A bird can't fly on one wing: patient views on waiting for hip and knee replacement surgery
A bird can't fly on one wing: patient views on waiting for hip and knee replacement surgery
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DOI：
10.1111/j.1369-7625.2006.00425.x
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发表时间：
2007-06-01
影响因子：
3.2
通讯作者：
Noseworthy, Tom W.
中科院分区：
文献类型：
--
作者：
Conner-Spady, Barbara L.;Johnston, Geoffrey H.;Noseworthy, Tom W.
Objectives To obtain patients' perspectives on acceptable waiting times for hip or knee replacement surgery.Methods一份开放式和封闭式的调查问卷被邮寄给432名连续的患者，这些患者在3-12个月前在加拿大萨斯喀彻温省接受了髋关节或膝关节置换手术。结果303名被试（回答率70%）中，59%为女性，平均年龄70岁（SD 11）。从决定日期到手术的平均等待时间为17周。认为等待时间非常可接受的人（48%）的等待时间中位数为13周，而那些认为等待时间不可接受的人（23%）的等待时间中位数为22周。可接受性的两个最常见的决定因素是患者的期望和疼痛及其对患者生活质量的影响。中位最长可接受等待时间为13周，中位理想等待时间为8.6周。79%的人认为，那些更需要（更严重）的人应该在等待名单上排在他们之前。患者对最长可接受等待时间的评分基于：疼痛和活动能力丧失、准备手术所需的时间以及就诊时的严重程度。在考虑改变他们的外科医生一个较短的等待名单，68% wonldn.Conclusions患者的意见等待时间不仅与生活质量的问题，但也事先的期望和公平和优先的概念。了解患者对等待手术的看法，对更好地管理等待时间和关节置换术的经验具有重要意义。
Objectives To obtain patients' perspectives on acceptable waiting times for hip or knee replacement surgery.Methods A questionnaire with both open- and close-ended items was mailed to 432 consecutive patients who had hip or knee replacement surgery 3-12 months previously in Saskatchewan, Canada. A content analysis was used to analyse the text data from the open-ended questions.Results The sample of 303 (response rate 70%) was 59% female with a mean age of 70 years (SD 11). The median waiting time from the decision date to surgery was 17 weeks. Individuals who rated their waiting time very acceptable (48%) had a median waiting time of 13 weeks compared with a median waiting time of 22 weeks for those who rated it unacceptable (23%). The two most common determinants of acceptability were patient expectations and pain and its impact on patient quality of life. The median maximum acceptable waiting time was 13 weeks and median ideal waiting time, 8.6 weeks. Seventy-nine per cent felt that those in greater need (higher severity) should go before them on the waiting list. Patient ratings of maximum acceptable waiting time were based on: pain and loss of mobility, time needed to prepare for surgery, and severity at the time of seeing the surgeon. In consideration of changing their surgeon to one with a shorter waiting list, 68% would not.Conclusions Patient views on waiting times are not only related to quality of life issues, but also to prior expectations and notions of fairness and priority. Understanding patient views on waiting for surgery has implications for better management of waiting times and experiences for joint replacement.