کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
5652540 1407218 2017 6 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Factors Influencing patient experience and satisfaction following surgical management of ankle fractures
ترجمه فارسی عنوان
عوامل موثر بر تجربه بیمار و رضایت پس از جراحی شکستگی های مچ پا
کلمات کلیدی
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی طب اورژانس
چکیده انگلیسی

BackgroundPatient feedback is increasingly important to inform and develop effective healthcare within the United Kingdom. In order to optimise patient experience of ankle fracture care in our unit, we sought to identify elements of practice associated with poor patient experience and low levels of satisfaction.MethodsAdult patients with closed ankle fractures requiring fixation over a ten month period were prospectively identified. Prior to discharge all patients completed the Picker Patient Experience Questionnaire (PPE-15), satisfaction visual analogue scale (VAS: 0-10) and a demographic questionnaire. Operative delay and cancellation episodes were similarly noted. PPE-15 and satisfaction VAS data were collected concurrently from a control group of elective hip and knee arthroplasty patients.Results52 patients (23 males) of average age 47 years (17-86) underwent ankle fracture fixation. Median pre-operative length of stay (LOS) was 3 days (IQR 1-6). Ankle fracture patients had significantly worse experiences compared to arthroplasty patients (p < 0.05 across all 15 PPE domains). Once pre-operative length of stay exceeded 3 days patients reported more areas of concerns (6 of 15) than those waiting 3 days or less (4 of 15) (p = 0.02). Cancelled patients reported significantly worse experiences, with satisfaction VAS of 7 (versus 9 in those not cancelled [p = 0.005]), and median of 6 PPE-15 domains of concern (versus 3.5 [p = 0.03]).ConclusionsEfforts to improve the healthcare experience of patients with ankle fractures should be focused on improving processes that minimise cancellation of surgery and the communication around delay management.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Injury - Volume 48, Issue 4, April 2017, Pages 960-965
نویسندگان
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