Patients' Views on how to Run Hospital Outpatient Clinics

Bishop, F; Matthews, F.J.F.; Probert, Chris; Billett, Julie; Battcock, Tim; Frisby, S.D.; Jf, Mayberry

doi:10.1177/014107689108400906

Cited by 28 publications

(12 citation statements)

References 4 publications

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“…This included four domains from a qualitative assessment of patients' attitudes of the gastroenterology outpatient experience by two trained junior doctors using open questions, three domains from the national outpatient survey and a report of the key domains associated with satisfaction from the national outpatient survey [12] and three domains from a published, validated endoscopy-related patient evaluation [19,20]. These domains and a review of studies from the published literature [24][25][26][27] were used to identify aspects of the outpatient pathway that related to experiential quality. A composite, quantitative, self-completed patient questionnaire (Appendix 1) was then designed in two parts.…”

Section: Survey Design and Developmentmentioning

confidence: 99%

An evaluation of patient attitudes to the gastroenterology outpatient experience

Larkins

Windsor²,

Trebble³

2013

European Journal of Gastroenterology & Hepatology

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Section: Survey Design and Developmentmentioning

confidence: 99%

An evaluation of patient attitudes to the gastroenterology outpatient experience

Larkins

Windsor²,

Trebble³

2013

European Journal of Gastroenterology & Hepatology

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“…5 This preference has been borne out by other surveys. 9 Patients also expect staff to be formally dressed and to have chaperones during examinations, with women expecting female chaperones. 9 …”

Section: Consultationsmentioning

confidence: 99%

Medical outpatients: changes that can benefit patients

Dunnill

Pounder

2004

Clinical Medicine

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-This article reviews the current literature relating to medical outpatient services. It has been produced as part of the RCP/NHS Confederation working party on outpatients departments. The article deals with surveys of patient views on outpatients, suggested ways of improving the service, and how best to accommodate teaching in this setting. An RCP booklet, 'How user friendly is your outpatient department?', has also been produced and is available from the college. KEY WORDS: ambulatory care, appointment, booking, clinic, outpatient, waiting timeMost physicians spend a significant part of their week working in the outpatient department but although the consultation in the outpatient clinic is an important part of patients' hospital care, it is traditionally an under-resourced area of the hospital. There has been little research into improving the service and, as a result, the experience for patients is not always as good as it should be.A well-run clinic will not only improve the experiences of patients but also the working lives of clinic staff. It may reduce the need for admission to hospital, both for disease control and for its investigation. 1 There is currently also political pressure for change, particularly regarding waiting times. The Government has recently issued a target of a maximum of three months wait for all outpatients' appointments by 2005. 2 This article reviews the literature relating to outpatients, with a focus on medical outpatients. The Working Party's aim was to develop recommendations to enable physicians to improve the experience for patients attending their clinics, and the work culminated in the publication of a booklet for health professionals. 3 Inevitably, in this paper there is some overlap with managerial issues (for example, direct booking systems or computer referral systems), and while some of these are beyond the scope of this article, they are addressed where physicians will be expected to work with managers to improve service delivery. Search strategyThe bibliographic databases Medline and Embase were searched for articles on outpatients, hospital outpatient clinics, outpatient departments or ambulatory care. Papers on day care were excluded. The results were limited to the UK, to the years 1966-2002 and to papers in English with abstracts available. Surveys of patient attitudes and satisfaction Waiting time and appointmentsLong waits for a first outpatient appointment are a common cause of patient dissatisfaction. However, one survey of a gastroenterology clinic showed that patients placed a similar value on waiting time for investigation and waiting for the first appointment: 4 a clinic that had a two-month wait for appointment, but offered immediate investigation was preferable to one with a two-week wait for appointment but a three-month wait for investigation. The authors suggest that to focus just on 'wait to first appointment' is too simplistic and does not take account of patient preferences.The length of time patients have to wait in the clinic before ...

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“…The same study concluded that house officers had dressed less formally than their patients preferred. A British study in an outpatient setting found patients wanted staff to be formally dressed 2. Paediatricians have generally dressed more informally,3 and since 1990 the NHS has not been required to provide them with white coats.…”

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confidence: 99%