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首页> 外文期刊>Iranian journal of public health. >The Effect of Time-to-Provider, Left-without-Treatment and Length-of-Stay on Patient Satisfaction in Training Hospitals’ Emergency Department, Iran
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The Effect of Time-to-Provider, Left-without-Treatment and Length-of-Stay on Patient Satisfaction in Training Hospitals’ Emergency Department, Iran

机译：伊朗培训医院急诊室的提供服务时间，不留余留治疗和住院时间对患者满意度的影响

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Background:It is necessary to consider into hospital emergency services’ quantity and quality in different aspects such as time-to-provider, left-without-treatment and length-of-stay. The aimof this research was to identify the effect of these factors on patient satisfaction in training hospitals.Methods:In this descriptive-analytical and cross-sectional study, the sample size was calculated 768. The instrument included 54 questions and 8 sections. Three questions were in the field of following factors: 1) Time to provider was defined as the time from initial triage to initial provider evaluation. 2) Left-without-Treatment patients were defined as those who were initially triaged but were unable to be evaluated by a provider because they had left the ED. 3) Length-of-Stay was defined as time from initial triage to the time of final ED disposition, either discharge or admission. It was analyzed by descriptive statistics, simple logistic regression, multiple logistic regressions, simple linear regression and multiple linear regression.Results:The time-to-provider lower than 15 minutes, LWOT and LOS lower than 6 hours were 92.8%, 3.9% and 90.3%, respectively. The mean of time-to-provider and the mean of LOS were 18.1 minutes and 202 minutes. Time-to-Provider affected satisfaction of admission, guardians, nursing care and managing proceedings (P0.05).Conclusion:Decreasing time-to-provider and LOS has the effect on patient satisfaction in some domains. Furthermore, left-without-treatment rate is not a good proxy of patient satisfaction.
机译：背景：有必要考虑医院急诊服务的数量和质量，包括提供时间，不治之症和住院时间。这项研究的目的是确定这些因素对培训医院患者满意度的影响。方法：在本描述性分析和横断面研究中，样本量计算为768。该仪器包括54个问题和8个部分。在以下因素领域中存在三个问题：1）到达提供者的时间定义为从初始分类到初始提供者评估的时间。 2）左无治疗的患者定义为最初分流但由于离开急诊室而无法由提供者评估的患者。 3）住院时间定义为从初次分诊到最终的ED处理（出院或入院）的时间。通过描述性统计，简单逻辑回归，多元逻辑回归，简单线性回归和多元线性回归进行分析。结果：提供者时间少于15分钟，LWOT和LOS少于6小时分别为92.8％，3.9％和分别为90.3％。提供者的平均时间和LOS的平均时间分别为18.1分钟和202分钟。提供者时间会影响入院，监护人，护理和管理程序的满意度（P0.05）。结论：缩短提供者时间和服务水平会在某些方面影响患者满意度。此外，不予治疗的比率不能很好地代表患者的满意度。

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