Sydney Medical School, Faculty of Medicine and Health, University of Sydney, Sydney, NSW, Australia.
Sydney Nursing School, Faculty of Medicine and Health, University of Sydney, Sydney, NSW, Australia.
Heart Lung Circ. 2020 Aug;29(8):e210-e216. doi: 10.1016/j.hlc.2020.01.016. Epub 2020 Mar 7.
A number of Australian hospitals are piloting outpatient rapid access chest pain clinics (RACC) as a new clinical pathway. These clinics aim to provide an alternative to inpatient care for timely access to specialist cardiology assessment whilst improving quality of care and experience. An understanding of overall patient satisfaction can be considered a marker of overall clinical success, contributes to cost-effectiveness, and is needed to develop improvement strategies. We aimed to evaluate uncertainty, satisfaction and experience among patients treated in a RACC.
All consecutive patients presenting with troponin negative intermediate risk chest pain treated in a new RACC in a public quaternary teaching hospital over a 12-month period, were invited to participate in two core components: A paper-based questionnaire, and a one-month follow-up telephone structured interview. Patient satisfaction and uncertainty were assessed by the short form of the Mishel Uncertainty in Illness Scale (MUIS) and Picker Dimensions of care.
There was a 51.2% response rate (190/371). Patients ranged in age from 20 to 89 years (56.4±13.6 years) and 47% were female. Findings illustrated a global high level of satisfaction in all areas: care, comfort, communication and engagement, with low levels of uncertainty in illness experienced by patients.
There were high levels of satisfaction and minimal uncertainty for patients related to their management and care in the RACC during the study period. These results have formed part of the formal cost-effectiveness assessment of the RACC used to support its transition from a pilot implementation to standard of care at the study centre.
一些澳大利亚医院正在试点门诊快速通道胸痛诊所（RACC）作为一种新的临床途径。这些诊所旨在为及时获得心脏病专家评估提供替代住院治疗的方案，同时提高护理质量和体验。整体患者满意度可以被视为整体临床成功的标志，有助于成本效益，并需要制定改进策略。我们旨在评估 RACC 治疗的患者的不确定性、满意度和体验。
在一家公立四级教学医院的新 RACC 中，对在 12 个月期间出现肌钙蛋白阴性中危胸痛的连续患者进行了问卷调查，邀请他们参加两个核心部分：纸质问卷和一个月随访电话结构化访谈。患者的满意度和不确定性通过Mishel 疾病不确定感量表（MUIS）和 Picker 护理维度的简短形式进行评估。
应答率为 51.2%（190/371）。患者年龄从 20 岁到 89 岁不等（56.4±13.6 岁），47%为女性。研究结果表明，所有领域的患者满意度均处于较高水平：护理、舒适度、沟通和参与度，患者的疾病不确定感较低。
在研究期间，患者对 RACC 的管理和护理满意度高，不确定性低。这些结果已成为 RACC 正式成本效益评估的一部分，用于支持其从试点实施向研究中心的标准护理过渡。
