Factors Influencing patient experience and satisfaction following surgical management of ankle fractures.
Injury
; 48(4): 960-965, 2017 Apr.
Article
en En
| MEDLINE
| ID: mdl-28249677
ABSTRACT
BACKGROUND:
Patient 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.METHODS:
Adult 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.RESULTS:
52 patients (23 males) of average age 47 years (17-86) underwent ankle fracture fixation. Median pre-operative length of stay (LOS) was 3days (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 3days patients reported more areas of concerns (6 of 15) than those waiting 3days 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]).CONCLUSIONS:
Efforts 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.Palabras clave
Texto completo:
1
Base de datos:
MEDLINE
Asunto principal:
Satisfacción del Paciente
/
Fracturas de Tobillo
/
Fijación Interna de Fracturas
Tipo de estudio:
Observational_studies
/
Prognostic_studies
/
Qualitative_research
/
Risk_factors_studies
País/Región como asunto:
Europa
Idioma:
En
Revista:
Injury
Año:
2017
Tipo del documento:
Article