患者评估的大学医院的乳房再造服务质量。
Quality of breast reconstruction service at a university hospital as assessed by the patients.
机构信息
Universidade Federal de São Paulo - Programa de Pós-graduação em Cirurgia Translacional - São Paulo (SP), Brazil.
Universidade do Vale do Sapucaí - Faculdade de Medicina - Pouso Alegre (MG), Brazil.
出版信息
Acta Cir Bras. 2023 May 1;38:e381223. doi: 10.1590/acb381223. eCollection 2023.
PURPOSE
To evaluate the quality of breast reconstruction service at a university hospital, as assessed by the patients.
METHODS
This cross-sectional study enrolled adult women who underwent immediate or delayed breast reconstruction by any technique performed at a university hospital between 1 and 24 months before the assessment. The Brazilian version of the Health Service Quality Scale (HSQS) was self-applied to the participants. The HSQS produces percentage scores, which are expressed in values ranging from 0 to 10 for each domain of the scale, and into an overall percentage quality score. The management team was asked to establish a minimum satisfactory score for the breast reconstruction service.
RESULTS
Ninety patients were included. The management team considered 8.00 the minimum satisfactory score for the service. The overall percentage score was 93.3%. Only one domain, 'Support,' had an average score lower than that considered satisfactory (7.22 ± 3.0); while the others had higher scores. The domain that scored highest was 'Qualification' (9.94 ± 0.3), followed by 'Result' (9.86 ± 0.4). There was a positive correlation between 'type of oncologic surgery' and 'intentions of loyalty to the service' (ρ = 0.272; p = 0.009) and a negative correlation between 'education' and 'quality of the environment' (ρ = -0.218; p = 0.039). The higher the patient's level of education, the higher the score attributed to 'relationship' (ρ = 0.261; p = 0.013) and the lower the score of 'aesthetics and functionality' (ρ = -0.237; p = 0.024).
CONCLUSIONS
The quality of the breast reconstruction service was considered satisfactory, but there is a demand for structural improvements, better interpersonal relationships, and a stronger support network for patients.
目的
评估一所大学附属医院的乳房重建服务质量，由患者进行评估。
方法
本横断面研究纳入了 1 至 24 个月前在该大学医院接受任何技术的即刻或延迟乳房重建的成年女性。参与者自行应用巴西版卫生服务质量量表（HSQS）。HSQS 产生百分比评分，该评分以量表各域的 0 至 10 的值表示，并产生整体百分比质量评分。管理团队被要求为乳房重建服务设定一个最低满意度评分。
结果
共纳入 90 例患者。管理团队认为服务的最低满意度评分为 8.00。整体百分比评分为 93.3%。只有一个域“支持”的平均得分低于可接受的分数（7.22 ± 3.0）；而其他域的得分较高。得分最高的域是“资格”（9.94 ± 0.3），其次是“结果”（9.86 ± 0.4）。“肿瘤手术类型”与“对服务的忠诚意向”之间存在正相关（ρ=0.272；p=0.009），“教育程度”与“环境质量”之间存在负相关（ρ=-0.218；p=0.039）。患者的教育程度越高，对“关系”的评分越高（ρ=0.261；p=0.013），对“美学和功能”的评分越低（ρ=-0.237；p=0.024）。
结论
乳房重建服务的质量被认为是令人满意的，但仍有需求进行结构改进、改善人际关系，并为患者提供更强的支持网络。
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