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. Tímarit hjúkrunarfræðinga 2006;
82: 405.
8. Karlsdóttir IL, Sveinsdóttir IG. Sjúklingaánægja þeirra
sem liggja á endurhæfingargeðdeild LSH. [Lokaverkefni
til B.Sc. prófs í hjúkrunarfræði]. Háskóli Íslands, Reykjavík
2009.
9. Guðjónsdóttir JS, Gústafsdóttir M. Reynsla dætra af flutn
ingi foreldra sem þjást af heilabilun á hjúkrunarheimili
[M.S. ritgerð]. Háskóli Íslands, Reykjavík 2005.
10. Þorsteinsdóttir K. Reynsla fólks af því að vera aðstandandi
sjúklings sem hefur nýlega veikst af heilablóðfalli og
dvelur á sjúkradeild. Tímarit hjúkrunarfræðinga 2008; 84:
4855.
11. Marshall GN, Marshall, GN, Hays RD, Sherbourne CD,
Wells KB. The structure of patient satisfaction with out
patient medical care. Psychol Assessment 1993; 5: 47783.
12. Trout A, Magnusson AR, Hedges JR. Patient satisfaction
investigations and the emergency department: what does
the literature say? Acad Emerg Med 2000; 7: 695709.
13. Soleimanpour H, Gholipouri C, Salarilak S, Raoufi P,
Vahidi RG, Rouhi AJ, et al. 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. Læknablaðið 2009; 95: 6618.
31. Vilhjálmsson R. Frestun læknisþjónustu meðal Íslendinga:
Umfang og skýringar. Læknablaðið 2011; 97: 52934.
32. Katz DA, Aufderheide TP, Gaeth G, Rahko PS, Hillis SL,
Selker HP. Satisfaction and emergency department revisits
in patients with possible acute coronary syndrome. J
Emerg Med 2013; 45: 94757.
33. Fenton JJ, Jerant AF, Bertakis KD, Franks P. The cost of
satisfaction: a national study of patient satisfaction, health
care utilization, expenditures, and mortality. Arch Intern
Med 2012; 172: 40511.
34. Hojat M, Louis DZ, Markham FW, Wender R, Rabinowitz
C, Gonnella JS. Physicians‘ empathy and clinical outcomes
for diabetic patients. Acad Med 2011; 86: 35964.
35. Marquis MS, Davies AR, Ware JE. Patient satisfaction and
change in medical care provider: a longitudinal study.
Med Care 1983; 21: 8219.
36. Williams S, Weinman J, Dale J. Doctorpatient comm
unication and patient satisfaction: a review. Fam Pract
1998; 15: 48092.
37. La Monica EL, Oberst MT, Madea AR, Wolf RM.
Development of a patient satisfaction scale. Res Nurs
Health 1986; 9: 4350.
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