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◆ Journal of Brown Hospital Medicine2026-01-01· Patient experience

Improving Patient Experience in Healthcare

Thomas Szewczyk, Farzana Hoque

原始摘要(英文原文)· Original abstract
Patient experience has become a central dimension of healthcare quality, influencing safety, trust, adherence, and long-term engagement. It spans the patient journey across critical touchpoints-admission, hospitalization, environment, and discharge-highlighting opportunities to improve care delivery. First impressions during admission shape trust, as respectful interactions and clear orientation correlate with higher satisfaction and likelihood-to-recommend scores. Communication throughout hospitalization remains the most influential factor; empathy, active listening, and structured bedside reporting consistently enhance perceptions of clinician competence and compassion. The hospital environment-including cleanliness, reduced noise, and access to natural light-affects patients' sense of safety, dignity, and recovery. Discharge represents a pivotal transition in which structured education, culturally tailored planning, and follow-up calls reduce readmissions and strengthen preparedness for self-care. Importantly, patient experience varies across populations, with disparities by race, language, and socioeconomic status. Addressing these differences requires cross-cultural communication, interpreter services, and shared decision-making that respect patient values and beliefs. Measurement approaches also warrant reconsideration. While the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey provides essential benchmarks, its delayed recall and fixed-response design may limit insights into trust, communication, and emotional safety. Patient experience should be recognized not merely as a compliance requirement but as an ethical and strategic imperative. Sustainable improvement depends on investment in staff training, inclusive design, and systems that embed empathy and cultural responsiveness as core elements of high-quality, patient-centered care.
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