Satisfacción y experiencia de pacientes en tratamiento con sustitutivos opioides en España. Estudio PREDEPO / Patients’satisfaction and experience in treatment with opioid substitution therapy in Spain. The PREDEPO study

El objetivo es comparar la satisfacción, experiencia, objetivos y opinión de los pacientes con trastorno por consumo de opioides (TCO) en base a su tratamiento sustitutivo de opioides (TSO) actual (metadona o buprenorfina/naloxona (B/N)). El estudio PREDEPO es un estudio observacional, transversal, multicéntrico desarrollado en España que incluyó pacientes adultos, diagnosticados de TCO y en TSO, quienes contestaron una encuesta sobre su tratamiento actual. Se incluyeron 98 pacientes (B/N:50%, metadona:50%): edad media de 47 ± 8 años y el 80% varones. A nivel de la satisfacción con su tratamiento, los resultados fueron similares entre grupos. El factor “muy/bastante satisfactorio” que se reportó con mayor frecuencia fue “poder repartir las dosis en varios momentos del día” (44% B/N vs. 63% metadona; p = ,122). Se encontraron diferencias significativas en “tener que recoger la medicación diariamente” donde una menor proporción en el grupo B/N contestaron “muy/bastante molesto” versus el grupo metadona (19% vs. 52%, p = ,032). Los objetivos reportados por la mayoría de los pacientes fueron similares entre grupos (“no sentir más síndrome de abstinencia”, “disminuir o dejar definitivamente mi consumo de drogas”, “mejorar mi estado de salud” y “dejar de pensar en consumir todos los días”) excepto en “no tener más problemas de dinero” (72% B/N vs. 92% metadona; p = ,012). Estos resultados evidencian que existen expectativas no cubiertas con los TSO actuales y la necesidad de nuevos tratamientos que disminuyan la carga de la enfermedad, eviten la necesidad de una dosificación diaria y reduzcan el estigma, mejorando así el manejo del paciente, su adherencia y calidad de vida. (AU)

The aim of this study was to compare patients’ satisfaction, experience, objectives, and opinion based on their current opioid substitution therapy (OST) (buprenorphine/naloxone (B/N) or methadone). The PREDEPO study is an observational, cross-sectional, multicentric study performed in Spain. Adult patients diagnosed with opioid use disorder (OUD) receiving OST were included. They were asked to fill in a questionnaire regarding their current OST. A total of 98 patients were enrolled (B/N: 50%, methadone: 50%). Mean age was 47 ± 8 years old and 80% were male. Treatment satisfaction was similar between groups. The most frequently reported factor for being “very/quite satisfied” was “being able to distribute the dose at different times throughout the day” (44% B/N vs. 63% methadone; p = .122). A significantly lower proportion of patients in the B/N group versus the methadone group reported that having to collect the medication daily was “very/quite annoying” (19% vs. 52%, p = .032). Treatment objectives reported by the majority of patients were similar between groups (“not feeling in withdrawal anymore”, “reduce/definitely stop drug use”, “improve my health”, and “stop thinking about using daily”) except for “not having money problems anymore” (73% B/N vs. 92% methadone; p = .012). These results suggest there are several unmet expectations regarding current OST. There is a need for new treatments that reduce the burden of OUD, avoid the need for daily dosing, and are less stigmatizing which in turn could improve patient management, adherence and, quality of life. (AU)

Satisfacción de pacientes y prestadores de servicios en el Instituto de Hematología e Inmunología / Satisfaction of Patients and Service Providers in the Institute of Hematology and Immunology

Introducción: La satisfacción del paciente y el prestador de servicio asistencial de salud es una variable multidimensional de la calidad en la atención médica. La comunicación, la atención y cortesía, el tiempo de espera percibido, la aplicación de una tecnología de avanzada y una infraestructura idónea son los factores que se deben trabajar para incrementar dicha satisfacción. Objetivo: Identificar el nivel de satisfacción de pacientes, familiares y prestadores de servicios en el Instituto de Hematología e Inmunología. Métodos: Se realizó un estudio descriptivo de corte transversal, durante cinco años (2017-2021). El universo lo conformaron 1004 personas, seleccionados mediante un muestreo aleatorio simple. Se aplicaron para la evaluación de la satisfacción las técnicas de encuestas y entrevistas. Resultados: Se identificó el nivel de satisfacción de las personas respecto a las dimensiones evaluadas sobresaliendo en más del 90 por ciento el trato recibido, la eficiencia en los servicios prestados y la privacidad en salas de asistencia médica. Resultó ser de un 93 por ciento el compromiso y la entrega de los prestadores de servicios y más del 70 por ciento del personal se capacitó. Se analizaron varios indicadores a partir de encuestas de tipo cerradas, abiertas y entrevistas. Conclusiones: La identificación del nivel de satisfacción de pacientes, familiares y prestadores de servicios permite mitigar o eliminar la mayoría de las inconformidades lo que contribuye a la mejora en los servicios asistenciales, docentes e investigativos, que avalan los logros alcanzados por el instituto en la actualidad(AU)

Introduction: Patient and healthcare provider satisfaction is a multidimensional variable of healthcare quality. Communication, care and politeness, the perceived waiting time, the application of advanced technology, as well as an adequate infrastructure, are the factors that should be worked on to increase such satisfaction. Objective: To identify the level of satisfaction of patients, family members and service providers at the Institute of Hematology and Immunology. Methods: A descriptive and cross-sectional study was carried out during five years (2017-2021). The universe consisted of 1004 people, selected by simple random sampling. The survey and interview techniques were used to evaluate satisfaction. Results: The level of satisfaction of the people was identified, with respect to the evaluated dimensions; received treatment, efficiency of provided services and privacy in medical care rooms stood out in more than 90 percent. The commitment and dedication of the service providers was 93 percent, while more than 70 percent of the personnel received training. Several indicators were analyzed based on closed or open-ended surveys and interviews. Conclusions: The identification of the level of satisfaction among patients, family members and service providers allows mitigating or eliminating most of the nonconformities, contributing to the improvement in care, teaching and research services, which confirms the achievements attained by the institute nowadays(AU)

Prótesis de pivote medial y ultra-congruente: satisfacción y resultados clínicos. Serie de casos / Medial and ultra-congruent pivot designed prosthesis: satisfaction and clinical results. case series

Introducción La artroplastia total de rodilla es un procedimiento exitoso que mejora significativamente la calidad de vida de los pacientes disminuyendo el dolor e incrementando su capacidad funcional. Sin embargo, la literatura reporta hasta 25% de pacientes insatisfechos. El objetivo de este estudio es presentar los resultados clínicos y la satisfacción de un grupo de pacientes operados con implantes de tipo pivote medial y ultra-congruente. Materiales y métodos Se realizó un estudio observacional retrospectivo. Se revisaron las historias clínicas de todos los pacientes operados con los sistemas mencionados con mínimo 12 meses post-operatorios. Se analizaron resultados de 100 rodillas (96 pacientes) que completaron los cuestionarios, con una media de seguimiento de 33.5 meses. Se aplicaron los cuestionarios KSS, KOOS y WOMAC. Se estudiaron diferencias en dolor y función entre la etapa pre-operatoria y el último seguimiento. Se analizó la satisfacción de los pacientes con respecto al dolor y la capacidad funcional. Se evaluaron complicaciones presentadas. Resultados Todos los criterios presentaron una mejora estadísticamente significativa entre la etapa pre-operatoria y el último seguimiento. 97% de los pacientes reportaron estar satisfechos con los resultados. Las medias de los cuestionarios fueron entre 83.97 y 95.3. Se presentó 1 caso de revisión por infección peri-protésica. Discusión Las prótesis de pivote medial y ultra-congruente constituyen opciones eficaces y seguras para el tratamiento de artrosis de rodilla. Es necesario realizar estudios prospectivos y comparativos que generen evidencia de más alto nivel para confirmar los beneficios de estos diseños.

Background Total knee arthroplasty is a successful procedure that improves patient quality of life by reducing pain and increasing their functional capacity. However, literature reports up to 25% dissatisfaction in patients. The objective of the study is to present the clinical results and satisfaction of a group of patients operated on using ultra-congruent medial pivot-type implants. Methods A retrospective observational study was carried out. The medical records of all the patients who underwent knee arthroplasty surgery with a specific system were reviewed, including patients with a minimum of 12 months follow up. An analysis was performed on the results of 100 knees (96 patients) that had completed questionnaires. There was a mean follow-up of 33.5 months. The KSS, KOOS, and WOMAC questionnaires were used. Differences in pain and function between the pre-surgical stage and the last follow-up were studied. An analysis was made on patient satisfaction with regard to pain and functional capacity. Specific complications were evaluated. Results All evaluation criteria showed a statistically significant improvement between the pre-surgical stage and the last follow-up. Almost all (97%) of patients reported being satisfied with the results. The means of the questionnaires were between 83.97 and 95.3. One case of revision due to peri-prosthetic infection was presented. Discussion Medial pivot and ultra-congruent prostheses designs are effective and safe options for the treatment of osteoarthritis of the knee. Prospective and comparative studies that generate higher level evidence are necessary to confirm the benefits of these designs.

[Sociodemographic characteristics and geographic variability associated with patient satisfaction in Primary Care]. / Características sociodemográficas y variabilidad geográfica relacionada con la satisfacción del paciente en Atención Primaria.

BACKGROUND: Patient satisfaction with health services plays an important role in programs to improve the quality of care from the point of view of users. The objectives of this study were: To identify sociodemographic characteristics associated with patient satisfaction in the care provided by family doctors in Primary Health Care (PHC) centres, and describe the geographical variability of this phenomenon in the Spanish National Health Service. MATERIAL AND METHODS: The data come from the European Health Survey (2009). Prevalence ratios (crude and adjusted) of the characteristics associated with both excellent satisfaction and dissatisfaction using Poisson regression, and their geographical variability are discussed. RESULTS: About one in every 3 users of the PHC believes that the care provided was excellent, while 6.7% were dissatisfied. There is a wide variability in the perception of satisfaction among the various regional health services, with prevalence ranging between 10.9% and 55.2%. Moreover, this assessment is closely related to age, level of self-perceived health, mental health, previous hospitalisation, chronic disease status, and limitations in daily activities. CONCLUSIONS: Satisfaction with the care provided by the PHC physician is relatively high. However, the distribution between regions and socio-demographic characteristics and health status of the user is heterogeneous.

[Patient satisfaction as a quality indicator in mental health]. / Satisfacción del paciente como indicador de calidad en salud mental.

OBJECTIVE: To improve the quality of care in a Mental Health Hospital and identify the level of patient satisfaction. MATERIAL AND METHOD: A descriptive, longitudinal, and retrospective study was conducted on 666 patients who completed treatment in the Mental Health Day Hospital of Salamanca, during the period 1994-2012, using the Hospital Management Annual Reports. A questionnaire designed for this purpose was used as the measurement tool. RESULTS: Most of the patients satisfactorily valued aspects, such as the general impression of the treatment (90% said «good/fairly good¼) and perception of being helped (94% perceived «very/fairly helped¼); with 83% believing that the hospital is accessible. As regards empathy-understanding, it was noted that 14% feel discontent. While 18% of patients expected to be completely cured, the 83% of patients that finished their treatment have said that, in their opinion, the symptoms have subsided «very or somewhat¼. As regards the knowledge that they have about their disease, 30% believe it has advanced «a lot.¼ CONCLUSIONS: Based on the perceptions reported by patients, it may be said that in general, the level of user satisfaction in the Mental Health Day Hospital is high. Assessing quality through the user opinions helps control the quality, considering that patient satisfaction is a good indicator of result of the care received during their hospitalisation.

Afluencia, permanencia y grado de satisfacción de pacientes adultos de las clínicas de la facultad de odontología de la universidad de el salvador, período 2010-2014 / Affluence, permanence and degree of satisfaction of adult patients in the clinics of the dental school of the University of El Salvador, period 2010-2014

Objetivo: Conocer la afluencia, permanencia y grado de satisfacción de los pacientes adultos que acuden a las clínicas de la Facultad de Odontología de la Universidad de El Salvador (FOUES), en el periodo 2010-2014. METODOLOGÍA: El estudio es observacional descriptivo de corte transversal, realizado en la Facultad de Odontología de la Universidad de El Salvador (FOUES) con 368 pacientes adultos con expediente clínico. Los métodos de recolección de datos fueron: a) una guía de observación que registró información personal de cada paciente; b) cuestionario, aplicado en dos opciones: presencial a pacientes que aceptaron asistir a la Facultad y que aún permanecían recibiendo atención y vía telefónica a los sujetos que al ser contactados no podían asistir. El instrumento permitió conocer las experiencias del paciente, causas de abandono o permanencia, niveles de satisfacción y resolución del motivo de consulta. RESULTADOS: El promedio de la afluencia de pacientes adultos registrados en el área de archivo de la FOUES del 2010 al 2014 fue de 1,836 por año. Permanencia 61.7%. En cuanto a los niveles de satisfacción en la atención brindada por el personal administrativo, docente y estudiante el 51.2% se mostró satisfecho. Con el tratamiento que recibió para resolver el motivo de consulta 36.7% muy satisfecho. CONCLUSIÓN: La afluencia de pacientes en la FOUES fue de 1,836 por año, 60.9% del sexo femenino, la permanencia al plan de tratamiento fue 61.7%, y 51.2% se mostró satisfecho con la atención que recibió de administrativos, docentes y estudiante.

Objective: To know the influx, stay, and level of satisfaction of adult patients coming to clinics of the School of Dentistry of El Salvador (FOUES) during the period 2010-2014. Methodology This is an observational, descriptive, cross-sectional study carried out at the School of Dentistry of the University of El Salvador with 368 adult patients with medical record. The methods for data gathering were: a) an observation guide to record personal information of each patient; b) questionnaire applied in two ways: face-to-face to patients who accepted to come to the School and who still were receiving attention, and by phone to subjects who expressed not being able to attend. The instrument allowed to know the experiences of the patient, causes for abandonment or stay, levels of satisfaction and resolution of the consultation. Results: The average of the influx of adult patients recorded at the FOUES archive area from 2010 to 2014 was 1,836 per year. Stay 61.7%. As to the levels of satisfaction for attention given by the administrative, teaching, and student personnel, 51.2% was satisfied. With respect to the treatment received to resolve the cause for consultation, 36.7% was satisfied. Conclusion: The influx of patients in the FOUES was 1,836 per year, 60.9% females, the stay for the treatment plan was 61.7%, and 51.2% was satisfied with the attention received by administrative, teaching, and student personnel.

Satisfação do paciente em um programa educativo para automonitorização da glicemia capilar no domicilio / Patient satisfaction in a home-based capillary blood glucose self-monitoring educational program / Satisfacción del paciente en programa educativo de automonitoreo de glucemia capilar en domicilio

Estudo transversal que teve como objetivo avaliar a satisfação dos pacientes com diabetes mellitus após oferecimento de um programa educativo para automonitorização da glicemia capilar no domicílio. A amostra por conveniência foi constituída por 29 pacientes de duas Unidades Básicas de Saúde de uma cidade do interior paulista, em 2012. Utilizou-se um formulário contendo as variáveis sociodemográficas e um questionário para avaliar a satisfação dos pacientes em relação ao grupo de educação em diabetes. Os resultados mostraram que a maioria dos pacientes considerou o programa educativo como excelente/satisfatório. Quanto às informações recebidas, os pacientes referiram que elas atenderam às suas necessidades e que recomendariam o programa educativo a outra pessoa. Conclui-se que há necessidade de investimentos para que os programas educativos disponibilizados nos serviços de saúde às pessoas com DM sejam permanentemente avaliados e que utilizem a satisfação como um indicador de avaliação

The aim of this cross-sectional study was to assess the satisfaction of patients with diabetes mellitus (DM) after being provided with an educative program for self-monitoring capillary glucose at home. The convenience sample was made of 29 patients, from two basic health units in a city in the interior of São Paulo, in 2012. Patient satisfaction regarding the diabetes education group was assessed using a questionnaire and a form containing sociodemographic variables. Results showed that most of the patients considered the educative program to be excellent/satisfactory. Regarding the information received, the patients stated it met their needs and that they would recommend the program to other people. In conclusion, investments are needed so that the educative programs provided in health services to people with DM are permanently assessed and use satisfaction as an assessment indicator

Estudio transversal objetivando evaluar la satisfacción de pacientes con diabetes mellitus luego de ofrecérseles un programa educativo de automonitoreo de glucemia capilar en domicilio. Muestra por conveniencia constituida por 29 pacientes de dos Unidades Básicas de Salud de ciudad del interior paulista. Se utilizó un cuestionario incluyendo variable sociodemográficas y otro evaluando la satisfacción de los pacientes respecto del grupo educativo constituido. Los resultados mostraron que la mayoría de los pacientes consideró al programa educativo como excelente/satisfactorio. Respecto a las informaciones recibidas, los pacientes refirieron que las mismas atendieron sus necesidades y que recomendarían el programa educativo a otra persona. Se concluye en que existe necesidad de inversiones para que los programas educativos disponibles en los servicios de salud para personas con DM sean permanentemente evaluados y que utilicen la satisfacción como un factor indicador de la evaluación.

Discrepancies on quality perceived by the patients versus professionals on the quality of a nuclear medicine department.

PURPOSE: To evaluate the discrepancies between the professionals and outpatients on quality perceived of a Nuclear Medicine Department (NMD). MATERIAL AND METHODS: This cross-sectional study has been carried out using two questionnaires: a validated patient experience questionnaire and a quality perception questionnaire for professionals. Both questionnaires use the same 25 categorical items to measure service quality, 2 Likert scale items to measure satisfaction and willingness to recommend the NMD and 1 open-ended question. The patient questionnaire included 6 socio-demographic items and one job-related question (professionals). The categorical items were classified as "conformity" or "non-conformity." RESULTS: The response rate was 36.7% for outpatients and 100% for professionals. Mean value for satisfaction with the NMD was 9 points for patients and 6.9 points for professionals. Mean number of non-conformity items per person was 2.8 for the patient group and 8.7 for the professional group. Cohen's Kappa value was 0.112, indicating poor agreement in the classification of items as strong points and areas for improvement. Of the 25 items, the professionals and patients coincided on 12 (48%). CONCLUSION: Agreement was low between the quality perception of patients and professionals. The patients scored quality of service higher than the NMD professionals did. These instruments are useful aid to help health organizations detect areas for improvement, and to improve the quality of the service provided to patients.

Satisfacción de los pacientes con respecto a la atención recibida en la Facultad de Odontología de la Universidad Nacional de Asunción / Patient satisfaction regarding the care provided in the Faculty of Dentistry, National University of Asuncion

La calidad en la atención odontológica y estomatológica brindada en las clínicas dentales y en los servicios de salud se ha convertido actualmente en una necesidad para todo profesional de la salud, ya sea de práctica privada o salubrista. La satisfacción representa la evaluación que hace el paciente acerca de la calidad de la atención, y está determinada por la percepción que el mismo haga de la medida en que se satisfagan sus expectativas de una atención de buena calidad. Con el objetivo de determinar el nivel de satisfacción de los pacientes con respecto a la atención recibida en la Facultad de Odontología de la Universidad Nacional de Asunción, se realizó un estudio observacional descriptivo de corte transversal con componente analítico, en una muestra de 100 pacientes que acudieron a la clínica durante los meses de setiembre y octubre del año 2009; que accedieron a participar del estudio voluntariamente. Se encontró que 86% de los pacientes estuvieron muy satisfechos con la infraestructura de la institución. El 90% estuvo muy satisfecho con la apariencia pulcra del personal. El 92% de los encuestados se manifestó muy satisfecho con respecto al trabajo realizado y 89% se encontraron muy satisfechos con el trato personal recibido. En cuanto al horario de atención el 83% manifestó estar muy satisfecho. No se encontró asociación entre el nivel educativo y el grado de satisfacción. En conclusión: pocos valores negativos en cuanto al nivel de satisfacción global indican que la calidad de los servicios realizados en la institución complace las expectativas de los pacientes.