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用于改善针灸实践的患者反馈:来自梅奥诊所的一项调查。

Patient feedback for acupuncture practice improvement: A survey from Mayo Clinic.

作者信息

Thomley Barbara S, Mahapatra Saswati, Bauer Brent A, Mallory Molly J, Li Guang-Xi, Do Alexander, Chon Tony Y

机构信息

Division of Operations, Mayo Clinic Hospital, New York, AZ, 85054, USA.

Integrative Medicine and Health, Division of General Internal Medicine, Mayo Clinic, MN, 55902, USA.

出版信息

Chin J Integr Med. 2017 Nov;23(11):816-821. doi: 10.1007/s11655-017-2779-2. Epub 2017 Oct 28.

DOI:10.1007/s11655-017-2779-2
PMID:29080195
Abstract

OBJECTIVE

To understand patient satisfaction with acupuncture appointment duration for the first and subsequent appointments in the plan of care, time spent with the acupuncture provider, willingness to pay for longer duration appointments, and lack of insurance coverage.

METHODS

Patients who were referred for an acupuncture consult to the Center for Integrative Medicine at Mayo Clinic were asked to participate in the survey in August 2014. Patients were given paper survey at time of appointment check-in and entered into Research Electronic Data Capture Survey database tool to reveal patient-reported outcomes.

RESULTS

In total, 104 of 329 patients receiving acupuncture treatment responded to the survey with a 32% response rate. Insight and recommended changes to the duration of the initial and subsequent appointments were obtained. Most patients reported that time spent with the provider (76 cases, 74%) and appointment length (74 cases, 68%) were "just right". Seventy cases (70%) of respondents indicated that they wanted longer treatment. Patients reported return appointments with duration of 30 min was not enough. Fifty-three patients (62%) were willing to pay for additional costs not covered by insurance.

CONCLUSIONS

We used patient feedback to assess the acupuncture practice in a complementary and integrative medicine program. Most patients referred for the acupuncture consult appeared to be satisfied with the current level of practice. These findings were used to establish a quality improvement plan that may be implemented to improve patient satisfaction with the acupuncture practice.

摘要

目的

了解患者对护理计划中首次及后续针灸预约时长、与针灸服务提供者相处时间、为更长预约时长付费的意愿以及保险覆盖不足情况的满意度。

方法

2014年8月,被转介至梅奥诊所综合医学中心进行针灸咨询的患者被邀请参与调查。患者在预约登记时收到纸质调查问卷,并录入研究电子数据采集调查数据库工具以揭示患者报告的结果。

结果

总共329名接受针灸治疗的患者中有104名回复了调查,回复率为32%。获得了关于首次及后续预约时长的见解和建议改进措施。大多数患者报告称与服务提供者相处的时间(76例,74%)和预约时长(74例,68%)“恰到好处”。70例(70%)受访者表示他们希望接受更长时间的治疗。患者报告30分钟的复诊预约时长不够。53名患者(62%)愿意支付保险未涵盖的额外费用。

结论

我们利用患者反馈来评估补充与整合医学项目中的针灸实践。大多数被转介进行针灸咨询的患者似乎对当前的实践水平感到满意。这些结果被用于制定一项质量改进计划,该计划可用于提高患者对针灸实践的满意度。

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