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首页> 美国卫生研究院文献>Journal of Patient Experience >Primary Care Practice Workplace Social Capital: A Potential Secret Sauce for Improved Staff Well-Being and Patient Experience
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Primary Care Practice Workplace Social Capital: A Potential Secret Sauce for Improved Staff Well-Being and Patient Experience

机译：初级保健实践工作场所的社会资本：潜在的秘密调味品可改善员工的健康水平和患者体验

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Patient experiences with the health-care system are increasingly seen as a vital measure of health-care quality. This study examined whether workplace social capital and employee outcomes are associated with patients’ perceptions of care quality across multiple clinic sites in a diverse, urban safety net care setting. Data from clinic staff were collected using paper and pencil surveys and data from patients were collected via a telephone survey. A total of 8392 adult primary care patients and 265 staff (physicians, nurses, allied health, and support staff) were surveyed at 10 community health clinics. The staff survey included brief measures of workplace social capital, burnout, and job satisfaction. The patient-level outcome was patients’ overall rating of the quality of care. Factor analysis and reliability analysis were conducted to examine measurement properties of the employee data. Data were aggregated and measures were examined at the clinic site level. Workplace social capital had moderate to strong associations with burnout (r = −0.40, P < .01) and job satisfaction (r = 0.59, P < .01). Mean patient quality of care rating was 8.90 (95% confidence interval: 8.86-8.94) ranging from 8.57 to 9.18 across clinic sites. Pearson correlations with patient-rated care quality were high for workplace social capital (r = 0.88, P = .001), employee burnout (r = −0.74, P < .05), and satisfaction (r = 0.69, P < .05). Patient-perceived clinic quality differences were largely explained by differences in workplace social capital, staff burnout, and satisfaction. Investments in workplace social capital to improve employee satisfaction and reduce burnout may be key to better patient experiences in primary care.
机译：越来越多的患者将卫生保健系统的经验视为卫生保健质量的重要指标。这项研究调查了在多元化的城市安全网护理环境中，工作场所的社会资本和员工的结局是否与患者对多个诊所站点的护理质量的看法有关。使用纸质和铅笔调查收集了来自诊所工作人员的数据，通过电话调查收集了来自患者的数据。在10个社区卫生诊所对总共8392名成人初级保健患者和265名工作人员（医师，护士，专职医疗人员和支持人员）进行了调查。员工调查包括对工作场所社会资本，倦怠和工作满意度的简短测量。患者水平的结果是患者对护理质量的总体评价。进行因素分析和可靠性分析以检查员工数据的测量属性。汇总数据并在诊所站点级别检查措施。工作场所的社会资本与倦怠（r = −0.40，P <.01）和工作满意度（r = 0.59，P <.01）具有中等至强烈的关联。在整个临床站点中，患者的平均护理质量等级为8.90（95％置信区间：8.86-8.94），范围从8.57至9.18。工作场所社会资本（r = 0.88，P = .001），员工倦怠（r = -0.74，P <.05）和满意度（r = 0.69，P <.05）与患者的护理质量的Pearson相关性很高。 ）。患者感知的诊所质量差异主要由工作场所社会资本，员工倦怠和满意度差异引起。投资于工作场所的社会资本以提高员工满意度并减少倦怠可能是改善初级保健患者体验的关键。

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