Fitzpatrick R M, Bury M, Frank A O, Donnelly T
Nuffield College, University of Oxford, Great Britain.
Int Disabil Stud. 1987;9(4):161-5. doi: 10.3109/03790798709166354.
A sample of 72 patients attending the rheumatological back pain clinic of a district general hospital were interviewed at home, before their visit, about their expectations of the clinic. They also completed a Back Pain Disability Questionnaire. Fifty of the patients were recontacted by mail 3 months after their first clinic attendance and asked to complete the Back Pain Disability Questionnaire together with satisfaction questionnaires. Patients' reports, both with regard to expectations and satisfaction, particularly emphasized the importance of communication. One-third of the follow-up sample rated their clinic attendance as unhelpful, and although such views correlated with lack of improvement in pain and disability, other factors are involved in patients' evaluations. Significant correlations were obtained between subjective outcomes and health locus of control, social class and previous hospital treatment. Patient satisfaction may be a valuable measure of outcome in assessing the efficacy of back pain treatment.
在一家地区综合医院的风湿性背痛诊所就诊的72名患者样本，在就诊前在家中接受了关于他们对诊所期望的访谈。他们还完成了一份背痛残疾问卷。其中50名患者在首次就诊3个月后通过邮件再次联系，并被要求同时完成背痛残疾问卷和满意度问卷。患者关于期望和满意度的报告特别强调了沟通的重要性。三分之一的随访样本认为他们的就诊没有帮助，尽管这些观点与疼痛和残疾没有改善相关，但患者的评估还涉及其他因素。主观结果与健康控制点、社会阶层和以前的住院治疗之间存在显著相关性。患者满意度可能是评估背痛治疗效果的一个有价值的结果衡量指标。
