鼻竇內視鏡手術患者對療程之滿意度分析

Satisfaction Analyses on Process of Endoscopic Sinus Surgery

戴志展(Chih-Jaan Tai) ； 陳建志(Chien-Chih Chen) ； 蔡銘修(Ming-Hsui Tsai) ； 王拔群(Pa-Chun Wang)

《中華民國耳鼻喉科醫學雜誌》 37卷1期 (2002/01) Pp. 15-21

https://doi.org/10.6286/2002.37.1.15

摘要

BACKGROUND AND OBJECTIVE: Patient satisfaction is one of the indicators for quality of healthcare, it provides important reference in a continuous quality improvement (CQI) program. The aims of this study were to report patients’ documented evaluation of the endoscopic sinus surgery (ESS) they received, to investigate the factors that may confound the level of their satisfaction, and to explore the feasibility of using these data in a CQI for ESS.
METHOD: Eighty-three patients with chronic sinusitis underwent ESS enrolled into this study. Patients completed a validated Patient Satisfaction Survey at 1 Month after surgery. Patients’ demographic data and process elements were obtained from the medical records retrospectively. Multi-level ordinal logistic regression analysis was undertaken to determine what process variables and patient characteristics were associated with the level of patient satisfaction.
RESULTS: Overall, 72% of patients were more than satisfied with the service. Both education level and disease severity were significantly related to the satisfaction level (p＜0.01). Type of anesthesia, additional septal operation, type of intranasal packing and the frequency of post-operative sinuscopy were also closely related to patients’ satisfaction with ESS.
CONCLUSION: The study provided pilot patient satisfaction information on ESS for both physicians and patients. With proper adjustment, the satisfaction data proved to be useful in a CQI program for ESS.

關鍵字

病患滿意度 ； 鼻竇內視鏡手術 ； 持續性醫療品質改善計劃

並列摘要

BACKGROUND AND OBJECTIVE: Patient satisfaction is one of the indicators for quality of healthcare, it provides important reference in a continuous quality improvement (CQI) program. The aims of this study were to report patients’ documented evaluation of the endoscopic sinus surgery (ESS) they received, to investigate the factors that may confound the level of their satisfaction, and to explore the feasibility of using these data in a CQI for ESS.
METHOD: Eighty-three patients with chronic sinusitis underwent ESS enrolled into this study. Patients completed a validated Patient Satisfaction Survey at 1 Month after surgery. Patients’ demographic data and process elements were obtained from the medical records retrospectively. Multi-level ordinal logistic regression analysis was undertaken to determine what process variables and patient characteristics were associated with the level of patient satisfaction.
RESULTS: Overall, 72% of patients were more than satisfied with the service. Both education level and disease severity were significantly related to the satisfaction level (p＜0.01). Type of anesthesia, additional septal operation, type of intranasal packing and the frequency of post-operative sinuscopy were also closely related to patients’ satisfaction with ESS.
CONCLUSION: The study provided pilot patient satisfaction information on ESS for both physicians and patients. With proper adjustment, the satisfaction data proved to be useful in a CQI program for ESS.

並列關鍵字

patient satisfaction ； endoscopic sinus surgery ； continuous quality improvement