27 KB122 KB22 KB200220262003Demšar, MartinaKersnik, JankoŠvab, Igorštevilka:3letnik:42str. 110-115ISSN:0351-0026COBISSID:996837URN:URN:NBN:SI:doc-I2SGGBZTenInštitut za varovanje zdravja Republike SlovenijeZdravstveno varstvoambulancesanketeemergency medical servicesemergency treatmentnujna medicinska pomočnujna medicinska službapatient satisfactionquestionnairesreševalno vozilozadovoljstvo bolnikovDevelopment of a questionnaire on patient satisfaction with emergency medical interventions| Izdelava vprašalnika za merjenje zadovoljstva bolnikov s službo nujne medicinske pomoči na terenu|Aims: In the last decade, we have been faced with important changes in the organisation of out-of-hours health services. In Slovenia, prehospital units were set up to intervene on the site of an accident or emergency. Since patient satisfaction with prehospital emergency medical services (EMS) seems to be a neglected area of research, we developed and tested a postal questionnaire asking patients about their satisfaction with EMS. We expected that patient satisfaction with EMS would be high, and that some areas that would need improvement would be identified. Methods: We studied a random sample of 377 patients provided EMS in the Kranj health region, Slovenia, in 1998. The questionnaire consisted of patient data and questions on patient satisfaction with the EMS received. Results: The questionnaire was completed by 239 subjects (response rate 70.9%). There were 131 (54.8%) men and 108 (45.5%) women, aged 18 to 91 years, mean age 52.4 years (sd 17.8 years). The reason for emergency medical intervantion was a disease in 109 (45.0%) cases,traffic accident in 73 (30.5%) and some other accident in 39 (16.3%) cases; other reasons were stated in 18 (7.5%) cases. In 75 (31.4%) cases, the intervention took place during the night, and in 147 (61.5%) during the day. The reliability (Cronbach Alpha) of the scale measuring patient satisfaction with EMS intervention was 0.8243. The satisfaction scores ranged from 38 to 100 points (out of max. 100 possible); the mean score was 88.7 (sd = 11.3). Conclusions: The results showed an acceptable level of reliability of the questionnaire and a relatively high rate of patient satisfaction with EMSNamen: V zadnjem času smo priča pomembnih sprememb pri organizaciji zdravstvene oskrbe izven delovnega časa. V Sloveniji je bila vzpostavljena mreža prehospitalnih enot za ukrepanje na terenu. Raziskovanje zadovoljstva bolnikov z delom nujne medicinske službe še ni posebno zaživelo, zato smo izdelali vprašalnik za merjenje zadovoljstva bolnikov s službo nujne medicinske pomoči in ga preverili v praksi. Pričakovali smo visoko zadovoljstvo bolnikov s službo nujne medicinske pomoči in pomanjkljivosti na nekaterih področjih, kjer bodo potrebne spremembe. Metode: Izbrali smo naključni vzorec 377 bolnikov, ki so bili oskrbljeni v prehospitalni enoti ZD Kranj leta 1998. Vprašalnik je vseboval podatke o bolnikih in bolnikove ocene oskrbe med nujno intervencijo. Rezultati: Bolniki so vrnili 239 (70,9%) poslanih vprašalnikov. 131 (54,8%) je bilo moških in 108 (45,5%) žensk. Bolniki so bili stari od 18 do 91 let, v povprečju 52,4 leta (SD = 17,8 let). Kot vzrok nujne intervencije so navedli bolezen v 109 (45,0%), prometno nezgodo v 73 (30,5%), druge nezgode v 39 (16,3%) in druge razloge v 18 (7,5%) primerih. V 147 (61,5%) je bila nujna intervencija preko dneva in v 75 (31,4%)preko noči. Zanesljivost lestvice za merjenje zadovoljstva bolnikov je bila visoka (Kronbachov alfa = 0,8243). Povprečna ocena zadovoljstva je bila od 38 do 100 odstotnih točk, v povprečju 88,7 točk (SD = 11,3 točke). Sklepi: Vprašalnika za merjenje zadovoljstva bolnikov je zanesljiv za uporabo. Bolnikiso bili s službo nujne medicinske pomoči v ZD Kranj zadovoljniTEXTznanstveno časopisjejournalsSlovenian National E-content AggregatorNational and University Library of SloveniaInštitut za varovanje zdravja RS