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患者视角下新冠疫情对紧急医疗服务和急诊科所提供医疗服务质量的影响:试点研究

Impact of COVID-19 Pandemic on Quality of Health Services Provided by Emergency Medical Services and Emergency Departments in the Opinion of Patients: Pilot Study.

作者信息

Leszczyński Piotr Konrad, Sobolewska Paulina, Muraczyńska Bożena, Gryz Paulina, Kwapisz Adam

机构信息

Faculty of Medical Sciences and Health Sciences, University of Natural Sciences and Humanities, 08-110 Siedlce, Poland.

Clinic of Orthopedics and Pediatric Orthopedics, Medical University of Łódź, 90-419 Łódź, Poland.

出版信息

Int J Environ Res Public Health. 2022 Jan 22;19(3):1232. doi: 10.3390/ijerph19031232.

Abstract

BACKGROUND

The aim of this study was to assess the quality of assistance provided by emergency medical service (EMS) and hospital emergency department (ED) staff in the opinion of patients.

METHODS

Simple random sampling was performed to select the responders. A group of 131 people who correctly completed the questionnaire form was included in the study. The questionnaire was directed only to patients receiving EMS and/or ED assistance during the time period when the pandemic was announced in Poland.

RESULTS

Problems in the ED were reported by 38 people (31.15%), and calling EMS was reported as generating problems by 7 people (16.67%). Dissatisfaction with the help provided in EDs was reported by 33 patients (27.05%), and dissatisfaction with the help by EMS was reported by eight people (19.05%). The assessment of the patient's satisfaction level significantly correlated with the waiting time in the ED (Spearman = 0.217; = 0.016) as well as with the waiting for EMSs (Spearman = 0.403; = 0.008).

CONCLUSIONS

Patients of the ambulance service and hospital emergency departments during the pandemic positively assessed the actions of medical services, despite significant delays in providing health services.

摘要

背景

本研究旨在根据患者的意见评估紧急医疗服务(EMS)和医院急诊科(ED)工作人员提供的援助质量。

方法

采用简单随机抽样的方法选择应答者。131名正确填写问卷的人员被纳入研究。该问卷仅针对在波兰宣布疫情期间接受EMS和/或ED援助的患者。

结果

38人(31.15%)报告了急诊科存在的问题,7人(16.67%)报告呼叫EMS存在问题。33名患者(27.05%)报告对急诊科提供的帮助不满意,8人(19.05%)报告对EMS提供的帮助不满意。患者满意度水平的评估与在急诊科的等待时间(Spearman = 0.217;P = 0.016)以及等待EMS的时间(Spearman = 0.403;P = 0.008)显著相关。

结论

尽管在提供医疗服务方面存在显著延迟,但疫情期间救护车服务和医院急诊科的患者对医疗服务的行动给予了积极评价。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8be8/8835461/cd5c3fa5571c/ijerph-19-01232-g001.jpg

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