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加纳海岸角都市大学海岸角医院和埃维姆综合诊所的实验室专业人员-患者互动的跨案例分析,以方便患者使用实验室服务。

A cross-case analyses of laboratory professionals-patients interaction for patients accessing laboratory services at University of Cape Coast hospital and Ewim Polyclinic in the Cape Coast Metropolis, Ghana.

机构信息

Department of Medical Laboratory Science, School of Allied Health Science, University of Cape Coast, Cape Coast, Ghana.

Lancaster University Management School, Lancaster, UK.

出版信息

BMC Health Serv Res. 2021 May 28;21(1):520. doi: 10.1186/s12913-021-06560-8.

Abstract

BACKGROUND

There is scarcity of data on experiences of patients who access laboratory services during hospital visits in sub-Saharan Africa. This study sought to evaluate the depth of laboratory professionals-patient interactions during pre- and post-sampling period at two hospitals in Ghana.

METHODS

This study used real time observations of patient-laboratory staff interactions to collect first-hand data. Additionally, two separate sets of semi-structured questionnaires were used to collect data on the experiences of patients and laboratory professionals. Data were entered into Microsoft Excel and analysed using SPSS version 25.

RESULTS

Inadequate laboratory space is a major factor limiting adequacy of patients-laboratory professionals' interactions. Overall, even though the laboratory professionals (93.3%) overwhelmingly agreed to the need to inform patients about the turnaround time of the respective laboratory testing, this was not routinely done. Irrespective of patients' educational attainment, patients were poorly informed about their respective laboratory tests. Although both patients and laboratory professionals (60.0% vs 63.6% respectively) indicated that the test requester has responsibility to inform patients about their laboratory testing, only 29.1% of patients indicated having received such explanations. Furthermore, although 28.1% of patients indicated knowing the specifics of their respective test requisition, only 15% could correctly identify their requested laboratory testing.

CONCLUSION

There is the need for standard operating protocols to standardize practitioner-patient interaction at the two facilities. Moreover, there is the need for laboratory staff-test requester engagement to clearly delineate who has what responsibilities regarding informing patients about laboratory testing.

摘要

背景

在撒哈拉以南非洲,关于在医院就诊期间使用实验室服务的患者体验的数据稀缺。本研究旨在评估加纳两家医院在采样前和采样后期间实验室专业人员与患者之间互动的深度。

方法

本研究使用实时观察患者与实验室工作人员的互动来收集第一手数据。此外,还使用两套单独的半结构式问卷收集患者和实验室专业人员的体验数据。数据输入 Microsoft Excel 并使用 SPSS 版本 25 进行分析。

结果

实验室空间不足是限制患者与实验室专业人员充分互动的主要因素。总的来说,尽管实验室专业人员(93.3%)绝大多数同意有必要告知患者各自实验室检测的周转时间,但这并没有例行进行。无论患者的教育程度如何,患者对各自的实验室测试了解甚少。尽管患者和实验室专业人员(分别为 60.0%和 63.6%)都表示测试请求者有责任告知患者有关其实验室测试的情况,但只有 29.1%的患者表示已收到此类解释。此外,尽管 28.1%的患者表示知道各自测试要求的具体情况,但只有 15%的患者能够正确识别其要求的实验室测试。

结论

需要制定标准操作程序,以规范这两个设施中医生与患者之间的互动。此外,需要实验室工作人员和测试请求者之间的互动,以明确界定谁对告知患者有关实验室测试的情况承担什么责任。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d95b/8161654/1a4b78fe9b40/12913_2021_6560_Fig1_HTML.jpg

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