Blank Alan T, Shaw Sara, Wakefield Connor J, Zhang Yue, Liu Wei J, Jones Kevin B, Randall R Lor
Department of Orthopedic Surgery, Division of Oncology, Rush University Medical Center, Chicago, IL 61011, United States.
Department of Orthopedics, University of Utah, Salt Lake City, UT 84122, United States.
World J Clin Oncol. 2020 Mar 24;11(3):136-142. doi: 10.5306/wjco.v11.i3.136.
Patient satisfaction and reported outcomes are becoming increasingly important in determining the efficacy of clinical care. To date no study has evaluated the patient experience in the orthopedic oncology outpatient setting to determine which factors of the encounter are priorities to the patient.
To evaluate what factors impact patient experience and report satisfaction in an outpatient orthopedic oncology clinic.
Press Ganey patient surveys from a single outpatient orthopedic oncology clinic at a tertiary care setting were prospectively collected per routine medical care. All orthopedic oncology patients who were seen in clinic and received electronic survey were included. All survey responses were submitted within one month of clinic appointment. IRB approval was obtained to retrospectively collect survey responses from 2015 to 2016. Basic demographic data along with survey category responses were collected and statistically analyzed.
One hundred sixty-two patient surveys were collected. Average patient age was 54.4 years (SD = 16.2 years) and were comprised of 51.2% female and 48.4% male. 64.2% of patients were from in-state. Out of state residents were more likely to recommend both the practice and attending physician. The likelihood to recommend attending physician was positively associated with MD friendliness/courtesy (OR = 14.4, 95%CI: 2.5-84.3), MD confidence (OR = 48.2, 95%CI: 6.2-376.5), MD instructions follow-up care (OR = 2.5, 95%CI: 0.4-17.4), and sensitivity to needs (OR = 16.1, 95%CI: 1-262.5). Clinic operations performed well in the categories of courtesy of staff (76%) and cleanliness (75%) and less well in ease of getting on the phone (49%), information about delays (36%), and wait time (37%).
Orthopedic specialties can utilize information from this study to improve care from the patient perspective. Future studies may be directed at how to improve these areas of care which are most valued by the patient.
患者满意度和报告的结果在确定临床护理效果方面变得越来越重要。迄今为止，尚无研究评估骨科肿瘤门诊患者的就医体验，以确定就医过程中的哪些因素对患者来说是优先事项。
评估在骨科肿瘤门诊中，哪些因素会影响患者体验并报告满意度。
在一家三级医疗机构的单一骨科肿瘤门诊，按照常规医疗护理前瞻性收集Press Ganey患者调查问卷。纳入所有在门诊就诊并接受电子调查的骨科肿瘤患者。所有调查回复均在门诊预约后一个月内提交。获得机构审查委员会（IRB）批准，以回顾性收集2015年至2016年的调查回复。收集基本人口统计学数据以及调查类别回复并进行统计分析。
共收集到162份患者调查问卷。患者平均年龄为54.4岁（标准差=16.2岁），其中女性占51.2%，男性占48.4%。64.2%的患者来自本州。外州居民更有可能推荐该医疗机构和主治医生。推荐主治医生的可能性与医生的友好程度/礼貌（比值比[OR]=14.4，95%置信区间[CI]：2.5-84.3）、医生的自信度（OR=48.2, 95%CI：6.2-376.5）、医生关于后续护理的指示（OR=2.5, 95%CI：0.4-17.4）以及对需求的敏感度（OR=16.1, 95%CI：1-262.5）呈正相关。该医疗机构在员工礼貌（76%）和清洁（75%）方面表现良好，在接通电话的便捷性（49%）、延误信息（36%）和等待时间（37%）方面表现较差。
骨科专科可以利用本研究中的信息，从患者角度改善护理。未来的研究可能针对如何改善患者最重视的这些护理领域。
