背景:数据库已成为改善医疗保健的重要工具。护理响应是一个数据库,其中包含国际上成千上万的脊椎指压患者的信息。它已经收集患者报告的结果和患者满意度信息超过10年。这项研究的目的是通过分析输入到患者报告的经验测量(PREM)问卷中的免费文本来帮助理解患者对脊椎治疗的看法和优先事项。护理响应系统。
方法:本研究的PREM有两个令人感兴趣的问题。一个人要求提供有关患者对患者护理体验的“好点”的信息,以及其他要求的“改进”信息,可以使体验更好。我们使用MicrosoftWord中的单词计数宏进行了单词频率分析,然后将这些结果作为定性分析的起点。数据于2022年5月30日收集。
结果:参与护理反应系统的人经常报告其脊医的积极经历,包括他们减轻了疼痛,改进的功能,并在他们的临床状况中得到了验证。此外,他们赞赏向他们解释诊断和治疗程序。他们重视友好,专业,和准时服务。消极的经历是相反的:匆忙接受治疗,治疗是不值得的,或者他们没有得到专业的治疗,同情地,或者尊重他们作为个人。在“好点”下出现的最重要的主题是满意(小心),价值(作为一个人),安全,comfort,和专业性。他们的对立面,不满,缺乏价值,缺乏安全,缺乏安慰,缺乏专业精神成为“改进”下最重要的主题。我们报告了一些以前在文献中没有探讨过的患者体验的细微差别。
结论:受访者似乎重视在安全,专业,友好,和美观的环境。脊医应注意这些优先事项,并根据它们与患者互动。教育机构应考虑如何将这些领域的良好做法纳入课程。
Databases have become important tools in improving health care. Care Response is a database containing information on tens of thousands of chiropractic patients internationally. It has been collecting patient-reported outcomes and patient satisfaction information for more than 10 years. The purpose of this study was to contribute to the understanding of patient perceptions and priorities for chiropractic care by analysing free text entered into the patient reported experience measure (PREM) questionnaires within the Care Response system.
There were two questions of interest on the PREM for this study. One requested information about \"good points\" patients perceived about patients\' care experience, and the other requested information on \"improvements\" that could make the experience better. We conducted a word frequency analysis using a word counting macro in Microsoft Word, then used those results as a starting point for a qualitative analysis. Data were collected on 30 May 2022.
The people who participated in the Care Response system often reported positive experiences with their chiropractors, including that they had reduced pain, improved function, and felt validated in their clinical condition. In addition, they appreciated having diagnostic and treatment procedures explained to them. They valued friendly, professional, and on-time service. The negative experiences were the opposite: being rushed through treatment, that the treatment was not worth the cost, or that they weren\'t treated professionally, empathetically, or with respect for them as individuals. The most important themes that emerged under \"good points\" were satisfaction (with care), value (as a person), safety, comfort, and professionalism. Their opposites, dissatisfaction, lack of value, lack of safety, lack of comfort, and lack of professionalism emerged as the most important themes under \"improvements\". We report some nuances of patient experience that have not previously been explored in the literature.
Respondents seemed to value effective care provided in a safe, professional, friendly, and aesthetically pleasing environment. Chiropractors should note these priorities and engage with patients according to them. Education institutions should consider how good practice in these areas might be incorporated into curricula.