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Medical patients' assessments of their care during hospitalization: insights for internists.

Abstract：

OBJECTIVE:To assess, from the patient's perspective, selected aspects of the quality of inpatient hospital care in the United States. DESIGN:A cross-sectional survey, using telephone interviews of patients discharged from the medical services of a probability sample of 62 public and private, nonprofit, nonfederal acute care hospitals in the United States. The participating patients reported; discrete, clinically important elements of hospital care; preferences for involvement in care; health status; sociodemographic characteristics; and overall satisfaction with their hospitalization. PATIENTS/PARTICIPANTS:2,839 patients drawn as a probability sample. INTERVENTIONS:None. MEASUREMENTS AND MAIN RESULTS:For 32 of the 50 questions about potential problems encountered during hospitalization, at least 10% of the patients gave a response indicating a problem. One-third of the patients having a physician (31.8%) reported that that physician did not care for them during hospitalization. Other frequently reported problems included not receiving information about the hospital routine (45.1%), not being told whom to ask for help (33.9%), having pain that could have been relieved by more prompt attention (19.9%), and not being given adequate information and guidance about activities and care after discharge from the hospital (21.4-36.1%). Most patients preferred to be informed about important aspects of their care (94.7%), but their preferences for involvement in care varied widely. CONCLUSIONS:Information from hospitalized medical patients identified several areas of concern that should be the focus of attention and could lead to systematic restructuring of hospital-based care.

journal_name

J Gen Intern Med

journal_title

Journal of general internal medicine

authors

Delbanco TL,Stokes DM,Cleary PD,Edgman-Levitan S,Walker JD,Gerteis M,Daley J

doi

10.1007/BF02602763

subject

Has Abstract

pub_date

1995-12-01 00:00:00

pages

679-85

issue

12

eissn

0884-8734

issn

1525-1497

journal_volume

10

pub_type

杂志文章

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