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一份面向皮肤科门诊患者的新患者信息手册。

A new patient information leaflet for Dermatology outpatients.

作者信息

Becker Katrin, Whittam Lindsay

机构信息

Great Western Hospital, Swindon.

出版信息

BMJ Qual Improv Rep. 2014 Jul 22;3(1). doi: 10.1136/bmjquality.u203377.w1925. eCollection 2014.

Abstract

Lack of provision of information was the single most common cause of poor performance in the 2008/2009 NHS Patient Survey Programme of trusts in the UK. Information leaflets have been shown to improve patient satisfaction with consultations. We introduced a new patient information leaflet about the scheduled consultation in a district hospital's dermatology outpatient clinic. We then assessed in a small study its effect on the patients regarding helpfulness, preparation for and satisfaction with the out-patient consultation. Via the hospital's booking office, leaflets were sent to all patients (n=32) due to attend two outpatient clinics, accompanied by a letter about the survey. After the consultation, patients were given a short anonymous questionnaire to complete. Of the 32 patients, 12 patients did not receive the leaflet, three did not attend their consultation, and two left before they were handed the questionnaire. We gave out 15 questionnaires, and received 15 responses (100%). 46.9% of patients (n=15) answered the questionnaire. Of these 33.3% were new patients (n=5). 86.7% (n=13) found the leaflet helpful and 33% excellent (n=5). 86.7% felt well prepared for the consultation, 40% excellently (n=6). 86.7% were satisfied with the consultation, 73% rated their satisfaction as excellent (n=11). 60% of patients brought a list with their medication (n=9), 80% of the new patients (n=4). 13.3% of patients (n=2) wrote down questions prior to the consultation. Comments suggested the leaflet would be more useful for new patients. Patients scored highly for satisfaction with the consultation, whether or not they had received and information leaflet (we asked n=20 patients without leaflet). This short survey supports the idea that patients find it helpful to receive an information leaflet, and actively prepare by bringing a list of their medication, and thinking of questions.

摘要

信息提供不足是2008/2009年英国国民医疗服务体系(NHS)对各信托机构患者调查项目中表现不佳的最常见单一原因。已证明信息手册能提高患者对会诊的满意度。我们在一家地区医院的皮肤科门诊为预定会诊引入了一份新的患者信息手册。然后我们在一项小型研究中评估了其对患者在有用性、会诊准备情况以及门诊会诊满意度方面的影响。通过医院的预约办公室,向所有预定参加两次门诊会诊的患者(n = 32)发放了手册,并附上一封关于该调查的信。会诊后,给患者发放一份简短的匿名问卷以填写。32名患者中,12名患者未收到手册,3名未参加会诊,2名在拿到问卷前离开。我们发放了15份问卷,收到15份回复(100%)。46.9%的患者(n = 15)回答了问卷。其中33.3%是新患者(n = 5)。86.7%(n = 13)的患者认为手册有用,33%认为非常有用(n = 5)。86.7%的患者觉得为会诊做好了充分准备,40%认为准备得非常充分(n = 6)。86.7%的患者对会诊满意,73%将满意度评为非常满意(n = 11)。60%的患者(n = 9)带着用药清单前来,80%的新患者(n = 4)如此。13.3%的患者(n = 2)在会诊前写下了问题。评论表明手册对新患者可能更有用。无论是否收到信息手册,患者对会诊的满意度评分都很高(我们询问了20名未收到手册的患者)。这项简短的调查支持了这样一种观点,即患者发现收到信息手册很有帮助,并且会通过携带用药清单和思考问题来积极准备。

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