University of Central Lancashire, Preston, UK.
Private Practice of Chiropractic, Walton-Le-Dale, UK.
Chiropr Man Therap. 2024 Jan 29;32(1):2. doi: 10.1186/s12998-023-00528-7.
Databases have become important tools in improving health care. Care Response is a database containing information on tens of thousands of chiropractic patients internationally. It has been collecting patient-reported outcomes and patient satisfaction information for more than 10 years. The purpose of this study was to contribute to the understanding of patient perceptions and priorities for chiropractic care by analysing free text entered into the patient reported experience measure (PREM) questionnaires within the Care Response system.
There were two questions of interest on the PREM for this study. One requested information about "good points" patients perceived about patients' care experience, and the other requested information on "improvements" that could make the experience better. We conducted a word frequency analysis using a word counting macro in Microsoft Word, then used those results as a starting point for a qualitative analysis. Data were collected on 30 May 2022.
The people who participated in the Care Response system often reported positive experiences with their chiropractors, including that they had reduced pain, improved function, and felt validated in their clinical condition. In addition, they appreciated having diagnostic and treatment procedures explained to them. They valued friendly, professional, and on-time service. The negative experiences were the opposite: being rushed through treatment, that the treatment was not worth the cost, or that they weren't treated professionally, empathetically, or with respect for them as individuals. The most important themes that emerged under "good points" were satisfaction (with care), value (as a person), safety, comfort, and professionalism. Their opposites, dissatisfaction, lack of value, lack of safety, lack of comfort, and lack of professionalism emerged as the most important themes under "improvements". We report some nuances of patient experience that have not previously been explored in the literature.
Respondents seemed to value effective care provided in a safe, professional, friendly, and aesthetically pleasing environment. Chiropractors should note these priorities and engage with patients according to them. Education institutions should consider how good practice in these areas might be incorporated into curricula.
数据库已成为改善医疗服务的重要工具。Care Response 是一个包含数万名国际脊骨神经医学患者信息的数据库。该数据库已经收集了超过 10 年的患者报告结局和患者满意度信息。本研究的目的是通过分析 Care Response 系统中的患者报告体验测量（PREM）问卷中输入的自由文本，来帮助了解患者对脊骨神经医学护理的看法和优先事项。
在本研究中，PREM 中有两个感兴趣的问题。一个问题是关于患者感知到的患者护理体验的“优点”，另一个问题是关于可以改善体验的“改进”。我们使用 Microsoft Word 中的单词计数宏进行了词频分析，然后将这些结果作为定性分析的起点。数据于 2022 年 5 月 30 日收集。
参与 Care Response 系统的人经常报告对他们的脊骨神经医学治疗师的积极体验，包括疼痛减轻、功能改善，以及对他们的临床状况得到认可。此外，他们还欣赏对诊断和治疗过程的解释。他们重视友好、专业和准时的服务。负面体验则相反：治疗过程匆忙，治疗不值得付出代价，或者他们没有得到专业、富有同理心或尊重个人的治疗。在“优点”下出现的最重要主题是满意度（对护理）、价值（作为一个人）、安全性、舒适度和专业性。与之相反的主题，如不满意、缺乏价值、缺乏安全性、缺乏舒适度和缺乏专业性，在“改进”下出现了。我们报告了一些以前在文献中未探讨过的患者体验的细微差别。
受访者似乎重视在安全、专业、友好和美观的环境中提供有效的护理。脊骨神经医学治疗师应注意到这些优先事项，并根据这些优先事项与患者进行互动。教育机构应考虑如何将这些领域的良好实践纳入课程。
