Wissenschaftliches Institut der Niedergelassenen Hämatologen und Onkologen, GmbH - WINHO, Vor den Siebenburgen 2, Köln, Germany.
Dtsch Arztebl Int. 2008 Dec;105(50):871-7. doi: 10.3238/arztebl.2008.0871. Epub 2008 Dec 12.
The purpose of patient surveys is to measure the quality of health care from the patient's point of view. They are recommended as a way to detect the strengths and weaknesses of patient care and to locate areas of potential improvement.
In the autumn of 2006, patients undergoing care in subspecialty oncology practices across Germany were given a questionnaire to be answered in writing. A total of 15 272 patients participated (response rate, 68.8%). The questionnaire addressed patient satisfaction with practice staff and organization as well as with the treating physicians themselves.
The practices, their staffs, and the doctors were generally rated at least "good" in all aspects of patient care. Less highly rated aspects of practice organization, despite overall satisfaction, were waiting times and accessibility in emergencies. Appointment scheduling was considered good. Patients were particularly satisfied with the time their doctors devoted to them, but less satisfied with their advice about "alternative" treatments. The doctors involved them in the treatment process to differing extents and gave a variable degree of psychosocial care.
The questionnaires documented high overall satisfaction with oncology practices with little variation among the individual items. There were a few specific areas that accounted for the differences between well and poorly rated practices and physicians; in these areas, there is a potential for improvement.
患者调查的目的是从患者的角度衡量医疗保健的质量。它们被推荐作为发现患者护理的优势和劣势以及确定潜在改进领域的一种方法。
2006 年秋季,德国各肿瘤专科诊所的患者接受了书面问卷调查。共有 15272 名患者参与(应答率为 68.8%)。调查问卷涉及患者对诊所工作人员和组织以及治疗医生本人的满意度。
实践、其工作人员和医生在患者护理的所有方面都至少被评为“良好”。尽管总体满意度较高,但实践组织方面的评价较低,包括等待时间和紧急情况下的可及性。预约安排被认为是好的。患者特别满意医生为他们花费的时间,但对医生关于“替代”治疗的建议不太满意。医生以不同的程度让患者参与治疗过程,并提供不同程度的心理社会关怀。
问卷记录了对肿瘤学实践的总体满意度很高,个别项目之间差异很小。有一些具体领域导致了评分高和评分低的实践和医生之间的差异;在这些领域,有改进的潜力。