Bounthavong Mark, Christopher Melissa L D, Mendes Margaret A S, Foster Emerald B, Johns Scott T, Lim Lesley, Rubin Lisa M, Patel Jignesh J, Stewart Anthony G
Veterans Affairs San Diego Healthcare System, 3350 La Jolla Village Drive, San Diego, CA 90026, USA.
Int J Pharm Pract. 2010 Apr;18(2):100-7.
The aim was to measure patient satisfaction with the Pharmacy Specialty Immunization Clinic (PSIC), a pharmacist-run vaccination clinic.
Patient satisfaction was measured using a non-validated instrument containing 10 items with a five-point Likert scale (strongly agree, agree, not sure, disagree and strongly disagree). Patients who were seen at the PSIC and who received at least one vaccination were eligible to take part in the patient satisfaction survey. Priority index, a method used to identify areas where limited resources can be used to maximize patient satisfaction, was calculated for the different items of the instrument to determine areas for quality improvement. This study was conducted at the Veterans Affairs San Diego Healthcare System (VASDHS).
A total of 188 (55.1%) out of 341 patients who received at least one vaccine in the PSIC completed the survey. Prior to any encounter with the PSIC, patients perceived that the VASDHS was doing a good job providing vaccinations (92.5% answered agree or strongly agree). This perception continued when asked about overall satisfaction after receiving vaccination through the PSIC (86.9% answered agree or strongly agree). When asked about the time the pharmacist spent with the patient, nearly all answered that the pharmacist spent as much time as necessary (97.8% answered agree or strongly agree). Patient satisfaction with pharmacist counselling was equally well received and reflected good communication between patient and pharmacist (97.8% answered agree or strongly agree). In regard to pharmacist competency, 98.9% (n = 184) of patients agreed that pharmacists in the PSIC administered vaccinations appropriately. Priority index identified access to the vaccine as an area where performance-improvement efforts should be committed to improve patient satisfaction.
Patients perceived good overall satisfaction with the pharmacist-run immunization clinic in terms of professionalism and access to vaccination. Priority index identified access to vaccination as a focus for future quality improvement.
旨在衡量患者对药剂师主导的疫苗接种诊所——药学专业免疫诊所(PSIC)的满意度。
采用一份未经验证的调查问卷来衡量患者满意度,该问卷包含10个项目,采用五点李克特量表(强烈同意、同意、不确定、不同意、强烈不同意)。在PSIC就诊且至少接种过一剂疫苗的患者有资格参与患者满意度调查。为该调查问卷的不同项目计算了优先指数,这是一种用于确定可利用有限资源以最大限度提高患者满意度的领域的方法,以确定质量改进的领域。本研究在圣地亚哥退伍军人事务医疗保健系统(VASDHS)开展。
在PSIC至少接种过一剂疫苗的341名患者中,共有188名(55.1%)完成了调查。在与PSIC接触之前,患者认为VASDHS在提供疫苗接种方面做得很好(92.5%回答同意或强烈同意)。在通过PSIC接种疫苗后询问总体满意度时,这一认知依然存在(86.9%回答同意或强烈同意)。当被问及药剂师与患者相处的时间时,几乎所有人都回答药剂师花了足够的时间(97.8%回答同意或强烈同意)。患者对药剂师咨询的满意度同样很高,这反映了患者与药剂师之间良好的沟通(97.8%回答同意或强烈同意)。关于药剂师的能力,98.9%(n = 184)的患者同意PSIC的药剂师进行疫苗接种操作得当。优先指数确定疫苗获取是应致力于改进以提高患者满意度的绩效改进领域。
患者对药剂师主导的免疫诊所的专业性和疫苗可及性总体满意度较高。优先指数确定疫苗获取是未来质量改进的重点。