RESUMEN
The Moment-of-Truth (MOT) patient satisfaction system was created to address each patient's medical care and service needs at the "point-of-care," before the patient leaves the medical facility. The MOT system is patient-centered by actively involving each patient in his or her own healthcare evaluation, planning, and continuous quality improvement. Patient needs are aligned with the required healthcare resources, which simultaneously produce information that can be acted upon "immediately," at the point-of-care, with "a sense of urgency"-addressing patient expectations each and every time the patient encounters the healthcare system. Major changes that occurred in medical service delivery at Hudson Hospital after implementation of the MOT system included a change in the focus of healthcare delivery toward the patient each and every time medical care or service occurred by placing the patient at the center of the care continuum; the ability to capture and react to what the patient needed at the place and time the patient needed it; and the incorporation of patient satisfaction as a way of doing business, throughout the healthcare organization. Results in 2007 to date have averaged 98% among responding patients indicating that they would recommend the Hudson Hospital to family and friends.
Asunto(s)
Episodio de Atención , Satisfacción del Paciente , Atención Dirigida al Paciente/organización & administración , Historia del Siglo XXI , Hospitales Comunitarios , Humanos , Estudios de Casos Organizacionales , Participación del Paciente , Atención Dirigida al Paciente/economía , WisconsinRESUMEN
OBJECTIVE: Primary prevention of cardiovascular disease has been aimed at risk factor identification and treatment without efforts to document early cardiovascular disease. The objective of the current study is to screen individuals with vascular and cardiac tests aimed at identifying early abnormalities likely to progress and to measure risk contributors susceptible to therapy. METHODS: A center was established for comprehensive screening of an asymptomatic population with 10 tests designed to detect early vascular and cardiac abnormalities and blood tests to identify potential targets for risk contributor intervention. The first 396 individuals screened in the center have been analyzed. RESULTS: Using a scoring system from 0 (no disease) to 20 (advanced disease), 49% of the population exhibited scores of > or =5 and 39% exhibited scores of > or =6. These scores appear indicative of early disease mandating initiation of or change in medical therapy, which was recommended to the individuals screened and to their primary care physicians. CONCLUSION: The screening tests utilized are effective in uncovering unsuspected early cardiovascular disease in which targeted treatment could be effective in reducing the incidence of cardiovascular events in susceptible individuals. Documentation of the sensitivity and specificity of this approach requires longitudinal study.
Asunto(s)
Enfermedades Vasculares/diagnóstico , Disfunción Ventricular Izquierda/diagnóstico , Adulto , Anciano , Arterias/fisiología , Factor Natriurético Atrial/sangre , Biomarcadores/sangre , Determinación de la Presión Sanguínea/métodos , Ecocardiografía , Elasticidad , Electrocardiografía , Femenino , Fondo de Ojo , Humanos , Masculino , Persona de Mediana Edad , Péptido Natriurético Encefálico , Factores de Riesgo , Factores Sexuales , Sístole , Enfermedades Vasculares/sangre , Disfunción Ventricular Izquierda/sangreRESUMEN
Muchas de las personas e instituciones encargadas de prestar atención de salud desperdician posibilidades de recoger a partir de las personas a las que sirven informaciones valiosas para la retroalimentación de esos servicios. En el presente artículo se describe una forma eficaz y bastante sencilla de acopiar y utilizar tal información (AU)
Asunto(s)
Estudio de Evaluación , Encuestas y Cuestionarios/estadística & datos numéricos , Estados UnidosRESUMEN
Muchas de las personas e instituciones encargadas de prestar atención de salud desperdician posibilidades de recoger a partir de las personas a las que sirven informaciones valiosas para la retroalimentacion de esos servicios. En el presente articulo se describe una forma eficaz y bastante sencilla de acopiar y utilizar tal informacion
Asunto(s)
Comportamiento del Consumidor , Encuestas y Cuestionarios , Estados Unidos , Estudio de EvaluaciónRESUMEN
Muchas de las personas e instituciones encargadas de prestar atención de salud desperdician posibilidades de recoger a partir de las personas a las que sirven informaciones valiosas para la retroalimentación de esos servicios. En el presente artículo se describe una forma eficaz y bastante sencilla de acopiar y utilizar tal información (AU)