Su Heidi Y, Sykes Peter H
Obstetrics & Gynaecology, Christchurch Women's Hospital, Christchurch, New Zealand.
N Z Med J. 2009 Oct 30;122(1305):26-33.
This study sought to identify the perceived acceptable waiting times for gynaecological cancer surgery and to audit actual waiting times for gynaecological cancer patients in a tertiary referral service.
Women attending Gynaecological Outpatients and staff at Christchurch Women's Hospital were surveyed to determine their opinion regarding the acceptable waiting times from referral to diagnosis, diagnosis to treatment plan, and treatment plan to surgery for women with gynaecological cancer. The actual waiting times for patients who had surgery for gynaecological cancer over two 6-month periods at Christchurch Women's Hospital were audited. The waiting times obtained from the audit and the survey were then compared.
Eighty-one patients were approached, and 71 surveys were completed (88%), while 97 surveys were sent to staff with a response rate of 63% (61 returns). There were similar perceptions of maximum acceptable waiting times between patients and staff. The audit reviewed notes of 82 patients. The median waiting time for referral from primary care to diagnosis was longer than the perceived maximum acceptable. However, the median waiting time from diagnosis to treatment plan and from treatment plan to surgery was less than the perceived acceptable maximum.
This study documents perceived acceptable waiting times and actual waiting times for surgery of women with gynaecological cancer within a regional service. This study offers preliminary information towards the development of benchmarks for this service.
本研究旨在确定妇科癌症手术可接受的等待时间，并审核三级转诊服务中妇科癌症患者的实际等待时间。
对克赖斯特彻奇妇女医院妇科门诊的女性患者和工作人员进行了调查，以确定他们对于妇科癌症患者从转诊到诊断、从诊断到治疗方案以及从治疗方案到手术的可接受等待时间的看法。对克赖斯特彻奇妇女医院在两个6个月期间接受妇科癌症手术的患者的实际等待时间进行了审核。然后将审核得到的等待时间与调查得到的等待时间进行比较。
共联系了81名患者，完成了71份调查问卷（88%），同时向工作人员发放了97份调查问卷，回复率为63%（61份回复）。患者和工作人员对最大可接受等待时间的看法相似。审核了82名患者的病历。从初级保健转诊到诊断的中位等待时间长于可接受的最长时间。然而，从诊断到治疗方案以及从治疗方案到手术的中位等待时间短于可接受的最长时间。
本研究记录了区域服务中妇科癌症女性患者手术的可接受等待时间和实际等待时间。本研究为该服务基准的制定提供了初步信息。
