Hamilton Regional Eye Institute, Research Unit, Division of Ophthalmology, Department of Surgery, McMaster University, Hamilton, Ont.
Hamilton Regional Eye Institute, Research Unit, Division of Ophthalmology, Department of Surgery, McMaster University, Hamilton, Ont; Wayne State School of Medicine, Detroit, MI.
Can J Ophthalmol. 2018 Apr;53(2):110-116. doi: 10.1016/j.jcjo.2017.08.002. Epub 2017 Sep 28.
To assess patient satisfaction with emergency ophthalmology care and determine the effect provision of anticipated appointment wait time has on scores.
Single-centre, randomized control trial.
Fifty patients triaged at the Hamilton Regional Eye Institute (HREI) from November 2015 to July 2016.
Fifty patients triaged for next-day appointments at the HREI were randomly assigned to receive standard-of-care preappointment information or standard-of-care information in addition to an estimated appointment wait time. Patient satisfaction with care was assessed postvisit using the modified Judgements of Hospital Quality Questionnaire (JHQQ). In determining how informing patients of typical wait times influenced satisfaction, the Mann-Whitney U test was performed. As secondary study outcomes, we sought to determine patient satisfaction with the intervention material using the Fisher exact test and the effect that wait time, age, sex, education, mobility, and number of health care providers seen had on satisfaction scores using logistic regression analysis.
The median JHQQ response was "very good" (4/5) and between "very good" and "excellent" (4.5/5) in the intervention and control arms, respectively. There was no difference in patient satisfaction between the cohorts (Mann-Whitney U = 297.00, p = 0.964). Logistic regression analysis demonstrated that wait times influenced patient satisfaction (OR = 0.919, 95% CI 0.864-0.978, p = 0.008). Of the intervention arm patients, 92.0% (N = 23) found the preappointment information useful, whereas only 12.5% (N = 3) of the control cohort patients noted the same (p < 0.001).
Provision of anticipated wait time information to patients in an emergency on-call ophthalmology clinic did not influence satisfaction with care as captured by the JHQQ.
评估急诊眼科护理的患者满意度，并确定提供预期预约等待时间对评分的影响。
单中心、随机对照试验。
2015 年 11 月至 2016 年 7 月在汉密尔顿地区眼科研究所（HREI）分诊的 50 名患者。
在 HREI 预约次日就诊的 50 名患者被随机分配接受标准预约前信息或标准预约信息，外加预计预约等待时间。患者就诊后使用改良的医院质量判断问卷（JHQQ）评估对护理的满意度。在确定告知患者典型等待时间如何影响满意度时，采用 Mann-Whitney U 检验。作为次要研究结果，我们使用 Fisher 确切检验确定患者对干预材料的满意度，并使用逻辑回归分析确定等待时间、年龄、性别、教育程度、活动能力和就诊的医疗保健提供者数量对满意度评分的影响。
干预组和对照组的 JHQQ 中位数反应分别为“非常好”（4/5）和“非常好”到“极好”之间（4.5/5）。两组患者的满意度无差异（Mann-Whitney U = 297.00，p = 0.964）。逻辑回归分析表明，等待时间影响患者满意度（OR = 0.919，95%CI 0.864-0.978，p = 0.008）。在干预组患者中，92.0%（N = 23）认为预约前信息有用，而对照组患者中只有 12.5%（N = 3）表示同样如此（p < 0.001）。
向急诊眼科诊所的患者提供预期等待时间信息并未影响 JHQQ 所捕获的护理满意度。
