估为适合莱斯特家庭医院计划的患者被随机分配到家庭医院或该市三家急症医院之一。
方法
随机分组后两周或出院时（如果稍后使用六项问卷）评估患者满意度。通过半结构化访谈评估患者和护理人员对服务的看法。
结果
102 名患者被随机送往家庭医院，97 名患者被随机送往医院。家庭医院组中的 48 名患者 (47%) 和医院组中的 35 名患者 (36%) 完成了满意度调查问卷，分别占合格患者的 96% 和 85%。在家医院组（中位数 = 15）的总分显着高于医院组（中位数 = 12）。 （P<0.001，Mann-Whitney U 检验。）对所有六个问题的回答都支持在家医院，除了其中一个差异外，所有这些差异均具有统计显着性。在 Homegroup 医院，24 名患者及其 18 名护理人员接受了采访；在医院小组中，有 18 名患者及其 7 名护理人员接受了采访。这些访谈的主题是，患者赞赏家庭医院提供的更多个人护理和更好的沟通，并且非常重视呆在家里，这被认为是有治疗作用的。患者在很大程度上感觉在家医院很安全，尽管有些人会觉得在医院更安全。一些患者和护理人员认为医院可以提供更好的医疗服务。护理人员认为，在家住院所施加的工作量并不比住院更大，而且在家护理职责的减轻将被医院就诊所增加的压力所抵消。
结论
患者对家庭医院的满意度高于医院。原因包括更个性化的护理方式以及待在家里有治疗作用的感觉。护理人员并不认为家庭医院增加了额外的工作量。
BACKGROUND
'Hospital At Home' schemes are set to increase in the United Kingdom (UK) in response to the NHS Plan. To date, little detailed work has been done on the acceptability of these schemes to patients and their carers.
AIM
To compare Hospital at Home patient and carer satisfaction with hospital care.
DESIGN OF STUDY
Pragmatic randomised controlled trial.
SETTING
Consecutive patients assessed as suitablefor the Leicester Hospital at Home scheme were randomised to Hospital at Home or one of three acute hospitals in the city.
METHOD
Patient satisfaction was assessed two weeks after randomisation, or at discharge if later using a six-item questionnaire. Patients' and carers' views of the services were assessed by semistructured interviews.
RESULTS
One hundred and two patients were randomised to Hospital at Home and 97 to hospital. Forty-eight (47%) patients in the Hospital at Home arm and 35 (36%) in the hospital arm completed the satisfaction questionnaire, representing 96% and 85% of those eligible, respectively. Total scores were significantly higher in the Hospital at Home (median = 15) than in the hospital group (median = 12). (P<0.001, Mann-Whitney U-test.) Responses to all six questions favoured Hospital at Home, with all but one of these differences being statistically significant. In the Hospital at Homegroup, 24 patients and 18 of their carers were interviewed; in the hospital group 18 patients and seven of their carers were interviewed. Themes emerging from these interviews were that patients appreciated the more personal care and better communication offered by Hospital at Home and placed great value on staying at home, which was seen to be therapeutic. Patients largely felt safe in Hospital at Home, although some would have felt safer in hospital. Some patients and carers felt that better medical care would have been provided in hospital. Carers felt that the workload imposed by Hospital at Home was no greater than by hospital admission and that the relief from care duties at home would be counterbalanced by the added strain of hospital visiting.
CONCLUSIONS
Patient satisfaction was greater with Hospital at Home than with hospital. Reasons included a more personal style of care and a feeling that staying at home was therapeutic. Carers did not feel that Hospital at Home imposed an extra workload.
Makoto Okumura：“交通调查中受访者激励的影响”土木工程规划研究和讲座 22(2) (1999)。
DOI：
--
发表时间：
--
期刊：
影响因子：
--
作者：
通讯作者：
--