Bungard Tammy J, Barry Arden R, Jones Cindy, Brocklebank Cynthia
Division of Cardiology, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alberta, Canada.
Pharmacotherapy. 2013 Nov;33(11):1246-51. doi: 10.1002/phar.1318. Epub 2013 Jun 24.
To assess patients' perception of care delivery by anticoagulation clinics (ACs) throughout Alberta, Canada.
Prospective postal survey.
Therapy provision by an AC to ambulatory-based patients for a minimum of 3 months across the province.
A total of 1687 patients (67.9%) receiving warfarin therapy from 6 ACs for a minimum of 3 months responded.
The 25-item survey had responses grouped into domains of patient preference, knowledge, and service delivery. A 5-point Likert scale enabled each response to be assigned a numerical value from 1 (strongly disagree) to 5 (strongly agree). Overall, the mean response for patient satisfaction was 4.54, indicating most patients were satisfied with the AC care they received. Among those who had received care outside of an AC, 70.4% preferred AC care compared with 18.4% for family physician care. Mean responses for knowledge and service delivery exceeded 4.0, demonstrating positive responses in favor of AC care.
This study demonstrates that most patients were greatly satisfied with AC care and preferred the care received from an AC to that provided by their family physician. Service delivery across Alberta is well perceived by patients.
评估加拿大艾伯塔省各地抗凝门诊(AC)患者对护理服务的看法。
前瞻性邮寄调查。
全省范围内,AC为门诊患者提供至少3个月的治疗。
共有1687名接受6家AC华法林治疗至少3个月的患者做出回应(回应率67.9%)。
这份包含25个项目的调查问卷的回答分为患者偏好、知识和服务提供等领域。采用5分李克特量表,每个回答可被赋予从1(强烈不同意)到5(强烈同意)的数值。总体而言,患者满意度的平均得分为4.54,表明大多数患者对他们所接受的AC护理感到满意。在那些曾在AC以外接受护理的患者中,70.4%的人更喜欢AC护理,而选择家庭医生护理的比例为18.4%。知识和服务提供方面的平均得分超过4.0,表明对AC护理持积极态度。
本研究表明,大多数患者对AC护理非常满意,并且比起家庭医生提供的护理,他们更喜欢从AC获得的护理。艾伯塔省各地的服务提供得到了患者的良好认可。