关键词: Online feedback Patient experience Patient feedback Patient satisfaction Projection radiography Service Improvement

Mesh : Humans Feedback Delivery of Health Care Radiography Clinical Competence Patient Outcome Assessment

来  源:   DOI:10.1016/j.jmir.2022.11.009

Abstract:
Projection radiography remains a well-used diagnostic tool in healthcare, and its use is continually increasing. The volume of feedback collected from patients has grown exponentially but is rarely analysed within the service to meaningfully underpin change. Professions such as nursing currently make use of patient feedback during training yet there is comparatively little use in diagnostic radiography. Research exists into the use of social media during radiotherapy treatment, highlighting how it could be embraced in future research. However, there remains a sparsity of publications discussing the experiences of patients with projection radiography despite its prominence within diagnostic imaging. Online platforms for feedback are available to most industries and readily embraced and used. They are also becoming increasingly available to healthcare providers. This study aimed to assess and analyse the patient experience of projection radiography using the stories of patients via an online platform.
Recognising that humans do not experience healthcare in a binary way, the authors selected a narrative method as the most appropriate qualitative methodology to analyse and understand 181 patient stories relating to projection radiography from the Care Opinion UK website. Each story was read three times to establish codes and themes and to ensure author familiarity with the patient\'s words & descriptions. This resulted in 30 empirical codes with the most frequently used being split into three major themes for discussion RESULTS & CONCLUSION: The three major themes considered the radiography experience, the encounter with professionals and service provision. Online sources of feedback provide valuable data for health researchers and provide access to insights which might otherwise go unconsidered. Patients instinctively perceive radiological examinations to result in delays to their care and report surprise when discovering examinations are delivered swiftly, though it remains that innovations such as radiographer-led discharge could be better utilised to enhance the patient experience. In addition, it is evident that administrative functions in diagnostic radiology departments are considered poor and from the descriptions given in the study by patients, the administrative side of the service does not meet their needs. Patient stories demonstrate that radiography is not perceived as vital to patient care and is frequently devalued through the notion that health professions are limited to medical doctor and nurse. The work of radiographers is not valueless to the patient evidenced by their desire to thank staff for their work, but its value is poorly understood and could be further enhanced by embracing online feedback as part of continuing professional and service development.
摘要:
背景:投影射线照相术仍然是医疗保健中使用良好的诊断工具,它的使用也在不断增加。从患者那里收集的反馈量呈指数级增长,但很少在服务中进行分析以有效地支持变化。诸如护理之类的专业目前在培训期间利用患者的反馈,但在诊断放射线照相术中的使用相对较少。关于在放射治疗过程中使用社交媒体的研究,强调如何在未来的研究中接受它。然而,尽管投影射线照相在诊断成像中具有突出地位,但仍有很少的出版物讨论患者的经验.大多数行业都可以使用在线反馈平台,并且很容易接受和使用。它们也越来越多地提供给医疗保健提供者。本研究旨在通过在线平台使用患者的故事来评估和分析患者对投影射线照相的体验。
方法:认识到人类不会以二元方式体验医疗保健,作者选择了一种叙事方法作为最合适的定性方法来分析和理解来自英国CareOpinion网站的181例与投影射线照相术相关的患者故事.每个故事被阅读三次,以建立代码和主题,并确保作者熟悉患者的单词和描述。Thisresultedin30empiricalcodeswiththemostfrequentlyusedbeingspredintothreemajorthemethemefordiscussionResults&Conclusion:Thethreemajorthemesconsideredtheradiographyexperience,与专业人士的接触和服务提供。在线反馈来源为健康研究人员提供了有价值的数据,并提供了可能不被考虑的见解。患者本能地认为放射学检查会导致护理延误,并在发现检查迅速进行时报告惊讶,尽管仍然可以更好地利用诸如放射技师主导的出院之类的创新来增强患者的体验。此外,很明显,诊断放射科的行政职能被认为是差的,从患者研究中给出的描述来看,服务的行政方面不能满足他们的需求。患者的故事表明,放射线照相对患者护理并不重要,并且由于卫生专业仅限于医生和护士的观念而经常贬值。放射技师的工作对病人来说并非毫无价值,因为他们渴望感谢工作人员的工作,但它的价值还知之甚少,可以通过接受在线反馈作为持续专业和服务发展的一部分来进一步增强。
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