N006. IBD patients' satisfaction related with nurse-driven outpatient clinic
M. López-Parra, M. Sánchez-Lloansí, A. Dosal-Galguera, L. Moreno-Salas, N. Mañé-Buxo, M. Burés-Sánchez, M. Gálvez-Martín, N. Martínez-López, A. Sánchez-Vilanova, A. Villoria-Ferrer, P. García-Iglesias, V. Puig-Divi, X. Calvet-Calvo, Hospital De Sabadell, Institut Universitari Parc Taulí, Digestive, Sabadell, Spain
Since 2006 in our hospital we have nurse-driven outpatient clinic (N-DOC) for follow-up of patients on treatment with thiopurinic immunosuppresants. In 2010 detailed analysis was conducted using the SWOT method, to determine Strengths, Weaknesses, Opportunities and Threats. As a strategic plan, we decided to measure patients' satisfaction in order to enable continuous improvement . The purpose of this study was to know patients' satisfaction with this N-DOC and with the care provided by the IBS unit.
Descriptive and transversal study. We used the CACHE Questionnaire , which has 31 items scored on a 5-point Likert-type scale, to assess six dimensions related with healthcare in patients with IBD. Scores were standardized to a range from 0 (minimum satisfaction) to 100 (maximum satisfaction). We gave it to all patients at the N-DOC, along 4 months (May–August 2013). Answers were anonymous and voluntary. Patients had a mailbox to put the filled questionnaires.
Statistical analysis: Quantitative variables were presented as mean and standard deviation, and qualitative variables as frequencies or percentages. Calculations were performed using SPSS 21 for Windows.
We had 173 patients in N-DOC; 166 patients answered the questionnaire, the return rate was 96%. 81.92% of patients answered all items (136). Mean age was 45 years [18–80], 51.44% (89) were men, 70.93% (122) had Crohn's disease and 29.07% (51) ulcerative colitis, azathioprine was the most frequently drug used (87.6%), 6-Mercaptopurine (13.3%).
The highest scored item was the “communication with the health team” with mean 96.6, and the lowest scored item was “information about how to contact with patients' associations” with mean 67.4. We also observed that “Patients are worried about the price they must pay for drugs”, mean 69.4. Patients considered having a specialist nurse important: the mean score was 90.2. The mean overall score was 88.21 (SD 8.21).
|Mean Likert Score||SD||Score over 100||SD|
|Communication with the health team||4.83||0.40||96.60||−|
|Information about patients' associations||3.37||1.19||67.40||−|
Patients controlled at the N-DOC seem to be very satisfied with the care provided by the IBS unit.
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2. Casellas F, Ginard D, Vera I, Torrejon A., (2013), Development and Testing of a New Instrument to Measure Patient Satisfaction With Health Care in Inflammatory Bowel Disease: The CACHE Questionnaire, Inflamm Bowel Dis, 19:559–568.