Shoes in the cupboard: the fate of prescribed footwear?
Shoes in the cupboard: the fate of prescribed footwear?
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DOI：
10.1080/03093640108726569
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发表时间：
2001-04-01
影响因子：
1.5
通讯作者：
Meacher, K
中科院分区：
文献类型：
--
作者：
Williams, A;Meacher, K
研究表明，患者对处方鞋的不满意导致使用率低，其原因在于提供鞋的系统。本研究的目的是比较转诊者和患者对多学科鞋类诊所 (MDFC) 和传统外科器械诊所 (SAC) 的看法。转介顾问在六个月期间对每次转介都填写了一份调查问卷（28 份转介给 MDFC，27 份转介给 SAG）。结构化访谈旨在收集数据。结果显示，两组的推荐人都表示他们缺乏时间和知识来提供有关零售鞋类的建议。整个 MDFC 组，但 SAC 组中只有 18 名患者 (66.6%) 有机会在处方前讨论有关鞋类的问题。 SAC 组中约有 17 名 (62.9%) 报告了鞋子的问题，但该组中只有 11 名 (40.7%) 被告知出现问题时该怎么办。两组患者都表现出患者的态度、他们对足部改善的感知和总体满意度之间的关联。这些因素似乎对处方鞋的使用有影响，SAC 组中有 13 名（48.1%）使用其他鞋，而 MDFC 组有 2 名（7.2%）使用其他鞋。这项研究补充了其他研究中提出的建议，即需要审查 SAC 系统并确定影响患者满意度的关键领域。
Studies show that patient dissatisfaction with prescribed footwear results in low usage and that the cause is the system that provides it.The aim of this study was to compare referrer and patient perceptions of a multidisciplinary footwear clinic (MDFC) and a traditional surgical appliance clinic (SAC). Referring consultants completed a questionnaire for every referral (28 referred to the MDFC and 27 to the SAG) during a six-month period. Structured interviews were designed to gather the data.The results showed that referrers to both groups indicated that they lacked the time and knowledge to give advice about retail footwear. The entire MDFC group but only 18 (66.6%) of patients in the SAC group had the opportunity for discussion about footwear before the prescription took place. Some 17 (62.9%) in the SAC group reported problems with the footwear but only 11 (40.7%) of this group were informed what to do if problems occurred. Both groups demonstrated an association between the patient's attitude, their perception of improvement in their feet and overall satisfaction. These factors seemed to have an impact on the usage of the prescription footwear with 13 (48.1%) of the SAC group using other footwear compared with 2 (7.2%) in the MDFC group.This study adds to the suggestions made in other studies that there is a need to review the SAC system and identifies key areas that influence patient satisfaction.