PDF(Pubmed)
Abstract：
BACKGROUND: Small fiber neuropathy (SFN) is a common cause of neuropathic pain in peripheral neuropathies. Good accessibility of diagnostics and treatment is necessary for an accurate diagnosis and treatment of SFN. Evidence is lacking on the quality performance of the diagnostic SFN service in the Netherlands. Our aim was to determine the patient satisfaction and -accessibility of the diagnostic SFN service, and to identify areas for improvement.
METHODS: In a single-center, prospective, survey-based cohort study, 100 visiting patients were asked to fill in the SFN patient satisfaction questionnaire (SFN-PSQ), with 10 domains and 51 items. Cut-off point for improvement was defined as ≥ 25% dissatisfaction on an item. A chi-square test and linear regression analyses was used for significant differences and associations of patient satisfaction.
RESULTS: From November 2020 to May 2021, 98 patients with SFN-related complaints filled in the online SFN-PSQ within 20 minutes. In 84% of the patients SFN was confirmed, average age was 55.1 (52.5-57.8) years and 67% was female. High satisfaction was seen in the domains \'Waiting List Period\', Chest X-ray\', \'Consultation with the Doctor or Nurse Practitioner (NP)\', \'Separate Consultation with the Doctor or NP about Psychological Symptoms\', and \'General\' of the SFN service. Overall average patient satisfaction score was 8.7 (IQR 8-10) on a 1-to-10 rating scale. Main area for improvement was shortening the 8-week period for receiving the results of the diagnostic testing (p < 0.05). General health status was statistically significant associated with patient satisfaction (p < 0.05).
CONCLUSIONS: A good reflection of the high patient satisfaction and -accessibility of the SFN-service is shown, with important points for improvement. These results could help hospitals widely to optimize the logistic and diagnostic pathway of SFN analysis, benchmarking patient satisfaction results among the hospitals, and to improve the quality of care of comparable SFN services.
METHODS: In a single-center, prospective, survey-based cohort study, 100 visiting patients were asked to fill in the SFN patient satisfaction questionnaire (SFN-PSQ), with 10 domains and 51 items. Cut-off point for improvement was defined as ≥ 25% dissatisfaction on an item. A chi-square test and linear regression analyses was used for significant differences and associations of patient satisfaction.
RESULTS: From November 2020 to May 2021, 98 patients with SFN-related complaints filled in the online SFN-PSQ within 20 minutes. In 84% of the patients SFN was confirmed, average age was 55.1 (52.5-57.8) years and 67% was female. High satisfaction was seen in the domains \'Waiting List Period\', Chest X-ray\', \'Consultation with the Doctor or Nurse Practitioner (NP)\', \'Separate Consultation with the Doctor or NP about Psychological Symptoms\', and \'General\' of the SFN service. Overall average patient satisfaction score was 8.7 (IQR 8-10) on a 1-to-10 rating scale. Main area for improvement was shortening the 8-week period for receiving the results of the diagnostic testing (p < 0.05). General health status was statistically significant associated with patient satisfaction (p < 0.05).
CONCLUSIONS: A good reflection of the high patient satisfaction and -accessibility of the SFN-service is shown, with important points for improvement. These results could help hospitals widely to optimize the logistic and diagnostic pathway of SFN analysis, benchmarking patient satisfaction results among the hospitals, and to improve the quality of care of comparable SFN services.
摘要：
背景：小纤维神经病（SFN）是周围神经病变中神经性疼痛的常见原因。诊断和治疗的良好可达性对于SFN的准确诊断和治疗是必要的。荷兰缺乏关于诊断SFN服务的质量性能的证据。我们的目标是确定诊断SFN服务的患者满意度和可访问性，并确定需要改进的地方。
方法：在单中心，prospective,基于调查的队列研究，100名访视患者被要求填写SFN患者满意度问卷(SFN-PSQ),有10个域名和51个项目。改善的截止点定义为对某一项目的不满≥25%。卡方检验和线性回归分析用于患者满意度的显着差异和关联。
结果：从2020年11月到2021年5月，98名与SFN相关的投诉患者在20分钟内填写了在线SFN-PSQ。在84%的患者中，SFN得到了证实，平均年龄为55.1（52.5-57.8）岁，67％为女性。在“等待列表周期”域中看到了很高的满意度，胸部X光,\'与医生或护士从业者（NP）的咨询'，\'与医生或NP就心理症状进行单独咨询\'，和SFN服务的\'General\'。在1至10的评定量表上，患者总体平均满意度得分为8.7分（IQR8-10）。改善的主要方面是缩短接受诊断测试结果的8周时间（p<0.05）。一般健康状况与患者满意度有统计学意义（p<0.05）。
结论：显示了对SFN服务的高患者满意度和可及性的良好反映，有重要的改进点。这些结果可以帮助医院广泛优化SFN分析的逻辑和诊断路径，在医院中对患者满意度结果进行基准测试，并提高可比SFN服务的护理质量。
方法：在单中心，prospective,基于调查的队列研究，100名访视患者被要求填写SFN患者满意度问卷(SFN-PSQ),有10个域名和51个项目。改善的截止点定义为对某一项目的不满≥25%。卡方检验和线性回归分析用于患者满意度的显着差异和关联。
结果：从2020年11月到2021年5月，98名与SFN相关的投诉患者在20分钟内填写了在线SFN-PSQ。在84%的患者中，SFN得到了证实，平均年龄为55.1（52.5-57.8）岁，67％为女性。在“等待列表周期”域中看到了很高的满意度，胸部X光,\'与医生或护士从业者（NP）的咨询'，\'与医生或NP就心理症状进行单独咨询\'，和SFN服务的\'General\'。在1至10的评定量表上，患者总体平均满意度得分为8.7分（IQR8-10）。改善的主要方面是缩短接受诊断测试结果的8周时间（p<0.05）。一般健康状况与患者满意度有统计学意义（p<0.05）。
结论：显示了对SFN服务的高患者满意度和可及性的良好反映，有重要的改进点。这些结果可以帮助医院广泛优化SFN分析的逻辑和诊断路径，在医院中对患者满意度结果进行基准测试，并提高可比SFN服务的护理质量。
