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实时患者反馈系统的疗效:精神病学中的患者满意度研究

Efficacy of a real-time patient feedback system: patient satisfaction study in psychiatry.

作者信息

Werkkala Camilla M, Bäckmand Heli M, Kuosmanen Lauri M, Vastamäki Marjut H, Rajala Tuula H, Lindqvist Pekka R, Jylhä Pekka J

机构信息

Acute Psychiatry and Consultations, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.

Joint Authority Administration, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.

出版信息

Nord J Psychiatry. 2020 Feb;74(2):155-162. doi: 10.1080/08039488.2019.1684989. Epub 2019 Nov 5.

Abstract

The aim of the study was two-fold: first, to assess the efficacy of an electronic real-time feedback system; second, to examine patient satisfaction. This was a mixed-method study. Data were collected from two psychiatric outpatient clinics using electronic patient feedback devices. The efficacy of the real-time feedback system was assessed by calculating the overall response rate, and the response rate to each individual five-point Likert scale statement and open-ended question by using descriptive statistics. Patient satisfaction was examined by analyzing the response rate to each statement. Open-ended feedback was analyzed by using inductive qualitative content analysis. The overall response rate was 21.0% ( = 1658) and response rates varied by statements. Most of the patients saw that they received the appointment to the outpatient clinic quickly enough ( = 1404, 85%), the personnel treated them well ( = 1126, 95%), the information about the care was understandable ( = 1066, 94%), and decisions regarding their care were made together with them ( = 1051, 94%). Of the patients, 94% ( = 1052) would recommend the service. Positive open-ended feedback highlighted good service, skilled staff, perceived benefits and help from care. Critique and development areas dealt with the large number of forms that required filling out beforehand, subjective experience of long waiting times, and having too many collaborative professionals present during treatment. The real-time feedback system proved to be an efficient method of gathering patient feedback. Patient satisfaction seemed to be high with received care in all fields.

摘要

该研究的目的有两个

第一,评估电子实时反馈系统的有效性;第二,调查患者满意度。这是一项混合方法研究。使用电子患者反馈设备从两家精神科门诊收集数据。通过计算总体回复率以及使用描述性统计分析对每个五点李克特量表陈述和开放式问题的回复率,来评估实时反馈系统的有效性。通过分析对每个陈述的回复率来调查患者满意度。使用归纳定性内容分析法对开放式反馈进行分析。总体回复率为21.0%(n = 1658),不同陈述的回复率有所不同。大多数患者认为他们能足够快地获得门诊预约(n = 1404,85%),工作人员对他们照顾周到(n = 1126,95%),护理信息易于理解(n = 1066,94%),并且在护理决策方面是与他们共同做出的(n = 1051,94%)。94%的患者(n = 1052)会推荐这项服务。积极的开放式反馈强调了优质的服务、熟练的工作人员以及护理带来的明显益处和帮助。批评和有待改进的方面涉及需要预先填写大量表格、等待时间长的主观感受以及治疗期间有过多协作专业人员在场的情况。实时反馈系统被证明是收集患者反馈的有效方法。患者对所接受护理的各个方面满意度似乎都很高。

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