Dağdeviren Nezih, Akturk Zekeriya
Department of Family Practice, Trakya University Medical Faculty, 22030 Edirne, Turkey.
Yonsei Med J. 2004 Feb 29;45(1):23-8. doi: 10.3349/ymj.2004.45.1.23.
Seeking to understand patient perspectives is an important step in the efforts to improve the quality of health care. Developed by the EQuiP Task Force on Patient Evaluations of General Practice Care, the EUROPEP instrument aims to collect information on patient evaluations of general practice care. In order to expose the current state of patient satisfaction and make international comparisons, a study was conducted with relevant data collected from Turkey. The Turkish version of the EUROPEP instrument was administered to 1160 patients in six different Turkish cities. Thirty-three medical practices were included in the study. In every practice, a minimum of 30 adult patients who visited the practice for a consultation were consecutively included. The results were compared with previous values from European countries. "Helping you understand the importance of following his or her advice", "Getting through to the practice on the telephone", and "Providing quick services for urgent health problems" were evaluated best (76.7%, 76.3%, and 76.2%, 'good or excellent' ratings, respectively) and "Helping to deal with emotional problems related to the health status" was rated the worst (60.2%, 'good or excellent'). Other areas which had low ratings were: "Waiting time in the waiting room" (63.0%), "Quick relief of symptoms" (61.3%), and "Involving patients in decisions about medical care" (61.3%). Patient evaluations can help to educate medical staff about their achievements as well as their failures, assisting them to be more responsive to their patients' needs. In order to get the best benefit from EUROPEP, national benchmarking should be started to enable national and international comparisons.
了解患者的观点是提高医疗保健质量努力中的重要一步。欧洲全科医疗患者评价量表(EUROPEP)由全科医疗患者评价EQuiP特别工作组开发,旨在收集患者对全科医疗服务评价的信息。为了揭示患者满意度的现状并进行国际比较,利用从土耳其收集的相关数据开展了一项研究。EUROPEP量表的土耳其语版本被应用于土耳其六个不同城市的1160名患者。该研究纳入了33家医疗机构。在每家机构中,连续纳入至少30名前来就诊咨询的成年患者。研究结果与欧洲国家之前的数据进行了比较。“帮助您理解遵循其建议的重要性”“通过电话联系到医疗机构”以及“为紧急健康问题提供快速服务”的评价最佳(分别为76.7%、76.3%和76.2%,评级为“良好或优秀”),而“帮助处理与健康状况相关的情绪问题”的评价最差(60.2%,“良好或优秀”)。其他评分较低的方面包括:“候诊室等待时间”(63.0%)、“症状快速缓解”(61.3%)以及“让患者参与医疗护理决策”(61.3%)。患者评价有助于让医务人员了解自己的成就和不足,帮助他们更好地回应患者的需求。为了从EUROPEP中获得最大益处,应开始进行全国性基准测试,以实现国内和国际比较。