scholarly journals Experiences with specialist clinics health care: a cross-sectional study among adult patients

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
E Murko ◽  
M Poldrugovac ◽  
M Kralj ◽  
N Ropret
Keyword(s):  
Medical Treatment ◽  
National Survey ◽  
Outpatient Clinic ◽  
Metabolic Diseases ◽  
Patient Experiences ◽  
Adult Patients ◽  
Waiting Room ◽  
Cross Sectional ◽  
Waiting Period ◽  
Specialist Outpatient Clinic

Abstract Background The measurement of patient experiences is gaining importance in many healthcare systems, including the Slovenian one. The need for a national survey on patient experiences in the specialist outpatient settings emerged recently, leading to the establishment of a new questionnaire in Slovenia. The aim of the study was to measure patients' experiences in the outpatient specialist medical settings in the fields of surgery, gastroenterology, otorhinolaryngology, diabetology, endocrinology and metabolic diseases, dermatovenerology and pulmonology. Methods The survey takes into account various aspects of healthcare such as waiting period to the visit, admission, waiting time in the waiting room, physician work, nurse work, privacy, patient rights information, and familiarity with continuation of treatment. As part of the study, patients evaluated treatment at a specialist outpatient clinic on a scale of 0 to 10, and were able to give praise and suggestions for improvements. The questionnaire used was a newly developed one, based on a review of the literature and focus groups with patients. The questionnaire was also cognitively tested and piloted before national rollout. Results The national survey was conducted in March 2019 and included adult patients who attended a specialist outpatient clinic in certain clinical fields. The survey included 149 specialist outpatient medical offices. 8,616 questionnaires were received. The response rate was estimated to be 32%. 79.0% of patients stated that waiting period to the visit did not pose any problem for them. 80.3% of the surveyed patients rated the medical treatment with a score of 9 or 10. Conclusions The surveyed patients in our study rate highly the treatment in selected outpatient specialist clinics. The strength of the findings is limited by suboptimal sampling. Possible changes to the sampling methods to be used in future iterations of the survey are currently being evaluated. Key messages In March 2019, the first national survey on patients' experience in selected public outpatient specialist clinics in Slovenia was conducted. 80.3 percent of the surveyed patients rate the medical treatment highly with a score of 9 or 10.

scholarly journals Patient safety in ambulatory care from the patient's perspective: a retrospective, representative telephone survey

BMJ Open ◽  
2020 ◽  
Vol 10 (2) ◽  
pp. e034617
Author(s):  
Max Geraedts ◽  
Svenja Krause ◽  
Michael Schneider ◽  
Annette Ortwein ◽  
Johannes Leinert ◽  
...  
Keyword(s):  
Patient Safety ◽  
Medical Treatment ◽  
Ambulatory Care ◽  
Outpatient Surgery ◽  
Diagnostic Procedures ◽  
Cross Sectional Study ◽  
Patient Experiences ◽  
Additional Treatment ◽  
Computer Assisted ◽  
Cross Sectional

ObjectivesData on patient safety problems (PSPs) in ambulatory care are scarce. The aim of the study was to record the frequency, type, severity and point of origin of PSPs in ambulatory care in Germany.DesignRetrospective cross-sectional study.SettingComputer-assisted telephone interviews with randomly recruited citizens aged ≥40 years in Germany who were asked about their experiences with PSPs in ambulatory care.Participants10 037 citizens ≥40 years.MeasuresA new questionnaire was developed to record patient experiences with PSPs in ambulatory care. The study reported here targets patient experiences in the last 12 months. The questionnaire focuses on PSPs in seven areas of medical treatment: anamnesis/diagnostic procedures; medication; vaccination, injection, infusion; aftercare; outpatient surgery; office administration; other areas. For each PSP reported, detailed questions were asked about the specialist group concerned, and, on the most serious harm, the severity of the harm and its consequences. The target parameters are presented as proportions with 95% CIs.Results1422 of the respondents (14%) reported 2589 PSPs. The areas most frequently affected by PSPs were anamnesis/diagnostic procedures (61%) and medication (15%). General practitioners accounted for 44% of PSPs, orthopaedists for 15% and internists for 10%. 75% of PSPs were associated with harm, especially unnecessarily prolonged pain or deterioration of health; 35% of PSPs led to permanent harm. 804 PSPs (32%) prompted patients to see another doctor for additional treatment; 255 PSPs (10%) required inpatient treatment.ConclusionPSPs experienced by patients are widespread in ambulatory care in Germany. The study reveals in which areas of medical treatment efforts to prevent PSPs could make the greatest contribution to improving patient safety. It also demonstrates the valuable contribution of patient reports to the analysis of PSPs.

scholarly journals Alcohol identification and intervention in English emergency departments

2017 ◽  
Vol 35 (2) ◽  
pp. 75-78 ◽  
Author(s):  
Robert Patton ◽  
Ghiselle Green
Keyword(s):  
General Practitioners ◽  
National Survey ◽  
Alcohol Screening ◽  
Adult Patients ◽  
Screening Tools ◽  
Routine Practice ◽  
Nurse Specialist ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Brief Advice

AimsIn the ED, alcohol identification and brief advice is an effective method of reducing consumption and related harms. Our objective was to conduct a national survey of English EDs to determine current practice regarding alcohol identification and provision of brief advice and to compare changes in activity to a previous National Survey conducted in 2011.MethodsThis was a cross-sectional survey of all consultant-led EDs in England.ResultsOf 180 departments, 147 (81.6%) responded. All departments may question adult patients about their alcohol consumption, with many (63.6%) asking all patients aged over 18 years as part routine care and using a formal screening tool (61.4%). The majority of departments asked young people (aged 11–17 years) about their consumption (83.8%), but only 11.6% did so as a part of routine practice. Compared with the 2011 survey, there have been significant increases in routine screening among adults (15.9%, CI 4.16% to 27.18%; p=0.006), general practitioners being informed about patients’alcohol-related presentations (10.2%, CI 0.64% to 19.58%; p=0.028) and access to an alcohol health worker or a clinical nurse specialist (13.4%, CI 3.64% to 22.91%, p=0.005). Modest (non-significant) changes were also found in access to training on brief advice (9.7%) and the use of formal screening questions on adult patients (9.7%).ConclusionAlcohol screening together with referral or intervention is becoming part of routine practice in England. Compared with our previous national survey, increases in alcohol screening and intervention activity are demonstrated, with improvements in routine questioning (among adults), the number of general practitioners being informed about alcohol-related attendances, provision of training, access to specialist services and the use of formal screening tools.

scholarly journals Ownership and use of mobile phones among health workers, caregivers of sick children and adult patients in Kenya: cross-sectional national survey

2013 ◽  
Vol 9 (1) ◽  
pp. 20 ◽  
Author(s):  
Dejan Zurovac ◽  
Gabriel Otieno ◽  
Samuel Kigen ◽  
Agneta M Mbithi ◽  
Alex Muturi ◽  
...  
Keyword(s):  
Mobile Phones ◽  
National Survey ◽  
Health Workers ◽  
Adult Patients ◽  
Cross Sectional ◽  
Sick Children

How common are Chinese patients with multimorbidity involved in decision making and having a treatment plan? a cross-sectional study

2019 ◽  
Author(s):  
Kam Pui Lee ◽  
Samuel Yeung Shan Wong ◽  
Benjamin Hon Kei Yip ◽  
Eliza Lai Yi Wong ◽  
Dicken Chan ◽  
...  
Keyword(s):  
Decision Making ◽  
Outpatient Clinic ◽  
Healthcare Professionals ◽  
Treatment Plan ◽  
Demographic Data ◽  
Cross Sectional Study ◽  
Chinese Patients ◽  
Sectional Study ◽  
Cross Sectional ◽  
Specialist Outpatient Clinic

Abstract Background Creating a treatment plan (TP) through shared decision making (SDM) with healthcare professionals, is of paramount importance for patients with multimorbidity. This study aims to estimate the prevalence of SDM and TP in patients with multimorbidity, and study the association between SDM/TP with demographics and patients’ confidence to manage their diseases.Method This cross-sectional study used an internationally recognized survey. 1,032 patients aged 60 or above with multimorbidity, were recruited from a specialist outpatient clinic, general outpatient clinic (GOPC) and a geriatric day hospital. The proportion of patients reported to have SDM and TP were estimated. Associations between the presence of SDM/TP and patients’ demographic data, and the confidence level to manage their illnesses, were then studied using logistic regression.Results The prevalence of SDM and TP were 35.8% and 82.1%, respectively. The presence of TP was associated with receiving healthcare from the same doctor or in the same facilities, and being recruited from GOPC. Presence of SDM (OR 1.381, p=0.054) and TP(OR 2.195, p<0.0001) were associated with enhanced confidence in dealing with diseases.Conclusion Most people with multimorbidity had TP in Hong Kong, but fewer patients had SDM.Practice implications: Ways to promote SDM in HK are needed.

scholarly journals Does a waiting room video about what to expect during an emergency department visit improve patient satisfaction?

CJEM ◽  
2008 ◽  
Vol 10 (04) ◽  
pp. 347-354 ◽  
Author(s):  
Linda Papa ◽  
David C. Seaberg ◽  
Elizabeth Rees ◽  
Kevin Ferguson ◽  
Richard Stair ◽  
...  
Keyword(s):  
Emergency Department ◽  
Patient Satisfaction ◽  
Outpatient Clinic ◽  
Process Of Care ◽  
Waiting Room ◽  
Cross Sectional ◽  
Convenience Sample ◽  
The Mean ◽  
Referral Line ◽  
Room Time

ABSTRACT Objective: We created an instructional waiting room video that explained what patients should expect during their emergency department (ED) visit and sought to determine whether preparing patients using this video would 1) improve satisfaction, 2) decrease perceived waiting room times and 3) increase calls to an outpatient referral line in an ambulatory population. Methods: This serial cross-sectional study took place over a period of 2 months before (control) and 2 months after the introduction of an educational waiting room video that described a typical patient visit to our ED. We enrolled a convenience sample of adult patients or parents of pediatric patients who were triaged to the ED waiting room; a research assistant distributed and collected the surveys as patients were being discharged after treatment. Subjects were excluded if they were admitted. The primary outcome was overall satisfaction measured on a 5-point Likert scale, and secondary outcomes included perceived waiting room time, and the number of outpatient referral-line calls. Results: There were 1132 subjects surveyed: 551 prevideo and 581 postvideo. The mean age was 38 years (standard deviation [SD] 18), 61% were female and the mean ED length of stay was 5.9 hours (SD 3.6). Satisfaction scores were significantly higher postvideo, with 65% of participants ranking their visit as either “excellent” or “very good,” compared with 58.1% in the prevideo group (p = 0.019); however, perceived waiting room time was not significantly different between the groups (p = 0.24). Patient calls to our specialty outpatient clinic referral line increased from 1.5 per month (95% confidence interval [CI] 0.58–2.42) to 4.5 per month (95% CI 1.19–7.18) (p = 0.032). After adjusting for possible covariates, the most significant determinants of overall satisfaction were perceived waiting room time (odds ratio [OR] 0.41, 95% CI 0.34–0.48) and having seen the ED waiting room video (OR 1.41, 95% CI 1.06–1.86). Conclusion: Preparing patients for their ED experience by describing the ED process of care through a waiting room video can improve ED patient satisfaction and the knowledge of outpatient clinic resources in an ambulatory population. Future studies should research the implementation of this educational intervention in a randomized fashion.

Individual differences related to present and future mental orientation predict the sense of time

2017 ◽  
Author(s):  
Marc Wittmann ◽  
Henrike Fiedler ◽  
Wilhelm Gros ◽  
Julia Mossbridge ◽  
Cintia Retz Lucci
Keyword(s):  
Individual Differences ◽  
Time Perspective ◽  
Cross Sectional Study ◽  
Self Report ◽  
Reproduction Task ◽  
Cross Sectional ◽  
Waiting Period ◽  
Frequency Scale ◽  
Temporal Intervals ◽  
Sense Of Time

With this cross-sectional study we investigated how individual differences regarding present- and future-oriented mental processes are related to the experience of time in the seconds and minutes range. A sample of students (N = 100) filled out self-report measures of time perspective (ZTPI), mindfulness (FMI), impulsiveness (BIS), and the daydreaming frequency scale (DDFS). Furthermore they were asked to (a) retrospectively judge the duration of a waiting period of five minutes, and (b) to prospectively perform an visual duration reproduction task with intervals of 3, 6, and 9 seconds. Regression models show that (a) being more present fatalistic (ZTPI) and more impulsive are related to longer duration estimates of the waiting period, and (b) having a stronger propensity to daydream leads to a stronger under-reproduction of temporal intervals. These findings show how personality traits related to present orientation are associated with the state-like perception of duration.

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