Ruiz Pérez R, Ruiz-Montero R, Ruiz Moruno J, Guzmán Herrador B, Barranco Quintana J L, Salcedo Leal I
Departamento de Ciencias Médicas y Quirúrgicas, Facultad de Medicina y Enfermería, Universidad de Córdoba, Córdoba, España.
UGC Interniveles de Prevención, Promoción y Vigilancia de la Salud, Hospital Universitario Reina Sofía, Córdoba, España; Departamento de Ciencias Médicas y Quirúrgicas, Facultad de Medicina y Enfermería, Universidad de Córdoba, Córdoba, España; Instituto Maimónides de Investigación Biomédica de Córdoba (IMIBIC), Córdoba, España.
Semergen. 2021 Oct;47(7):465-471. doi: 10.1016/j.semerg.2021.05.006. Epub 2021 Jun 16.
Patient safety is a quality objective and a priority in healthcare. Most of the research has focused on the hospital setting and from the professional perspective. The objective of our study is to know the opinion of the patient who attends primary care regarding its safety in this area.
Cross-sectional observational study. A survey carried out with patients chosen through four health centres representing different socioeconomic levels of the same Basic Health Zone. Fifty patients per centre were surveyed.
Two hundred patients surveyed of whom more than 90% reported no negative experiences in terms of errors in medication, identification, diagnosis or clinical management, highlighting the good care received and the good resolution of their problem. However, only around half claimed to understand the explanations of the healthcare professionals or to have had the opportunity to give an opinion or have shared decision-making on their management. These factors were closely related to the perceived lack of time in consultation and constant change of physician.
The vast majority of our patients report no adverse effects or safety issues during their primary care attendance. However, there is evidence of the need to strengthen aspects related to consultation time and increase the number and stability of human resources in health centres to improve patient satisfaction with the health system.
患者安全是医疗保健中的一项质量目标和优先事项。大多数研究都集中在医院环境以及从专业角度进行。我们研究的目的是了解在基层医疗就诊的患者对该领域安全性的看法。
横断面观察性研究。对通过代表同一基本健康区不同社会经济水平的四个健康中心挑选出的患者进行了一项调查。每个中心调查了50名患者。
共调查了200名患者,其中超过90%的患者表示在用药、身份识别、诊断或临床管理方面没有负面经历,强调了所得到的良好护理以及问题的良好解决。然而,只有大约一半的患者声称理解医护人员的解释,或者有机会发表意见或参与关于其治疗的共同决策。这些因素与在咨询中感觉时间不足以及医生不断更换密切相关。
我们的绝大多数患者在基层医疗就诊期间报告没有不良反应或安全问题。然而,有证据表明需要加强与咨询时间相关的方面,并增加健康中心人力资源的数量和稳定性,以提高患者对医疗系统的满意度。