Patient satisfaction with primary care: an observational study comparing anthroposophic and conventional care

作者: Barbara M Esch , Florica Marian , André Busato , Peter Heusser

DOI: 10.1186/1477-7525-6-74

关键词:

摘要: This study is part of a cross-sectional evaluation complementary medicine providers in primary care Switzerland. It compares patient satisfaction with anthroposophic (AM) and conventional (CON). We collected baseline data on structural characteristics the physicians their practices health status demographics patients. Four weeks later patients assessed received treatment (five items, four point rating scale) evaluated praxis (validated 23-item questionnaire, five scale). 1946 adult 71 CON 32 AM participated. 1. Baseline characteristics: were more likely female (75.6% vs. 59.0%, p < 0.001) had higher education (38.6% 24.7%, 0.001). They suffered often from chronic illnesses (52.8% 46.2%, = 0.015) cancer (7.4% 1.1%). consultations lasted average 23,3 minutes (CON: 16,8 minutes, 2. Satisfaction: More expressed general (56.1% 43.4%, saw expectations completely fulfilled at follow-up (38.7% 32.6%, reported significantly fewer adverse side effects (9.3% 15.4%, 0.003), other positive (31.7% 17.1%, Europep: appreciated that listened to them (80.0% 67.1%, 0.001), spent time (76.5% 61.7%, interest personal situation (74.6% 60.3%, involved decisions about medical (67.8% 58.4%, 0.022), made it easy tell physician problems (71.6% 62.9%, 0.023). gave better as information support (in 3 4 items [less than or equal to] 0.044) for thoroughness (70.4% 56.5%, satisfied rated valuable partners treatment. suggests subject certain limitations, therapy may be beneficial care. To confirm this, detailed qualitative studies would necessary.

参考文章(54)
Hilda Parker, Andrew Wilson, Alison Wynn, Patient and carer satisfaction with 'hospital at home': quantitative and qualitative results from a randomised controlled trial. British Journal of General Practice. ,vol. 52, pp. 9- 13 ,(2002)
Harald J. Hamre, Michael Fischer, Marianne Heger, David Riley, Max Haidvogl, Erik Baars, Eileen Bristol, Michael Evans, Reinhard Schwarz, Helmut Kiene, Anthroposophic vs. conventional therapy of acute respiratory and ear infections: a prospective outcomes study. Wiener Klinische Wochenschrift. ,vol. 117, pp. 256- 268 ,(2005) , 10.1007/S00508-005-0344-9
Goldstein Ms, Glik D, Use of and satisfaction with homeopathy in a patient population. Alternative Therapies in Health and Medicine. ,vol. 4, pp. 60- ,(1998)
Wolfgang Hannöver, Christian Peter Dogs, Hans Kordy, Patientenzufriedenheit – ein Maß für Behandlungserfolg? Psychotherapeut. ,vol. 45, pp. 292- 300 ,(2000) , 10.1007/S002780000094
John E. Ware, Sheldon Greenfield, Sherrie Kaplan, Expanding Patient Involvement in Care Annals of Internal Medicine. ,(1985)
Siegfried Geyer, Wie entsteht Gesundheit Springer, Vienna. pp. 179- 187 ,(1999) , 10.1007/978-3-7091-6398-6_25
Luca Crivelli, Costanzo Limoni, Domenico Ferrari, Inanspruchnahme von 5 Therapien der Komplementärmedizin in der Schweiz. Statistische Auswertung auf der Basis der Daten der Schweizerischen Gesundheitsbefragung 1997 und 2002 Scuola Universitaria Professionale della Svizzera italiana. ,(2004)
Stewart W Mercer, William J Reynolds, Empathy and quality of care. British Journal of General Practice. ,vol. 52, ,(2002)
C.Clifford Attkisson, Rebecca Zwick, The client satisfaction questionnaire Evaluation and Program Planning. ,vol. 5, pp. 233- 237 ,(1982) , 10.1016/0149-7189(82)90074-X