Assessment of quality of care in an Oncology Institute using information on patients' satisfaction
Assessment of quality of care in an Oncology Institute using information on patients' satisfaction
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DOI：
10.1159/000055362
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发表时间：
2001-01-01
期刊：
影响因子：
3.5
通讯作者：
de Haes, JCJM
中科院分区：
文献类型：
--
作者：
Brédart, A;Razavi, D;de Haes, JCJM
目的：评估在肿瘤医院环境中进行患者满意度调查的可行性，使用在家中完成的多维患者满意度问卷。方法：收集了133例连续患者的社会人口学和临床数据。要求患者在出院前完成欧洲癌症研究和治疗组织QLQ-C30（版本2.0），并在出院后2周完成家庭护理满意度综合评估。结果如下：应答者（73%的患者）更年轻，住院时间更短，食欲不振，恶心和呕吐更少，身体和角色功能更好。患者最希望改善的护理方面与提供医疗信息有关。在多变量分析中，住院时间越长，对医疗和护理各方面的满意度越高，这很可能是因为患者提前出院不能保证护理的连续性，并且缺乏有关在家自我护理的信息。更高的整体生活质量与对护理各个方面的更高满意度相关，表明患者满意度对患者福祉的潜在贡献。结论：在肿瘤医院环境中进行患者满意度调查被证明是可行的;然而，进一步的调查应尝试获得身体状况更严重的患者的意见。病人满意度的评估提供了改善护理在一个特定的医院的迹象。虽然这项研究的结果是特定于一家医院，该方法可以复制在其他医院的设置，但可能会导致其他结论。版权所有（C）2001 S. Karger AG，巴塞尔。
Objective: To evaluate the feasibility of conducting a patient satisfaction survey in the oncology hospital setting, using a multidimensional patient satisfaction questionnaire to be completed at home. Methods: Sociodemographic and clinical data were collected for 133 consecutive patients. Patients were asked to complete the European Organisation for Research and Treatment of Cancer QLQ-C30 (version 2.0) just before hospital discharge and the Comprehensive Assessment of Satisfaction with Care at home 2 weeks after discharge. Results: Respondents (73% of patients approached) were younger, hospitalized for a shorter time and presented less appetite loss, nausea and vomiting and better physical and role functioning than non-responders. The aspects of care for which patients wanted the most improvement were associated with the provision of medical information. In multivariate analyses, longer hospital stay was associated with higher satisfaction with all aspects of medical and nursing care, most probably because patients discharged early were not assured of continuity of care and lacked information regarding self-care at home. Higher global quality of life was associated with higher satisfaction with all aspects of care, suggesting the potential contribution of patient satisfaction to the patients' well-being. Conclusions: Conducting a patient satisfaction survey in an oncology hospital setting proved feasible; however, further surveys should attempt to obtain the opinion of patients with more severe physical conditions. The assessment of the patients' satisfaction provided indications for improvement of care in a particular hospital. Although the results of this study are specific to one hospital, the methods could be reproduced in other hospital settings, but may possibly lead to other conclusions. Copyright (C) 2001 S. Karger AG, Basel.