从医院到疗养院的过渡:出院计划人员是提高质量的潜在杠杆?

IF 1.1 4区 医学 Q4 GERIATRICS & GERONTOLOGY Zeitschrift Fur Gerontologie Und Geriatrie Pub Date : 2024-07-17 DOI:10.1007/s00391-024-02325-0
Kristina Kast, Lukas Carl
{"title":"从医院到疗养院的过渡:出院计划人员是提高质量的潜在杠杆?","authors":"Kristina Kast, Lukas Carl","doi":"10.1007/s00391-024-02325-0","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Public reporting is supposed to be helpful in differentiating between well and poorly performing nursing homes; however, hospital patients often have difficulties to deal with quality information. Discharge planners (DP) can support them in comparing quality and, by influencing patients' decision, lead to better provision of care in nursing homes.</p><p><strong>Objective: </strong>This study investigated the choice behavior of DP, their use of quality information and the potential to impact the decision-making of patients.</p><p><strong>Material and methods: </strong>A total of 70 DP from German hospitals with a geriatric department participated in an online survey. They were asked about information preferences and tools used for nursing home searches. In addition, they assessed quality information items from the new German quality reporting on a Likert scale. To test their comprehension participants were given a case scenario of a typical patient, were shown nursing homes displayed based on a medical comparison portal navigator (AOK-Pflegenavigator) and were asked to select nursing homes in a 3-round experiment.</p><p><strong>Results: </strong>When looking for a nursing home, DP primarily rely on internal nursing home directories (n = 62; 92.5%). The 3 preferred criteria for decision are: distance to the family (n = 55; 28.80%), bed availability (n = 51; 26.7%) and wishes of patients/relatives (n = 41; 21.47%). The consent score for public reporting was 46.28% and the comprehension ratio was 82.24%.</p><p><strong>Discussion: </strong>The DP do not advise hospital patients on the performance of nursing homes and rely on the decision-making of patients. This results in a lack of impact on patients' decisions and consequently in a loss of potential for public reporting to lead to better care in nursing homes.</p>","PeriodicalId":49345,"journal":{"name":"Zeitschrift Fur Gerontologie Und Geriatrie","volume":null,"pages":null},"PeriodicalIF":1.1000,"publicationDate":"2024-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Transition from hospital to nursing home: Discharge planners as a potential lever for quality improvements?\",\"authors\":\"Kristina Kast, Lukas Carl\",\"doi\":\"10.1007/s00391-024-02325-0\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Public reporting is supposed to be helpful in differentiating between well and poorly performing nursing homes; however, hospital patients often have difficulties to deal with quality information. Discharge planners (DP) can support them in comparing quality and, by influencing patients' decision, lead to better provision of care in nursing homes.</p><p><strong>Objective: </strong>This study investigated the choice behavior of DP, their use of quality information and the potential to impact the decision-making of patients.</p><p><strong>Material and methods: </strong>A total of 70 DP from German hospitals with a geriatric department participated in an online survey. They were asked about information preferences and tools used for nursing home searches. In addition, they assessed quality information items from the new German quality reporting on a Likert scale. To test their comprehension participants were given a case scenario of a typical patient, were shown nursing homes displayed based on a medical comparison portal navigator (AOK-Pflegenavigator) and were asked to select nursing homes in a 3-round experiment.</p><p><strong>Results: </strong>When looking for a nursing home, DP primarily rely on internal nursing home directories (n = 62; 92.5%). The 3 preferred criteria for decision are: distance to the family (n = 55; 28.80%), bed availability (n = 51; 26.7%) and wishes of patients/relatives (n = 41; 21.47%). The consent score for public reporting was 46.28% and the comprehension ratio was 82.24%.</p><p><strong>Discussion: </strong>The DP do not advise hospital patients on the performance of nursing homes and rely on the decision-making of patients. This results in a lack of impact on patients' decisions and consequently in a loss of potential for public reporting to lead to better care in nursing homes.</p>\",\"PeriodicalId\":49345,\"journal\":{\"name\":\"Zeitschrift Fur Gerontologie Und Geriatrie\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":1.1000,\"publicationDate\":\"2024-07-17\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Zeitschrift Fur Gerontologie Und Geriatrie\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1007/s00391-024-02325-0\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"GERIATRICS & GERONTOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Zeitschrift Fur Gerontologie Und Geriatrie","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1007/s00391-024-02325-0","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"GERIATRICS & GERONTOLOGY","Score":null,"Total":0}
引用次数: 0

摘要

背景:公共报告理应有助于区分表现良好和欠佳的疗养院;然而,医院病人往往难以处理质量信息。出院计划员(DP)可以帮助他们比较质量,并通过影响病人的决定,促使疗养院提供更好的护理:本研究调查了出院规划师的选择行为、他们对质量信息的使用以及影响患者决策的潜力:共有 70 名来自德国设有老年病科的医院的住院医生参与了在线调查。调查询问了他们对信息的偏好以及在寻找养老院时使用的工具。此外,他们还用李克特量表对德国新质量报告中的质量信息项目进行了评估。为了测试他们的理解能力,我们给参与者提供了一个典型病人的案例情景,展示了基于医疗比较门户导航器(AOK-Pflegenavigator)的疗养院,并要求他们在三轮实验中选择疗养院:结果:在寻找疗养院时,民主党主要依靠内部疗养院目录(n = 62;92.5%)。首选的 3 个决定标准是:与家人的距离(n = 55;28.80%)、床位的可用性(n = 51;26.7%)和病人/亲属的意愿(n = 41;21.47%)。公开报告的同意率为 46.28%,理解率为 82.24%:讨论:民主党不会就疗养院的表现向医院病人提供建议,而是依赖病人的决策。这导致对病人的决定缺乏影响,从而使公众报告失去了改善疗养院护理的潜力。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
查看原文
分享 分享
微信好友 朋友圈 QQ好友 复制链接
本刊更多论文
Transition from hospital to nursing home: Discharge planners as a potential lever for quality improvements?

Background: Public reporting is supposed to be helpful in differentiating between well and poorly performing nursing homes; however, hospital patients often have difficulties to deal with quality information. Discharge planners (DP) can support them in comparing quality and, by influencing patients' decision, lead to better provision of care in nursing homes.

Objective: This study investigated the choice behavior of DP, their use of quality information and the potential to impact the decision-making of patients.

Material and methods: A total of 70 DP from German hospitals with a geriatric department participated in an online survey. They were asked about information preferences and tools used for nursing home searches. In addition, they assessed quality information items from the new German quality reporting on a Likert scale. To test their comprehension participants were given a case scenario of a typical patient, were shown nursing homes displayed based on a medical comparison portal navigator (AOK-Pflegenavigator) and were asked to select nursing homes in a 3-round experiment.

Results: When looking for a nursing home, DP primarily rely on internal nursing home directories (n = 62; 92.5%). The 3 preferred criteria for decision are: distance to the family (n = 55; 28.80%), bed availability (n = 51; 26.7%) and wishes of patients/relatives (n = 41; 21.47%). The consent score for public reporting was 46.28% and the comprehension ratio was 82.24%.

Discussion: The DP do not advise hospital patients on the performance of nursing homes and rely on the decision-making of patients. This results in a lack of impact on patients' decisions and consequently in a loss of potential for public reporting to lead to better care in nursing homes.

求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
CiteScore
2.00
自引率
16.70%
发文量
126
审稿时长
6-12 weeks
期刊介绍: The fact that more and more people are becoming older and are having a significant influence on our society is due to intensive geriatric research and geriatric medicine in the past and present. The Zeitschrift für Gerontologie und Geriatrie has contributed to this area for many years by informing a broad spectrum of interested readers about various developments in gerontology research. Special issues focus on all questions concerning gerontology, biology and basic research of aging, geriatric research, psychology and sociology as well as practical aspects of geriatric care. Target group: Geriatricians, social gerontologists, geriatric psychologists, geriatric psychiatrists, nurses/caregivers, nurse researchers, biogerontologists in geriatric wards/clinics, gerontological institutes, and institutions of teaching and further or continuing education.
期刊最新文献
Mitteilungen der DGG. Mitteilungen der DGGG. Mitteilungen der ÖGGG. Mitteilungen des BV Geriatrie. [Human dignity and autonomy in medicoethical decisions at the end of life].
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
已复制链接
已复制链接
快去分享给好友吧!
我知道了
×
扫码分享
扫码分享
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1