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首页> 外文期刊>Journal of Patient Experience >Geographically Localized Medicine House-Staff Teams and Patient Satisfaction
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Geographically Localized Medicine House-Staff Teams and Patient Satisfaction

机译：地理位置的医学屋 - 员工团队和患者满意度

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Background: Geographically localized care teams may demonstrate improved communication between team members and patients, potentially enhancing coordination of care. However, the impact of geographically localized team on patient experience scores is not well understood. Objective: To compare experience scores of patients on resident teams home clinical units with patients assigned to them off of their home units over a 10-year period. Participants: Patients admitted to any of the 4 chief resident staffed internal medicine inpatient service were included. Patients admitted to the house-staff teams’ home clinical unit comprised the exposure group and their patients off of their home units comprised the control patients. Measurement: Top-box experience scores calculated from the physician Hospital Consumer Assessment of Healthcare and Provider Systems (HCAHPS) and Press Ganey patient satisfaction surveys. Results: There were 3012 patients included in the study. There were no significant differences in experience scores with physician communication, nursing communication, pain, or discharge planning between the 2 groups. Patients did not report satisfaction more often with the time physicians spent with them on localized teams (48.6% vs 47.5%; P ? .54) or that staff were better at working together (63.2% vs 61.3%; P ? .29). This did not change during a 45-month period when the proportion of patients on home units exceeded 75% and multidisciplinary rounds were started. Conclusion: Patients cared for by geographically localized teams did not have better patient experience. Other factors such as physician communication skills or limited time spent in direct care may overshadow the impact of having localized teams. Further research is needed to better understand organizational, team, and individual factors impacting patient experience.
机译：背景：地理上本地化的护理团队可以展示团队成员和患者之间的改进沟通，可能会加强护理的协调。然而，地理位置的团队对患者体验评分的影响并不了解。目的：比较居民团队家庭临床单位患者的经验评分，并在10年期间分配给他们的家庭单位。参与者：涉及4名首席居民人员内科住院服务的患者。患者录取屋职业团队的家庭临床单位，包括暴露组，他们的家庭单位患者组成了对照患者。测量：从医院医院消费者评估医疗保健和提供者系统（HCAHPS）的热门医院消费者评估，并按Ganey患者满意度调查。结果：研究中有3012名患者。在2组之间的医生通信，护理通信，疼痛或排放规划没有显着差异。患者没有在本地化团队与他们共同花费的时候更常见的时间（48.6％vs 47.5％; p？.54）或者工作人员在一起（63.2％vs 61.3％; p？.29）。这在45个月的时间内没有改变，当时家单位患者的比例超过75％，并且开始多学科轮次。结论：由地理位置的队伍照顾的患者没有更好的患者体验。其他因素，如医师沟通技巧或在直接护理中花费有限的时间可能会掩盖具有本地化团队的影响。需要进一步研究，以更好地了解影响患者体验的组织，团队和个人因素。

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