Sayed Noor Arkan Sam, Knutsson Björn
Clinical Sciences Department, College of Medicine, University of Sharjah, University City Rd, University City, Sharjah, United Arab Emirates.
Department of Diagnostics and Intervention (Orthopaedics), Umeå University, 901 87, Umeå, Sweden.
Brain Spine. 2024 Nov 17;4:104140. doi: 10.1016/j.bas.2024.104140. eCollection 2024.
Patient's experience of care (PEC) is crucial in enhancing and sustaining healthcare quality.
the primary aim of this study is to establish and assess a new questionnaire index designed to measure PEC following elective spinal surgery. This index serves as a tool to document, enhance, and maintain the quality of healthcare provided in this context.
The studied PEC index comprises 7 questions, each addressing different aspects of perioperative care. Our study involved 300 post-spinal surgery patients, sourced from the Swedish national register for spine surgery. Collected data included age, gender, education level, self-rated health, and primary language. The patients were contacted via telephone by trained interviewers, approximately 35 days after their surgery (with 60 patients re-interviewed after a few weeks). We employed linear regression, -test, and ANOVA models to examine the associations between the PEC index and the documented variables.
The PEC index demonstrated good internal consistency and reliability (Cronbach alpha = 0.76, interclass correlation coefficient = 0.87). Additionally, the utility measures indicated associations between the PEC index and factors such as higher age (p = 0.014), male gender (p = 0.012), and better self-rated health (p = 0.011).
The PEC index seems to be a promising tool with a clinically useful composite questionnaire for assessing PEC in patients undergoing elective spine surgery. In clinical settings, the index can accompany other outcome scores to evaluate and compare different diagnoses and management methods.
患者的就医体验对于提高和维持医疗质量至关重要。
本研究的主要目的是建立并评估一个新的问卷指标，以测量择期脊柱手术后的患者就医体验。该指标作为一种工具，用于记录、提高和维持在此背景下提供的医疗质量。
所研究的患者就医体验指标由7个问题组成，每个问题涉及围手术期护理的不同方面。我们的研究纳入了300例脊柱手术后患者，数据来源于瑞典国家脊柱手术登记册。收集的数据包括年龄、性别、教育水平、自评健康状况和主要语言。在患者术后约35天，由经过培训的访员通过电话联系他们（其中60例患者在几周后再次接受访谈）。我们采用线性回归、t检验和方差分析模型来检验患者就医体验指标与记录变量之间的关联。
患者就医体验指标显示出良好的内部一致性和可靠性（克朗巴哈系数α = 0.76，组内相关系数 = 0.87）。此外，效用测量表明患者就医体验指标与较高年龄（p = 0.014）、男性（p = 0.012）和较好的自评健康状况（p = 0.011）等因素之间存在关联。
患者就医体验指标似乎是一个很有前景的工具，是一个具有临床实用性的综合问卷，用于评估择期脊柱手术患者的就医体验。在临床环境中，该指标可以与其他结局评分一起，用于评估和比较不同的诊断和管理方法。
