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1.
Am J Med Qual ; 35(3): 258-264, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-31470735

RESUMO

The authors tested the efficacy of an integrated approach to improving patient experience and physician burnout using a 24-week online training program coupled with a physician engagement strategy. Physicians from different disciplines were randomized to intervention (n = 30) and control (n = 33) groups. Patient experience, physician burnout, and satisfaction data were assessed using patient and provider surveys. Comparisons were made pre and post intervention, and between the groups. Intervention group mean scores increased (+1.40 points) while control group scores dropped (-0.11 points; P = .039). Scores on physician burnout surveys for the intervention group improved in all areas and changes in 2 domains were statistically significant. In all, 73.5% of physicians felt the program was effective. This integrated intervention enhanced patient experience scores and positively affected physicians' level of burnout, and physicians believed this exercise was useful.


Assuntos
Esgotamento Profissional/prevenção & controle , Educação a Distância/organização & administração , Tutoria/organização & administração , Médicos/psicologia , Adulto , Idoso , Idoso de 80 Anos ou mais , Atitude do Pessoal de Saúde , Esgotamento Profissional/terapia , Comunicação , Feminino , Humanos , Internet , Satisfação no Emprego , Masculino , Pessoa de Meia-Idade , Satisfação do Paciente , Assistência Centrada no Paciente/organização & administração , Engajamento no Trabalho
2.
Am J Med Qual ; 34(1): 87-91, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-29790371

RESUMO

Quality and patient experience are important dimensions of care delivery. The extent to which they are related in the adult outpatient setting is unknown. This brief study utilized data from a large integrated health system over a 1-year period in 2015 and measured the degree of correlation between physicians' patient experience scores and 8 standardized quality metrics. These quality measures were paired into similar groups to create 4 composite measures: outcome, screening, vaccination, and adherence. Measures of outcome ( r = 0.20, P = .06), vaccination ( r = 0.12, P = .26), and adherence ( r = -0.04, P = .75) were not significantly correlated with patient experience; screening ( r = 0.29, P = .006) was minimally correlated with patient experience. Overall, this study found minimal correlation between measures of patient experience and clinical quality in the outpatient setting. Measurement of both of these domains is essential to understanding patterns of care.


Assuntos
Instituições de Assistência Ambulatorial , Satisfação do Paciente , Qualidade da Assistência à Saúde , Pesquisas sobre Atenção à Saúde , Humanos , Melhoria de Qualidade
3.
Plast Reconstr Surg ; 142(3): 820-825, 2018 09.
Artigo em Inglês | MEDLINE | ID: mdl-30148793

RESUMO

BACKGROUND: Patient satisfaction surveys are an increasingly important part of health care, influencing the practice of physicians. Press Ganey has developed tools to assess physician and department performance that are used by 50 percent of hospitals in the United States and over 10,000 health care organizations. The authors sought to evaluate the factors that influence patient satisfaction in plastic surgery patients both locally and nationally. METHODS: A 24-item Press Ganey survey was distributed to patients of 686 participating plastic surgeons nationwide, including those at the authors' home institution. The responses from January to December of 2016 were analyzed retrospectively with Pearson correlation coefficients. The items "likelihood to recommend provider" and "likelihood to recommend practice" were correlated to all other items of the survey, as these items have been shown to be surrogates for overall satisfaction. RESULTS: There were 411 survey responses from patients in the Northwell Health System and 36,836 responses from patients nationally. Items that were not well correlated (r < 0.5) with "likelihood to recommend practice" or "provider" were items such as wait time and courtesy of registration staff. The items that were best correlated (r > 0.8) with "likelihood to recommend practice" or "provider" were the patient's confidence in the care provider and the provider's concern for questions. All correlations were statistically significant (p < 0.001). CONCLUSION: In an evolving patient centric culture, the patient's confidence and trust of the provider is more important than perception of the provider's office environment to maintaining patient loyalty and market share.


Assuntos
Pesquisas sobre Atenção à Saúde/estatística & dados numéricos , Avaliação de Resultados da Assistência ao Paciente , Satisfação do Paciente/estatística & dados numéricos , Assistência Centrada no Paciente/estatística & dados numéricos , Procedimentos de Cirurgia Plástica/efeitos adversos , Adulto , Idoso , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Relações Médico-Paciente , Procedimentos de Cirurgia Plástica/métodos , Estudos Retrospectivos , Confiança , Estados Unidos
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