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患者对静脉血栓栓塞症治疗的满意度。

Patient Satisfaction With Venous Thromboembolism Treatment.

机构信息

1 Department of Pharmacotherapy, University of Utah, Salt Lake City, UT, USA.

2 Division of Pharmaceutical Outcomes and Policy, Eshelman School of Pharmacy, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.

出版信息

Clin Appl Thromb Hemost. 2019 Jan-Dec;25:1076029619864663. doi: 10.1177/1076029619864663.

Abstract

Venous thromboembolism (VTE) represents a major health-care problem. Understanding patient satisfaction with VTE care is an important health-care goal. A national online survey was administered to adults who had experienced a recent VTE event. The survey assessed patient satisfaction by: (1) satisfaction with VTE care provider; (2) likelihood to recommend VTE provider; and (3) satisfaction with communication between VTE care providers. Each question was correlated with patient demographics, patient care harms (ie, misdiagnosis, wrong treatment), patient beliefs concerning outcomes, and type of anticoagulant therapy. Respondents (907) were 52.4 ± 14.4 years, predominantly Caucasian, mostly women, and generally had health insurance. Most respondents were satisfied with VTE care providers, likely to recommend their VTE provider, and satisfied with communication between providers. Dissatisfaction was strongly associated with treatment mistakes, a wrong diagnosis or treatment, or delayed treatment. A national sample of VTE patients were generally satisfied with VTE care experiences. The VTE care dissatisfaction was strongly associated with perceived mistakes in VTE care. Interventions aimed at reducing, acknowledging, and communicating errors could be studied to improve VTE care satisfaction.

摘要

静脉血栓栓塞症(VTE)是一个主要的医疗保健问题。了解患者对 VTE 护理的满意度是一个重要的医疗保健目标。一项针对近期发生过 VTE 事件的成年人的全国性在线调查,通过以下三个方面评估患者的满意度:(1)对 VTE 护理提供者的满意度;(2)向他人推荐 VTE 提供者的可能性;(3)对 VTE 护理提供者之间沟通的满意度。每个问题都与患者人口统计学特征、患者护理伤害(即误诊、错误治疗)、患者对结果的信念以及抗凝治疗类型相关联。受访者(907 人)的年龄为 52.4±14.4 岁,主要为白种人,大多数为女性,且普遍有医疗保险。大多数受访者对 VTE 护理提供者感到满意,可能会推荐他们的 VTE 提供者,并且对提供者之间的沟通感到满意。不满与治疗错误、错误诊断或治疗、或延迟治疗密切相关。VTE 患者的全国性样本总体上对 VTE 护理体验感到满意。VTE 护理的不满与 VTE 护理中感知到的错误密切相关。可以研究旨在减少、承认和沟通错误的干预措施,以提高 VTE 护理满意度。

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