Di Lalla Vanessa, Patrick Haley, Siriani-Ayoub Nicolas, Kildea John, Hijal Tarek, Alfieri Joanne
Department of Radiation Oncology, McGill University Health Centre, Montreal, QC H4A 3J1, Canada.
Curr Oncol. 2021 Apr 10;28(2):1507-1517. doi: 10.3390/curroncol28020142.
The COVID-19 pandemic has shifted oncology practices to prioritize patient safety while maintaining necessary treatment delivery. We obtained patient feedback on pandemic-based practices in our radiotherapy department to improve quality of patient care and amend policies as needed. We developed a piloted questionnaire which quantitatively and qualitatively assessed patients' pandemic-related concerns and satisfaction with specific elements of their care. Adult patients who were treated at our Centre between 23 March and 31 May 2020, had initial consultation via telemedicine, and received at least five outpatient fractions of radiotherapy were invited to complete the survey by telephone or online. Relative frequencies of categorical and ordinal responses were then calculated. Fifty-three (48%) out of 110 eligible patients responded: 32 patients by phone and 21 patients online. Eighteen participants (34%) admitted to feeling anxious about hospital appointments, and only five (9%) reported treatment delays. Forty-eight patients (91%) reported satisfaction with their initial telemedicine appointment. The majority of patients indicated that healthcare workers took appropriate precautions, making them feel safe. Overall, all 53 patients (100%) reported being satisfied with their treatment experience during the pandemic. Patient feedback is needed to provide the highest quality of patient care as we adapt to the current reality.
新冠疫情使肿瘤治疗实践将患者安全置于优先地位,同时维持必要的治疗服务。我们收集了放疗科基于疫情的实践中的患者反馈,以改善患者护理质量并根据需要修订政策。我们设计了一份试点问卷,对患者与疫情相关的担忧以及对特定护理环节的满意度进行定量和定性评估。2020年3月23日至5月31日期间在我们中心接受治疗、通过远程医疗进行初次咨询且接受了至少五次门诊放疗的成年患者,受邀通过电话或在线方式完成调查。然后计算分类和有序反应的相对频率。110名符合条件的患者中有53名(48%)做出回应:32名患者通过电话,21名患者通过在线方式。18名参与者(34%)承认对医院预约感到焦虑,只有5名(9%)报告有治疗延误。48名患者(91%)表示对初次远程医疗预约感到满意。大多数患者表示医护人员采取了适当的预防措施,让他们感到安全。总体而言,所有53名患者(100%)都报告对疫情期间的治疗体验感到满意。在我们适应当前现实的过程中,需要患者反馈来提供最高质量的患者护理。