Cười "rơi hàm" với hội bạn thân đến thăm người ốm

Đăng bởi lovebird21c - 26 Feb, 2020

đến thăm mình ốm mà toàn hỏi 'y tá xinh không?' :D

khoa học đã chứng minh, bệnh nhân "cảm thấy hài lòng" hơn khi phòng yên tĩnh, y tá xinh (tâm sự bên giường), hơn là trình độ bác sĩ và khả năng chữa trị/cứu sống...

và chính sự cạnh tranh giữa các bệnh viện như vậy, mà bệnh viện ngày càng phải giống như... khách sạn

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Patients as Consumers in the Market for Medicine: Bedside Manner > Survival Probability

Young and Chen, 2020: Consumer-driven health care is often heralded (báo trước) as a new quality paradigm (mẫu, mô hình, kiểu) in medicine. However, patients-as-consumers face difficulties in judging the quality of their medical treatment. With a sample of 3,000 U.S. hospitals, we find that neither medical quality (chất lượng y khoa) nor patient survival rates (tỷ lệ sống sót của bệnh nhân) have much impact on patient satisfaction (sự hài lòng của bệnh nhân) with their hospital. In contrast, patients are very sensitive to (rất nhạy cảm với) the “room and board” aspects of care that are highly visible. Quiet rooms have a larger impact on patient satisfaction than medical quality, and communication with nurses (chuyện trò với y tá) affects satisfaction far more than the hospital-level risk of dying (rủi ro tử vong). Hospitality experiences create a halo effect of patient goodwill, while medical excellence and patient safety do not. Moreover, when hospitals face greater competition from other hospitals, patient satisfaction is higher but medical quality is lower. Consumer-driven health care creates pressures for hospitals to be more like hotels. These findings lend broader insight into unintended consequences of marketization.

Tyler: It doesn’t surprise me that consumers respond much more to nice nurses than to survival probabilities. Nice nurses are observable by patients but survival probabilities can only be estimated from sophisticated statistical models. I do wish that patients paid more attention to the outputs of sophisticated statistical models when choosing doctors and hospitals, as I think this would improve quality, but mostly they don’t. As a result, competition increases patient satisfaction but less clearly increases medical quality and medical excellence.

Bài trước: Làm sạch đầm lầy

Tags: health

3 Comments

rayward Hospital competition and quality of care. The finding, that they are inversely related, could be the result of (1) the division of the best physicians among the competing hospitals, (2) the segregation of patients among the competing hospitals, with the sickest disproportionately admitted to one hospital, (3) the competing hospitals spending more on what makes patients happy rather than on what makes patients well. My observation: hospitals are hiring physicians as full-time employees, replacing the old model in which physicians were independent contractors. More than 50% of physicians are now employed by hospitals. Does this new model improve the quality of care? I can make an argument that it doesn't. For example, younger, less experienced physicians are more likely to be hired, in part because of the preferred lifestyle of this generation and in part because they demand less compensation. At the other end of the age spectrum, physicians in the twilight of their careers are more likely to choose employment at the hospital as compared to busy physicians in the prime of their careers. We would like to believe that hospitals adopt models and engage in practices that produce the highest quality of care. We would like to believe that. Medical economics is a growing sub-specialty, but much of the work medical economists do is focused on the quantity of care rather than the quality of care, in part because the latter is difficult to measure (as compared to the former).

Trả lời Xóa Tuesday, February 25, 2020
arnold Our daughter is a nurse. While she really likes helping people, she doesn't really like talking to them. So now she works in the operating room, where everyone is safely unconscious. This seems to be working out well for her.

Trả lời Xóa Tuesday, February 25, 2020
1. rayward That's funny. Years ago I asked one of my physician clients, an ob/gyn, why he chose that specialty. He responded that he initially was in training for a different specialty but came to realize that he didn't like being around sick people. As an ob/gyn, most of his patients are well, just pregnant.
  
  Trả lời Xóa Tuesday, February 25, 2020

Cười "rơi hàm" với hội bạn thân đến thăm người ốm

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