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dc.contributor.authorSanclemente-Ansó, Carmen
dc.contributor.authorSalazar Soler, Albert
dc.contributor.authorBosch, Xavier
dc.contributor.authorCapdevila, Cristina
dc.contributor.authorGiménez-Requena, Amparo
dc.contributor.authorRosón-Hernández, Beatriz
dc.contributor.authorCorbella Virós, Xavier
dc.date.accessioned2020-02-01T16:13:21Z
dc.date.available2020-02-01T16:13:21Z
dc.date.issued2015-09-30
dc.identifier.citationSanclemente-Ansó, Carmen; Salazar, Albert; Bosch, Xavier [et al.]. Perception of quality of care of patients with potentially severe diseases evaluated at a distinct quick diagnostic delivery model: a cross-sectional study. BMC Health Services Research, 2015, núm. 15, p.1-16. Disponible en: <https://bmchealthservres.biomedcentral.com/articles/10.1186/s12913-015-1070-2#Ack1>. Fecha de acceso: 1 feb. 2020. DOI: 10.1186/s12913-015-1070-2.ca
dc.identifier.issn1472-6963ca
dc.identifier.urihttp://hdl.handle.net/20.500.12328/1443
dc.description.abstractBackground: Although hospital-based outpatient quick diagnosis units (QDU) are an increasingly recognized cost-effective alternative to hospitalization for the diagnosis of potentially serious diseases, patient perception of their quality of care has not been evaluated well enough. This cross-sectional study analyzed the perceived quality of care of a QDU of a public third-level university hospital in Barcelona. Methods: One hundred sixty-two consecutive patients aged ≥ 18 years attending the QDU over a 9-month period were invited to participate. A validated questionnaire distributed by the QDU attending physician and completed at the end of the first and last QDU visit evaluated perceived quality of care using six subscales. Results: Response rate was 98 %. Perceived care in all subscales was high. Waiting times were rated as ‘short’/’very short’ or ‘better’/’much better’ than expected by 69–89 % of respondents and physical environment as ‘better’/’much better’ than expected by 94–96 %. As to accessibility, only 3 % reported not finding the Unit easily and 7 % said that frequent travels to hospital for visits and investigations were uncomfortable. Perception of patient–physician encounter was high, with 90–94 % choosing the positive extreme ends of the clinical information and personal interaction subscales items. Mean score of willingness to recommend the Unit using an analogue scale where 0 was ‘never’ and 10 ‘without a doubt’ was 9.5 (0.70). On multivariate linear regression, age >65 years was an independent predictor of clinical information, personal interaction, and recommendation, while age 18–44 years was associated with lower scores in these subscales. No schooling predicted higher clinical information and recommendation scores, while university education had remarkable negative influence on them. Having ≥4 QDU visits was associated with lower time to diagnosis and recommendation scores and malignancy was a negative predictor of time to diagnosis, clinical information, and recommendation. Discussion: It is worthy of note that the questionnaire evaluated patient perception and opinions of healthcare quality including recommendation rather than simply satisfaction. It has been argued that perception of quality of care is a more valuable approach than satisfaction. In addition to embracing an affective dimension, satisfaction appears more dependent on patient expectations than is perception of quality. Conclusions: While appreciating that completing the questionnaire immediately after the visit and its distribution by the QDU physician may have affected the results, scores of perceived quality of care including recommendation were high. There were, however, significant differences in several subscales associated with age, education, number of QDU visits, and diagnosis of malignant vs. benign condition.ca
dc.format.extent16ca
dc.language.isoengca
dc.publisherSpringer Natureca
dc.relation.ispartofBMC Health Services Researchca
dc.relation.ispartofseries15;
dc.rightsThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.ca
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.subject.otherDiagnòsticca
dc.subject.otherQualitat de vida
dc.subject.otherPacients--Satisfacció
dc.subject.otherCentres d'atenció primària
dc.subject.otherRegistres mèdics
dc.subject.otherMalalties
dc.subject.otherDiagnóstico
dc.subject.otherCalidad de vida
dc.subject.otherSatisfacción del paciente
dc.subject.otherAmbulatorios
dc.subject.otherRegistros médicos
dc.subject.otherEnfermedades
dc.subject.otherDiagnosis
dc.subject.otherLife, Quality of
dc.subject.otherPatients--Satisfaction
dc.subject.otherPrimary care
dc.subject.otherMedical records
dc.subject.otherDiseases
dc.titlePerception of quality of care of patients with potentially severe diseases evaluated at a distinct quick diagnostic delivery model: a cross-sectional studyca
dc.typeinfo:eu-repo/semantics/articleca
dc.description.versioninfo:eu-repo/semantics/acceptedVersionca
dc.embargo.termscapca
dc.subject.udc61 - Medicina
dc.identifier.doihttps://dx.doi.org/10.1186/s12913-015-1070-2ca


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This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
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