患者体验与医疗纠纷费用的关系。

IF 2.7 4区 医学 Q2 HEALTH CARE SCIENCES & SERVICES
Do Hee Kim, Jun Young Park, Jun Su Park, Ah-Ram Sul, Tae Hyun Kim
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引用次数: 0

摘要

背景:患者体验越来越被认为是高质量医疗保健的核心组成部分。它捕获了患者与医疗保健提供者互动的各个方面,这些方面可能会影响患者满意度,并最终影响投诉或纠纷的发生率。然而,只有有限的研究调查了病人经历的财务影响,特别是其与医疗纠纷费用的关系。本研究旨在了解患者体验评分是否与医疗纠纷成本相关,并为以患者为中心的护理的成本效益策略提供见解。方法:我们使用了一个数据集,包括患者体验评分和医疗纠纷成本在一个确定的时期。描述性分析、纠纷的频率分布和比值比被计算来检验初始模式。使用记录和基于比率的纠纷成本转换应用逻辑回归模型来评估患者经验和纠纷成本之间的关系。根据患者经历类型对模型进行分层。结果:分析显示,较高的患者体验分数通常与降低医疗纠纷成本相关,在特定模型中观察到显著的关系。在成本比模型中,医生互动与降低纠纷成本有很强的相关性。对于护士来说,在记录成本模型中观察到显著的关联,这表明护士和医生都对争议成本做出了独特的贡献。结论:本研究表明,改善患者体验的特定领域,如患者权利,可以作为降低医疗纠纷成本的成本效益策略。这些发现强调了促进以患者为中心的护理和解决制度和环境因素的重要性。这些见解为有针对性的策略提供了基础,以提高患者满意度,同时促进医疗保健机构的财务和运营稳定性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Association Between Patient Experience and Medical Dispute Costs.

Background: Patient experience is increasingly being recognised as a core component of quality healthcare. It captures various dimensions of a patient's interaction with healthcare providers that may influence patient satisfaction and ultimately impact the incidence of complaints or disputes. However, only limited research has investigated the financial implications of patient experience, particularly its association with medical dispute costs. This study sought to understand whether patient experience scores correlate with medical dispute costs and to provide insights into cost-effective strategies in patient-centred care.

Methods: We used a dataset that included patient experience scores and medical dispute costs over a defined period. Descriptive analysis, frequency distribution of disputes, and odds ratios were calculated to examine the initial patterns. Logistic regression models were applied using both logged and ratio-based dispute-cost transformations to assess the relationship between patient experience and dispute costs. The models were stratified according to patient experience type.

Results: The analysis revealed that higher patient experience scores were generally associated with reduced medical dispute costs, with significant relationships observed in specific models. In a cost-ratio model, doctor interactions showed a strong correlation with reduced dispute costs. For nurses, significant associations were observed in a logged cost model, suggesting that both nurses and doctors contributed uniquely to dispute costs.

Conclusion: This study demonstrated that improving specific domains of patient experience, such as patient rights, may serve as a cost-effective strategy for reducing medical dispute costs. These findings emphasize the importance of fostering patient-centred care and addressing institutional and contextual factors. These insights provide a foundation for targeted strategies to enhance patient satisfaction while promoting financial and operational stability in healthcare institutions.

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来源期刊
CiteScore
4.90
自引率
3.80%
发文量
87
审稿时长
6-12 weeks
期刊介绍: The International Journal for Quality in Health Care makes activities and research related to quality and safety in health care available to a worldwide readership. The Journal publishes papers in all disciplines related to the quality and safety of health care, including health services research, health care evaluation, technology assessment, health economics, utilization review, cost containment, and nursing care research, as well as clinical research related to quality of care. This peer-reviewed journal is truly interdisciplinary and includes contributions from representatives of all health professions such as doctors, nurses, quality assurance professionals, managers, politicians, social workers, and therapists, as well as researchers from health-related backgrounds.
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