BACKGROUND:The Hospital Consumer Assessment of Healthcare Providers and Systems survey is the most commonly used instrument for measuring patients' perceptions of the quality of inpatient care.
OBJECTIVE:To determine if the hospital survey can also be used to measure patients' experience of intensive care as indicated by scores on a parallel questionnaire, the Patient Perception of Quality.
METHODS:Scores on both instruments of all adult patients admitted to an intensive care unit from 2007 through 2012 were analyzed.
RESULTS:A total of 1766 matching pairs of hospital and critical care surveys were identified. Patients' ratings of the overall hospital and critical care experiences had low correlation: r = 0.32 (95% CI, 0.28-0.37). Using the standard reporting convention, 77% of the participants rated the hospital as 9 or 10 on a 10-point scale, and 65% rated the intensive care unit as 5 on a 5-point scale. Although the hospital survey was always completed by the patient, the critical care survey was completed by a patient's family member or friend in 76% of cases and by the patient in 24%. Patient-completed critical care surveys had more correlation with hospital surveys (r = 0.45) than did critical care surveys completed by family members (r = 0.30), but the overall correlation remained modest.
CONCLUSION:Scores on the hospital survey were at best modestly associated with scores on the critical care survey and did not reflect the specific experiences of patients and patients' families in the intensive care unit.
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【Patient and Family Experience: A Comparison of Intensive Care and Overall Hospitalization.].
【患者和家庭经历：重症监护和整体住院治疗的比较。】
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DOI：10.4037/ajcc2017143文章类型：杂志文章
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背景：医院医疗服务提供者和系统的消费者评估是最常用的工具，用于衡量患者对住院护理质量的看法。
目的：为了确定医院调查是否也可以用来衡量患者的重症监护经验，如平行调查表中的得分（患者对质量的看法）所示。
方法：对2007年至2012年期间接受重症监护病房的所有成年患者在两种仪器上的得分进行了分析。
结果：总共找到了1766对匹配的医院和重症监护调查。患者对整体医院和重症监护经历的评价之间的相关性很低：r = 0.32（95％CI，0.28-0.37）。使用标准报告惯例，在10分制中77％的参与者将医院评为9分或10分，在5分制中65％的人将重症监护病房评为5分。尽管医院调查总是由患者完成，但重症监护调查是由患者的家人或朋友（占76％）和患者（占24％）完成的。与家庭成员完成的重症监护调查（r = 0.30）相比，患者完成的重症监护调查与医院调查的相关性更高（r = 0.45），但总体相关性仍然适中。
结论：医院调查的分数充其量仅与重症监护调查的分数适度相关，不能反映重症监护病房患者和患者家属的具体经历。
目的：为了确定医院调查是否也可以用来衡量患者的重症监护经验，如平行调查表中的得分（患者对质量的看法）所示。
方法：对2007年至2012年期间接受重症监护病房的所有成年患者在两种仪器上的得分进行了分析。
结果：总共找到了1766对匹配的医院和重症监护调查。患者对整体医院和重症监护经历的评价之间的相关性很低：r = 0.32（95％CI，0.28-0.37）。使用标准报告惯例，在10分制中77％的参与者将医院评为9分或10分，在5分制中65％的人将重症监护病房评为5分。尽管医院调查总是由患者完成，但重症监护调查是由患者的家人或朋友（占76％）和患者（占24％）完成的。与家庭成员完成的重症监护调查（r = 0.30）相比，患者完成的重症监护调查与医院调查的相关性更高（r = 0.45），但总体相关性仍然适中。
结论：医院调查的分数充其量仅与重症监护调查的分数适度相关，不能反映重症监护病房患者和患者家属的具体经历。
