Efficiency of Care and Satisfaction for Head Injury Patients at Emergency Department in Mansoura Emergency Hospital
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- Category: Vol. 80, March 2012
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Efficiency of Care and Satisfaction for Head Injury Patients at Emergency Department in Mansoura Emergency Hospital, HIND ABDULLA MOHAMED, NAYERA MOHAMED TANTAEWY, NEAMAT MOHAMED EL-SAID and MAGDA ELWY NASSAR
Abstract
Introduction: In modern societies, the quality of medical care plays an important role in building up patients’ positive perception and satisfaction. Patient satisfaction has become an established outcome indicator of the quality and the effi-ciency of the healthcare system and can be an important tool to improve the quality of services in the Emergency Department (ED).
This Study Aimed: To assess the efficiency of care and satisfaction for head injury patients at Emergency Department in Mansoura Emergency Hospital.
Methods: A descriptive study was carried for 7 months from December (2008) to June (2009) using 100 head injury patients who were entered ED with mild, moderate, and severe conditions. Data were collected through two tools were 1- Emergency Department Patient Data Flow Sheet to assessing the efficiency of care provided for head injury patient from arrival till disposition from emergency department, and 2- Patient Satisfaction Questionnaire to determine overall patients' satisfaction in relation to care process.
Results: The results of the present study revealed that, the majority of patients studied suffered from mild head injuries (80%). The mean waiting time through different time intervals increased with decrease severity of head injury. The study findings indicated that, the severe and moderate head injury patients had the more efficient care process because the total length of stay in ED of them was less than 4 hours. The severe patients had the highest mean difference for satisfaction (=15.89 at p<0.000). There was a relation with satisfaction level and waiting time; those who waited longer were less satisfied.
Conclusions: There was a negative correlation coefficient between length of stay (LOS) in ED and satisfaction for head injury patients. There were statistical significant differences for satisfaction variance analysis between head injury patients (mild, moderate, and severe). And severe patients had the highest mean difference for satisfaction (=15.89 at p<0.000). This was an association with satisfaction level; those who waited longer were less satisfied.