1
|
Calvo-Aranda E, Sánchez-Aranda FM, Cebrián Méndez L, Matías de la Mano MDLÁ, Lojo Oliveira L, Navío Marco MT. Perceived quality in patients with gout treated in a rheumatology clinic with a clinical nurse specialist. Reumatol Clin (Engl Ed) 2021; 18:608-613. [PMID: 34774453 DOI: 10.1016/j.reumae.2021.07.001] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/20/2021] [Accepted: 07/29/2021] [Indexed: 12/27/2022]
Abstract
INTRODUCTION Gout is a crystal arthropathy that is associated with significant loss of quality of life. A treat-to-target approach and proactive monitoring yield superior outcomes to standard care. The Clinical Nurse Specialist enhances follow-up and adherence to treatment in patients with gout, improving their perceived healthcare quality. OBJECTIVE To determine the factors that affect the perceived quality and satisfaction of patients with gout treated in a rheumatology clinic and to identify areas for improvement, as well as to explore the influence of nurses' work in the care and management of these patients. METHODS Cross-sectional observational study in patients with gout monitored in a monographic clinic by anonymous survey based on the SERVQUAL quality model, with demographic data and questions about aspects of care. RESULTS 71 completed surveys were collected from the 80 delivered between August 2019 and January 2020. Most of the participants were males over 45 years of age. A total of 39% were satisfied with the care received, and 55% were very satisfied. All the respondents were satisfied with the face-to-face consultation with the Clinical Nurse Specialist and 66% considered the telephone consultation with the nurse to be good. Possible areas for improvement (referral time to consultation, identification, and availability of health providers) were identified. CONCLUSION We found high overall satisfaction perceived by the patients attended in a gout consultation with the Clinical Nurse Specialist. Understanding and systematizing the patients' opinion is essential to improve clinical care.
Collapse
|
2
|
Calvo-Aranda E, Sánchez-Aranda FM, Cebrián Méndez L, Matías de la Mano MDLÁ, Lojo Oliveira L, Navío Marco MT. Perceived Quality in Patients With Gout Treated in a Rheumatology Clinic With a Clinical Nurse Specialist. Reumatol Clin (Engl Ed) 2021; 18:S1699-258X(21)00195-9. [PMID: 34481760 DOI: 10.1016/j.reuma.2021.07.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/20/2021] [Revised: 07/21/2021] [Accepted: 07/29/2021] [Indexed: 06/13/2023]
Abstract
INTRODUCTION Gout is a crystal arthropathy that is associated with significant loss of quality of life. A treat-to-target approach and proactive monitoring yield superior outcomes to standard care. The Clinical Nurse Specialist enhances follow-up and adherence to treatment in patients with gout, improving their perceived healthcare quality. OBJECTIVE To determine the factors that affect the perceived quality and satisfaction of patients with gout treated in a rheumatology clinic and to identify areas for improvement, as well as to explore the influence of nurses' work in the care and management of these patients. METHODS Cross-sectional observational study in patients with gout monitored in a monographic clinic by anonymous survey based on the SERVQUAL quality model, with demographic data and questions about aspects of care. RESULTS 71 completed surveys were collected from the 80 delivered between August 2019 and January 2020. Most of the participants were males over 45years of age. A total of 39% were satisfied with the care received, and 55% were very satisfied. All the respondents were satisfied with the face-to-face consultation with the Clinical Nurse Specialist and 66% considered the telephone consultation with the nurse to be good. Possible areas for improvement (referral time to consultation, identification, and availability of health providers) were identified. CONCLUSION We found high overall satisfaction perceived by the patients attended in a gout consultation with the Clinical Nurse Specialist. Understanding and systematizing the patients' opinion is essential to improve clinical care.
Collapse
|
3
|
Pérez-Romero S, Gascón-Cánovas JJ, Salmerón-Martínez D, Parra-Hidalgo P, Monteagudo-Piqueras O. [Sociodemographic characteristics and geographic variability associated with patient satisfaction in Primary Care]. ACTA ACUST UNITED AC 2016; 31:300-8. [PMID: 27084298 DOI: 10.1016/j.cali.2016.01.004] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/15/2015] [Revised: 01/09/2016] [Accepted: 01/12/2016] [Indexed: 10/21/2022]
Abstract
BACKGROUND Patient satisfaction with health services plays an important role in programs to improve the quality of care from the point of view of users. The objectives of this study were: To identify sociodemographic characteristics associated with patient satisfaction in the care provided by family doctors in Primary Health Care (PHC) centres, and describe the geographical variability of this phenomenon in the Spanish National Health Service. MATERIAL AND METHODS The data come from the European Health Survey (2009). Prevalence ratios (crude and adjusted) of the characteristics associated with both excellent satisfaction and dissatisfaction using Poisson regression, and their geographical variability are discussed. RESULTS About one in every 3 users of the PHC believes that the care provided was excellent, while 6.7% were dissatisfied. There is a wide variability in the perception of satisfaction among the various regional health services, with prevalence ranging between 10.9% and 55.2%. Moreover, this assessment is closely related to age, level of self-perceived health, mental health, previous hospitalisation, chronic disease status, and limitations in daily activities. CONCLUSIONS Satisfaction with the care provided by the PHC physician is relatively high. However, the distribution between regions and socio-demographic characteristics and health status of the user is heterogeneous.
Collapse
Affiliation(s)
- S Pérez-Romero
- Servicio Murciano de Salud, Murcia, España; Universidad de Murcia, Murcia, España.
| | | | - D Salmerón-Martínez
- Universidad de Murcia, Murcia, España; CIBER Epidemiología y Salud Pública (CIBERESP), Murcia, España; Servicio de Epidemiología, Consejería de Sanidad, IMIB-Arrixaca, Murcia, España
| | - P Parra-Hidalgo
- Servicio Murciano de Salud, Murcia, España; Consejería de Sanidad, Murcia, España
| | | |
Collapse
|
4
|
Miró Ò, Escoda R, Martín-Sánchez FJ, Herrero P, Jacob J, Rizzi M, Aguirre A, Andueza JA, Bueno H, Llorens P. Assessment of the knowledge and perception of support of patients with heart failure SOPICA study IN SPAIN. Rev Clin Esp 2016; 216:237-47. [PMID: 27000272 DOI: 10.1016/j.rce.2016.02.007] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/20/2015] [Revised: 02/22/2016] [Accepted: 02/26/2016] [Indexed: 10/22/2022]
Abstract
OBJECTIVE To understand the perceptions of patients with heart failure (HF) concerning their disease, treatment and support, as well as the specialists who provide care after a decompensation, and to determine whether there is a relationship between the type of specialist involved in the follow-up and the medium-term prognosis. METHODS A multicentre, prospective cohort study consecutively included patients with acute HF in the emergency department. The patients were interviewed by telephone 91-180days after their emergency department visit. We investigated the relationship between the type of specialist who performed the follow-up and the emergency department visits or hospitalisations using Cox regression models, with progressive adjustment by groups of potential confounders of these relationships. RESULTS We interviewed 785 patients. Thirty-three percent (95%CI: 30%-36%) considered their disease mild, 64% (60%-67%) required help from third parties for daily activities, 65% (61%-68%) had no recent therapeutic changes, and 69% (67%-72%) received the same treatment in the exacerbations. The perceived support varied significantly depending on the factor under consideration (from greater to lesser: family, hospital, emergency department, health centre, religion and patient associations; p<.05 in all comparisons). Thirty-nine percent (36%-43%) of the patients with decompensations consulted directly with the emergency department, with no prior changes in treatment. At discharge, general practitioners (74%, 71%-77%) and cardiologists (74%, 70%-77%) were the most involved in the follow-up, although the specialty was not related to the prognosis. CONCLUSION There are various aspects of the perception of patients with HF concerning their disease that are susceptible to future interventions. Patient follow-up involves various specialties, but all achieve similar results in the medium term.
Collapse
Affiliation(s)
- Ò Miró
- Área de Urgencias, Hospital Clínic, Barcelona; Grupo de Investigación «Urgencias: Procesos y Patologías», IDIBAPS, Barcelona, España.
| | - R Escoda
- Área de Urgencias, Hospital Clínic, Barcelona; Grupo de Investigación «Urgencias: Procesos y Patologías», IDIBAPS, Barcelona, España
| | - F J Martín-Sánchez
- Servicio de Urgencias, Hospital Clínico San Carlos. Instituto de Investigación Sanitaria del Hospital Clínico San Carlos (IdISSC), Madrid, España
| | - P Herrero
- Servicio de Urgencias, Hospital Universitario Central de Asturias, Oviedo, España
| | - J Jacob
- Servicio de Urgencias, Hospital Universitario de Bellvitge, Hospitalet de Llobregat, Barcelona, España
| | - M Rizzi
- Servicio de Urgencias, Hospital de la Santa Creu i Sant Pau, Barcelona, España
| | - A Aguirre
- Servicio de Urgencias, Hospital del Mar, Barcelona, España
| | - J A Andueza
- Servicio de Urgencias, Hospital Gregorio Marañón, Madrid, España
| | - H Bueno
- Servicio de Urgencias, Hospital Gregorio Marañón, Madrid, España; Centro Nacional de Investigaciones Cardiovasculares (CNIC), Madrid, España; Instituto de Investigación i+12 y Servicio de Cardiología, Hospital Universitario 12 de Octubre, Madrid, España; Universidad Complutense de Madrid, Madrid, España
| | - P Llorens
- Servicio de Urgencias, Corta Estancia y Hospitalización a Domicilio, Hospital General de Alicante, Alicante, España
| | | |
Collapse
|
5
|
Velasco C, Vinasco AM, Trilla A. [Immigrant perceptions of the Spanish National Healthcare System and its services]. Aten Primaria 2015; 48:149-58. [PMID: 26388468 PMCID: PMC6877837 DOI: 10.1016/j.aprim.2015.01.015] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/01/2014] [Revised: 01/13/2015] [Accepted: 01/22/2015] [Indexed: 12/03/2022] Open
Abstract
Objetivo Conocer la percepción, la utilización y la satisfacción en relación con los servicios sanitarios de un grupo de inmigrantes residentes en Barcelona en relación con su género, procedencia y clase social. Diseño Estudio descriptivo transversal. Emplazamiento Ciudad de Barcelona, España. Participantes Doscientos veinticinco inmigrantes usuarios de servicios sociosanitarios residentes en la ciudad de Barcelona, de junio a julio del 2012. Mediciones principales Se analizaron el nivel de acceso y la relación de los inmigrantes residentes con el sistema sanitario público, a partir de una encuesta realizada en población inmigrante. Las respuestas obtenidas fueron analizadas en relación con los ejes: género, edad, clase social, salud autopercibida, país de origen, tiempo desde la llegada y estado civil. Resultados El 89% de la población encuestada dijo «haber sido tratada con respeto» al acudir a los servicios de salud, siendo considerado este el aspecto más importante. Sin embargo, el 59,4% refirió una percepción de «discriminación hacia los inmigrantes» y el 68,4% manifestó que las diferencias culturales afectan «total o parcialmente» la calidad de la atención recibida. Para el 66,7% la atención sanitaria recibida en Barcelona es mejor que la recibida en su país de origen, principalmente por su calidad científico-técnica y por el acceso universal. Conclusiones Pese a la buena valoración del sistema sanitario público universal este estudio mostró deficiencias del sistema en cuanto a los aspectos psicosociales de la atención sanitaria a inmigrantes en Barcelona. Es necesario profundizar en el estudio de los conocimientos y percepciones de colectivos minoritarios en el contexto actual.
Collapse
Affiliation(s)
- César Velasco
- Servicio de Medicina Preventiva y Epidemiología, Hospital Clínic de Barcelona, Barcelona, España/ISGlobal, Barcelona Ctr. Int. Health Res. (CRESIB), Hospital Clínic, Barcelona, España.
| | - Ana Maria Vinasco
- Universidad Barcelona, Máster de Gestión Hospitalaria y de Centros Sanitarios, Barcelona, España
| | - Antoni Trilla
- Servicio de Medicina Preventiva y Epidemiología, Hospital Clínic de Barcelona, Barcelona, España/ISGlobal, Barcelona Ctr. Int. Health Res. (CRESIB), Hospital Clínic, Barcelona, España
| |
Collapse
|
6
|
Rodrigo-Rincon I, Goñi-Girones E, Serra-Arbeloa P, Martinez-Lozano ME, Reyes-Pérez M. Discrepancies on quality perceived by the patients versus professionals on the quality of a nuclear medicine department. Rev Esp Med Nucl Imagen Mol 2014; 34:102-6. [PMID: 25107594 DOI: 10.1016/j.remn.2014.07.001] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/15/2014] [Revised: 07/01/2014] [Accepted: 07/02/2014] [Indexed: 10/24/2022]
Abstract
PURPOSE To evaluate the discrepancies between the professionals and outpatients on quality perceived of a Nuclear Medicine Department (NMD). MATERIAL AND METHODS This cross-sectional study has been carried out using two questionnaires: a validated patient experience questionnaire and a quality perception questionnaire for professionals. Both questionnaires use the same 25 categorical items to measure service quality, 2 Likert scale items to measure satisfaction and willingness to recommend the NMD and 1 open-ended question. The patient questionnaire included 6 socio-demographic items and one job-related question (professionals). The categorical items were classified as "conformity" or "non-conformity." RESULTS The response rate was 36.7% for outpatients and 100% for professionals. Mean value for satisfaction with the NMD was 9 points for patients and 6.9 points for professionals. Mean number of non-conformity items per person was 2.8 for the patient group and 8.7 for the professional group. Cohen's Kappa value was 0.112, indicating poor agreement in the classification of items as strong points and areas for improvement. Of the 25 items, the professionals and patients coincided on 12 (48%). CONCLUSION Agreement was low between the quality perception of patients and professionals. The patients scored quality of service higher than the NMD professionals did. These instruments are useful aid to help health organizations detect areas for improvement, and to improve the quality of the service provided to patients.
Collapse
Affiliation(s)
- I Rodrigo-Rincon
- Servicio de Medicina Preventiva y Gestión de la Calidad, Complejo Hospitalario de Navarra, Pamplona, Spain; Red de Investigación en Servicios de Salud en Enfermedades Crónicas (REDISSEC), Spain.
| | - E Goñi-Girones
- Servicio de Medicina Nuclear, Complejo Hospitalario de Navarra, Pamplona, Spain
| | - P Serra-Arbeloa
- Servicio de Medicina Nuclear, Complejo Hospitalario de Navarra, Pamplona, Spain
| | - M E Martinez-Lozano
- Servicio de Medicina Nuclear, Complejo Hospitalario de Navarra, Pamplona, Spain
| | - M Reyes-Pérez
- Servicio de Medicina Preventiva y Gestión de la Calidad, Complejo Hospitalario de Navarra, Pamplona, Spain
| |
Collapse
|
7
|
Rodrigo-Rincón I, Reyes-Pérez M, Martínez-Lozano ME. [Personalizing the reference level: gold standard to evaluate the quality of service perceived]. Rev Esp Med Nucl Imagen Mol 2013; 33:65-71. [PMID: 23683831 DOI: 10.1016/j.remn.2013.03.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/14/2013] [Revised: 02/05/2013] [Accepted: 03/03/2013] [Indexed: 11/27/2022]
Abstract
OBJECTIVE To know the cutoff point at which in-house Nuclear Medicine Department (MND) customers consider that the quality of service is good (personalized cutoff). MATERIAL AND METHOD We conducted a survey of the professionals who had requested at least 5 tests to the Nuclear Medicine Department. A total of 71 doctors responded (response rate: 30%). A question was added to the questionnaire for the user to establish a cutoff point for which they would consider the quality of service as good. The quality non-conformities, areas of improvement and strong points of the six questions measuring the quality of service (Likert scale 0 to 10) were compared with two different thresholds: personalized cutoff and one proposed by the service itself a priori. Test statistics: binomial and Student's t-test for paired data. RESULTS A cutoff value of 7 was proposed by the service as a reference while 68.1% of respondents suggested a cutoff above 7 points (mean 7.9 points). The 6 elements of perceived quality were considered strong points with the cutoff proposed by the MND, while there were 3 detected with the personalized threshold. Thirteen percent of the answers were nonconformities with the service cutoff versus 19.2% with the personalized one, the differences being statistically significant (difference 95% CI 6.44%:0,83-12.06). CONCLUSIONS The final image of the perceived quality of an in-house customer is different when using the cutoff established by the Department versus the personalized cutoff given by the respondent.
Collapse
Affiliation(s)
- I Rodrigo-Rincón
- Investigación y Gestión del Conocimiento, Departamento de Salud del Gobierno de Navarra, Red de Investigación en Servicios de Salud en Enfermedades Crónicas (REDISSEC), España.
| | - M Reyes-Pérez
- Servicio de Medicina Preventiva y Gestión de la Calidad, Complejo Hospitalario de Navarra, Pamplona, España
| | - M E Martínez-Lozano
- Servicio de Medicina Nuclear, Complejo Hospitalario de Navarra, Pamplona, España
| |
Collapse
|