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新冠疫情期间急诊科患者的经历

Emergency Department Patient Experiences During the COVID-19 Pandemic.

作者信息

Karalius Vytas P, Kaskar Saabir B, Levine Daniel A, Darling Tiffani A, Loftus Timothy M, McCarthy Danielle M

机构信息

Department of Emergency Medicine, Northwestern University, Chicago, IL, USA.

Department of Engagement, Northwestern Medicine, Chicago, IL, USA.

出版信息

J Patient Exp. 2021 Jul 26;8:23743735211033752. doi: 10.1177/23743735211033752. eCollection 2021.

Abstract

Emergency department (ED) utilization changed notably during the coronavirus disease 2019 (COVID-19) pandemic in the United States. The purpose of the study was to gain a more thorough understanding of ED patient experience during the early stages of the COVID-19 pandemic. This study used the consensual qualitative approach to analyze open-ended responses from post-ED patient experience surveys from February through July 2020. Comments were included in the analysis if they pertained to care during the pandemic (eg, mentioned "the virus," "masks," "PPE"). A total of 242 COVID-specific comments from 192 unique patients were analyzed (median age 49 years; 69% female). Six themes were identified: visually observed changes, experiences of process changes, expressions of understanding or appreciation, sense of security, COVID-19 disease-specific comments, and "classic" satisfaction comments that align with previous literature on patient experience. The COVID-19 pandemic has challenged health care systems across the world in unique and unprecedented ways. This study identified six themes that better elucidate ED patient experience during an unprecedented public health crisis.

摘要

在美国,急诊科(ED)的利用率在2019年冠状病毒病(COVID-19)大流行期间发生了显著变化。本研究的目的是更全面地了解COVID-19大流行早期急诊科患者的体验。本研究采用共识定性方法,分析了2020年2月至7月急诊科患者体验调查后的开放式回复。如果评论涉及大流行期间的护理(例如,提到“病毒”“口罩”“个人防护装备”),则纳入分析。共分析了192名独特患者的242条COVID-19相关评论(中位年龄49岁;69%为女性)。确定了六个主题:视觉观察到的变化、流程变化的体验、理解或感激的表达、安全感、COVID-19疾病相关评论以及与先前关于患者体验的文献一致的“经典”满意度评论。COVID-19大流行以前所未有的独特方式给世界各地的医疗系统带来了挑战。本研究确定了六个主题,这些主题能更好地阐明在一场前所未有的公共卫生危机期间急诊科患者的体验。

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