Evaluation of the Perception of Quality of Care of Patients Admitted to a Medical-Surgical ICU
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 200
- 主要终点
- Servqual tool
研究概览
简要总结
The objective of this prospective observational cohort study is to describe the perception of quality of care of patients or reference companions admitted to a medical-surgical ICU.
详细描述
Background: Quality assessment in health systems is essential for the improvement and development of services. Assessments using the structure, process and outcomes model are the most widespread, however understanding the health system as a business model makes assessment essential. how much the service is able to meet the expectations of the patient and the market.
The Institute for Healthcare Improvement (IHI) highlights three domains (Triple aim) in which health systems must develop. Among them is "Improving the patient experience". One of the 6 domains of quality of care is patient-centeredness. Several funding institutions and scientific authorities have, in recent years, encouraged patient-centered clinical research with the use of outcomes that are also patient-centered.
The perception of the quality of the service provided to the critically ill patient or even is an uncommon outcome in the literature, especially evaluated with an objective and effective tool.
The SERVQUAL tool proposed by Parasuraman et al. It aims to compare the expectations and perceptions of the patient/companion regarding the quality of care provided.
In the literature, data on patient-centered perspectives and demands are scarce.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients ≥ 18 years old
- •consent form signed by the patient or a family member.
排除标准
- •Patients unable to respond and who do not have reference companions
- •Patients readmitted to the ICU during the study period.
结局指标
主要结局
Servqual tool
时间窗: 30 days
The questionnaire consists of 5 domains with 22 questions graded from 1 to 7 according to perceived quality and expected in each sphere of care delivery. Domains are: 1. Tangibles. Equipment, physical structure, presentation of professionals and materials. 2. Reliability. Ability to resolve problems and resolve them within the deadline, and record without errors. 3. Availability and responsiveness. Ability to inform about the therapeutic plan, to execute on time, availability of professionals to help clients and degree of occupation of professionals to meet demands. 4. Security / Trust. Ability to inspire security, education of professionals and knowledge of processes by professionals. 5. Empathy. To provide individual attention, standard opening hours, sincere interest in resolving demands and ability to meet demands individually. The result is analyzed with the calculation: Average result of reality - Average result of expectation = Gap of perception of quality of care.
次要结局
未报告次要终点
研究者
José Raimundo Araujo de Azevedo
ICU Assistent Physician
Hospital Sao Domingos