Reiser Or, Diamand Raz, Shavit Itai
Rappaport Faculty of Medicine, Technion-Institute of Technology, Haifa, Israel.
Emergency Department, Ruth Children's Hospital, Rambam Health Care Campus, Haifa, Israel.
Pediatr Int. 2019 Nov;61(11):1081-1085. doi: 10.1111/ped.14011.
Early unplanned return visits (EURV) to the emergency department (ED) are stressful for children and caregivers. Dissatisfaction with the first ED visit could influence the decision to revisit the ED. The aim was to evaluate comprehensively parents' satisfaction with the first ED visit.
A prospective questionnaire-based study of parents of EURV patients was conducted in a pediatric ED. Participants were enrolled based on convenience sampling. The study instrument was the parental satisfaction questionnaire (PSQ). The 27 PSQ items evaluate four themes related to satisfaction: attitude and respect, information provided, continuity of care, and waiting times. Items are rated on a five-point Likert scale.
During the 18-month study, 101 parents of EURV patients were surveyed and 98 agreed to participate. On the return visit, 63 EURV patients were discharged and 35 EURV patients were hospitalized. Eighty-seven (88.7%) caregivers scored an overall level of satisfaction with the first visit of 8-10 on a 10-point Likert scale. Median scores in 22 PSQ items were 4 (interquartile range [IQR] 4-5) or 4 (IQR 3-4). Median scores for "physicians attention and answering questions and concern" and "physicians clear and understood explanations" were 3 (IQR 3-4) and 2 (IQR 2-3), respectively. The PSQ scores were similar for patients who were discharged on the return visit and patients who were hospitalized.
Parents were satisfied with the care provided at the first ED visit. There was a lower level of satisfaction with physician interaction.
儿童及其照顾者前往急诊科进行早期非计划复诊会感到压力。对首次急诊科就诊的不满可能会影响再次前往急诊科的决定。目的是全面评估家长对首次急诊科就诊的满意度。
在一家儿科急诊科对非计划复诊患者的家长进行了一项基于问卷的前瞻性研究。参与者基于便利抽样纳入。研究工具是家长满意度问卷（PSQ）。PSQ的27个项目评估与满意度相关的四个主题：态度与尊重、提供的信息、护理连续性和等待时间。项目采用五点李克特量表评分。
在为期18个月的研究中，对101名非计划复诊患者的家长进行了调查，98名家长同意参与。复诊时，63名非计划复诊患者出院，35名非计划复诊患者住院。87名（88.7%）照顾者在10分制李克特量表上对首次就诊的总体满意度评分为8至10分。22个PSQ项目的中位数得分是4（四分位间距[IQR]4 - 5）或4（IQR 3 - 4）。“医生的关注、回答问题和关心”以及“医生清晰易懂的解释”的中位数得分分别为3（IQR 3 - 4）和2（IQR 2 - 3）。复诊时出院的患者和住院的患者的PSQ得分相似。
家长对首次急诊科就诊时提供的护理感到满意。对医生互动的满意度较低。
