Patientenzufriedenheit in der Geriatrie

Abstract

Patients' satisfaction has become a central concept in quality assurance. Despite progress in research in this area is still a lack of data for geriatric patients. Referring to the consumer model, satisfaction can be described as a difference between expectations and assessed performance. The aim of this study is to analyze satisfaction among geriatric patients in an in-patient setting. A personal interview was performed 1-2 days before discharge. Patients suffering for dementia or with problems to communicate were excluded. 124 of 268 geriatric patients who were discharged in 2003 were included (inclusion rate 46.3%). 119 were willing to participate (response rate 96.0%). Respondents were between 61 and 96 years old, 39% were male and 42% had serious functional limitations at time of admission. Multiple linear regression analysis revealed three significant predictors of a combined index of satisfaction and expectations: a) quality of hotel services; b) experience of neglect; c) provision of medical information and skills. In summary, standardized personal questionnaires can provide valid and reliable data of geriatric patients. Satisfaction of elderly patients is negatively affected by neglect and positively influenced by provision of medical information and a good hotel services.

Versorgungsforschung und Geriatrie

“…Die Beispiele des geriatrischen Screenings im ambulanten Bereich [16], der prä ventiven Hausbesuche [17], der Rehabilitation nach Schenkelhalsfrakturen [18] oder der Behandlung onkologisch erkrankter ä lterer Menschen [19] zeigen, dass auch in der Geriatrie klassische Erfahrungs-basierte Behandlungsstandards in wissenschaftlichen Studien ihren Nutzen oft nicht sofort nachweisen kö nnen. Zu den inhaltlichen Fragestellungen der Versorgungsforschung in der Geriatrie zä hlen neben der Erfassung der Patientenzufriedenheit [20] auch Themen wie z.B. die Anwendung altersangemessener Methoden der Versorgungsforschung, die Abha¨ngigkeit der Inanspruchnahme von Versorgungsleistungen vom Alter und dem Grad der Komorbiditä t, oder Untersuchungen zur medikamentö sen Versorgung ä lterer Menschen in Deutschland [21][22][23][24][25][26].…”

Are frail elderly patients treated in a CGA unit more satisfied with their hospital care than those treated in conventional acute medical care?

“… 15 , 16 In accordance with the consumer model, satisfaction can be regarded as a difference between expectations and assessed performance. 17 On the other hand, it has been argued that it might be problematic to treat elderly patients as consumers. 18 Patient satisfaction can also be defined as measuring the needs and wants, 19 and it influences patient compliance as well as continuity of care.…”

Patientenzufriedenheit als Beitrag zur Qualitätssicherung in der ambulanten neurologischen und orthopädischen Ergotherapie

“…Somit ist Patientenzufriedenheit ein wichtiger Parameter zur Validierung der Ergebnisqualität[24]. In der Literatur[6,9,10,27,36,41,42] sind eine Vielzahl von Dimensionen der Patientenzufriedenheit beschrieben und entsprechend viele mçgliche Einflussfaktoren auf diese benannt. Als Hauptkomponenten von Zufriedenheit nennen die Autoren[6,10,14,20,36] interpersonelle Aspekte der Versorgung.…”