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Læknablaðið - 01.07.2014, Blaðsíða 22

Læknablaðið - 01.07.2014, Blaðsíða 22
390 LÆKNAblaðið 2014/100 R a n n S Ó k n ENGLISH SUMMARY introduction: The Icelandic health care system ranks favourably in international comparison but patients’ experience of interaction with the health service has not been well studied. The goal of this study was to examine the satisfaction of patients admitted to the Acute Cardiac Unit (ACU) at Landspitali – The National University Hospital of Iceland. Methods: A questionnaire based on the Patient Satisfaction Question- naire III was mailed to patients admitted to the ACU between 1 january and 29 February 2012. Questions were presented as statements and participants asked to respond how strongly on a scale from 1 to 5 they agreed or disagreed with each statement. Data analysis was performed using descriptive statistics, Cronbach´s alpha for internal consistency of scales and principal components analysis, Wilcoxon-Mann-Whitney and Kruskal-Wallis tests for comparison of groups and Pearson and Spearman correlation coefficients for correlation between variables. Results: The questionnaire was mailed to 485 individuals of whom 275 (57%) responded. The median age of the participants was 62 (range, 19-95) years and 132 (48%) were women. Internal consistency of the scales was mostly high (Cronbach’s alpha 0.62-0.91) and principal components analysis revealed one main factor. The mean score of the questionnaire was 6.8 ±1.0 and 91%, and 86% of the participants were pleased with their interaction with physicians and nurses, respectively. Similarly, 88% were pleased with the care they recieved but 25% felt they received insufficient explanations of their symptoms or that follow- up care was lacking. Conclusion: Patients of the ACU generally appear to be satisfied with their care. However, our results suggest that improvement is needed in several areas, including information provided at discharge and follow-up care. Patient satisfaction with care and interaction with staff in the acute Cardiac Unit at landspitali – The national University Hospital of iceland Margret H. Snorradottir1, David O. Arnar1,2, Ragnar F. Olafsson3, Runolfur Palsson1,2, Olafur S. Indridason2 key words: Health service, acute cardiac unit, heart disease, quality of care, PSQ-III questionnaire, survey. Correspondence: Ólafur Skúli Indriðason, olasi@landspitali.is 1Faculty of Medicine, University of Iceland, 2Internal Medicine Services, Landspitali - The National University Hospital of Iceland, 3Educational Testing Institute, Reykjavik, Iceland. Heimildir 1. Lög um réttindi sjúklinga. 1997. althingi.is/ lagas/139b/1997074.html ­ apríl 2014. 2. Euro Health Consumer Index 2013 Report. Euro Consumer Powerhouse, 2013. healthpowerhouse.com/index. php?option=com_content&view=category&layout=blog &id=36&Itemid=55 ­ apríl 2014. 3. Viðhorf, þekking og ánægja íbúa á þjónustu Heilbrigðisstofnunar Austurlands á Egilsstöðum 2004. hdl.handle.net/1946/208. ­ apríl 2014. 4. Bragadóttir H, Kristjánsdóttir G, Gunnarsdóttir H. Mikilvægustu þarfir foreldra á barnadeildum og hvernig þeim er fullnægt: niðurstöður úr rannsókn á Barnaspítala Hringsins. Tímarit hjúkrunarfræðinga 2006; 1: 20­7. 5. Bragadóttir H, Sigurðardóttir R, Gunnarsdóttir H, Ragnarsdóttir A, Sigurðardóttir AO. Ánægja foreldra með þjónustu á barnadeildum Barnaspítala Hringsins. Tímarit hjúkrunarfræðinga 2007; 83: 38­48. 6. Ásmundsdóttir LB, Gunnlaugsdóttir AG, Sveinsdóttir H. Mat skurðsjúklinga á verkjum og verkjameðferð. Tímarit hjúkrunarfræðinga 2010; 86: 48­56. 7. Biering P, Kristmundsdóttir L, Jörgensdóttir H, Jónsson Þ. Reynsla foreldra af því að eiga börn á legudeildum barna­ og unglingageðdeildar. 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Emergency department patient satisfaction survey in Imam Reza Hospital, Tabriz, Iran. Int J Emerg Med 2011; 4: 2. 14. Hagedoorn M, Uijl SG, Van Sonderen E, Ranchor AV, Grol BMF, Otter R, et al. Structure and reliability of Ware‘s Patient Satisfaction Questionnaire III: patients‘ satisfaction with oncological care in the Netherlands. Med Care 2003; 41: 254­63. 15. Richards CR, Richell­Herren K, Mackway­Jones K. Emergency management of chest pain: patient satisfaction with an emergency department based six hour rule out myocardial infarction protocol. Emerg Med J 2002; 19: 122­ 5. 16. Sitzia J. How valid and reliable are patient satisfaction data? An analysis of 195 studies. Int J Qual Health Care 1999; 11: 319­28. 17. Hays RD, Davies AR, Ware JE. Scoring the Medical Outcomes Study Patient Satisfaction Questionnaire: PSQ­ III. 1987. rand.org/content/dam/rand/www/external/ health/surveys_tools/psq/psq3_scoring.pdf ­ apríl 2014. 18. Ware JE, Snyder MK, Wright WR, Davies AR. Defining and measuring patient satisfaction with medical care. Eval Program Plann 1983; 6: 247­63. 19. Roberts JG, Tugwell P. Comparison of questionnaires determining patient satisfaction with medical care. Health Serv Res 1987; 22: 637­54. 20. Geyman JP. The corporate transformation of medicine and its impact on costs and access to care. J Am Board Fam Pract 2003; 16: 443­54. 21. Pine II BJ, Gilmore JH. The Experience Economy; Work is theater and every business a stage. Harvard Business Press, Boston 1999. 22. Welch SJ. Twenty years of patient satisfaction research applied to the emergency department: a qualitative review. Am J Med Qual 2010; 25: 64­72. 23. Berry LL, Carbone LP. Build loyalty through experience management. Qual Prog 2007; 40: 26­32. 24. Berry LL, Seltman KD. Management Lessons from the Mayo Clinic: Inside One of the World’s Most Admired Service Organizations. McGraw­Hill, New York 2008. 25. Sun BC, Adams J, Orav EJ, Rucker DW, Brennan TA, Burstin HR. Determinants of patient satisfaction and will­ ingness to return with emergency care. Ann Emerg Med 2000; 35: 26­34. 26. Þjónustukönnun Landspítala, maí 2012. landspitali. is/lisalib/getfile.aspx?itemid=91d18ff5­2a7a­11e2­8611 ­005056be0005 ­ apríl 2014. 27. Boulding W, Glickman SW, Manary MP, Schulman KA, Staelin R. Relationship between patient satisfaction with inpatient care and hospital readmission within 30 days. Am J Manag Care 2011; 17: 41­8. 28. Glickman SW, Boulding W, Manary M, Staelin R, Roe MT, Wolosin RJ, et al. Patient satisfaction and its relationship with clinical quality and inpatient mortality in acute myocardial infarction. Circ Cardiovasc Qual Outcomes 2010; 3: 188­95. 29. Kravitz RL, Hays RD, Sherbourne CD, DiMatteo MR, Rogers WH, Ordway L, et al. Recall of recommendations and adherence to advice among patients with chronic medical conditions. Arch Intern Med 1993; 153: 1869­78. 30. Vilhjálmsson R. Bein útgjöld íslenskra heimila vegna heil­ brigðismála. 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La Monica EL, Oberst MT, Madea AR, Wolf RM. Development of a patient satisfaction scale. Res Nurs Health 1986; 9: 43­50. Benidette – Getnaðarvörn til inntöku Barneignir ekki á dagskrá Hver tafla inniheldur 150 µg af desógestreli og 20 µg af etinýlestradíóli. H V ÍT A H Ú S IÐ / S ÍA - A c ta v is 3 1 6 0 8 1
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