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接受预防性癌症筛查患者对医疗保健的满意度。

Satisfaction With Health Care Among Patients Navigated for Preventive Cancer Screening.

作者信息

Hermann Emilia A, Ashburner Jeffrey M, Atlas Steven J, Chang Yuchiao, Percac-Lima Sanja

机构信息

Department of Medicine, Columbia University Medical Center, New York, NY, USA.

Division of General Internal Medicine, Massachusetts General Hospital, Boston, MA, USA.

出版信息

J Patient Exp. 2018 Sep;5(3):225-230. doi: 10.1177/2374373517750413. Epub 2018 Jan 17.

Abstract

BACKGROUND

Patient navigation (PN) programs can improve cancer screening in underserved populations. PN may advance quality and equity of care by supporting individuals at increased risk of not receiving recommended care.

OBJECTIVE

To evaluate patient satisfaction with medical care and PN for cancer screening.

METHODS

We conducted a telephone survey of patients enrolled in a randomized control trial evaluating the impact of PN for cancer screening to assess their satisfaction with overall medical care and the PN program. We measured patient satisfaction with medical care using the Patient Satisfaction Questionnaire-18 and evaluated patient satisfaction with PN in the navigated group using the Patient Satisfaction with Interpersonal Relationships with Navigator questionnaire.

KEY RESULTS

Satisfaction surveys were completed by 114 navigated and 108 non-navigated patients (33% response rate). Patients who received PN had higher satisfaction scores with overall medical care (71.0 vs 66.8; < .001).

CONCLUSIONS

Our findings show that patients at high risk of nonadherence with comprehensive cancer screening were satisfied with PN and suggest that PN could positively influence patient satisfaction with overall medical care.

摘要

背景

患者导航(PN)项目可改善医疗服务不足人群的癌症筛查情况。PN可通过为未接受推荐治疗风险增加的个体提供支持,提高医疗质量和公平性。

目的

评估患者对癌症筛查医疗服务及PN的满意度。

方法

我们对参与一项评估PN对癌症筛查影响的随机对照试验的患者进行了电话调查,以评估他们对整体医疗服务和PN项目的满意度。我们使用患者满意度问卷-18来衡量患者对医疗服务的满意度,并使用患者对与导航员人际关系的满意度问卷来评估导航组患者对PN的满意度。

主要结果

114名接受导航的患者和108名未接受导航的患者完成了满意度调查(回复率为33%)。接受PN的患者对整体医疗服务的满意度得分更高(71.0对66.8;<0.001)。

结论

我们的研究结果表明,有不坚持全面癌症筛查高风险的患者对PN感到满意,并表明PN可能对患者对整体医疗服务的满意度产生积极影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ec5f/6134547/11505578424b/10.1177_2374373517750413-fig1.jpg

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