Patients must be able to access their own personal health information in order, ultimately, to partner with providers in the management of their health and wellness care. Just as customers accessing their information have reduced costs in other industries, such as banking, the same may hold true in healthcare.
The purpose of this study was to conduct a cross-validation of the bidimensional structure of a satisfaction measure with assistive technology. Data were drawn from a follow-up study of 243 subjects who had been administered the Dutch version of the Quebec User Evaluation of Satisfaction with assistive Technology (QUEST). Ratings related to 12 satisfaction items were analysed. Factor analysis results showed that the underlying structure of satisfaction with assistive technology consists of two dimensions related to assistive technology, Device (eight items) and Services (four items), accounting for 40% of the common variance. This finding was consistent with a previous Canadian study and was interpreted as supporting the adequacy and stability of the QUEST measure of satisfaction. Although the structure is delineated, further studies are recommended to support its use in European countries.
During a validation process of the Swedish Knee Arthroplasty Register (SKAR), living registered patients were sent a questionnaire to ask if they had been reoperated on. This gave an opportunity to pose a simple four-point question with respect to patient satisfaction which 95% of patients answered. We analyzed the answers of patients operated on between 1981 and 1995 and found that only 8% of the patients were dissatisfied regarding their knee arthroplasty 2-17 years postoperatively. The satisfaction rate was constant, regardless of when the operation had been performed during the 15-year period. The proportion of satisfied patients was affected by the preoperative diagnosis, patients operated on for a long-standing disease more often being satisfied than those with a short disease-duration. There was no difference in proportions of satisfied patients, whether they had primarily been operated on with a total knee arthroplasty (TKA) or a medial unicompartmental arthroplasty (UKA). For TKAs performed with primary patellar resurfacing, there was a higher ratio of satisfied patients than for TKAs not resurfaced, but this increased ratio diminished with time passed since the primary operation. Unrevised knees had a higher proportion of satisfied patients than knees that had been subject to revision, and among patients revised for medial UKA, the proportion of satisfied patients was higher than among patients revised for TKA. We conclude that satisfaction after knee arthroplasty is stable and long-lasting in unrevised cases and that even after revision most patients are satisfied.
In 1991, a special health service for doctors was started in Rogaland county. Three years later this service was evaluated via a questionnaire. Two thirds of 109 doctors were very satisfied, and only one was dissatisfied with this health service. The results show a need for both psychosocial and somatic health examinations for doctors.
Comment In: Tidsskr Nor Laegeforen. 1996 Feb 10;116(4):533; author reply 5348644059
Comment In: Tidsskr Nor Laegeforen. 1996 Feb 10;116(4):533; author reply 5348644060
Comment In: Tidsskr Nor Laegeforen. 1996 Mar 10;116(7):8938644105
Antti Auttaja is a Finnish Canadian businessman who practices alternative medicine in a northwestern Ontario city. His healing method involves pressing his hands and fingers firmly but gently on the feet, wrists, stomach, chest, and other bodily areas of his clients, who recline on their backs on the floor, with pillows propped under their head and knees. His clients respect him and his healing ability, and as the questionnaire and interview data presented in this article clearly show, they feel he has helped them enhance their quality of life in a way that is unique to him and very special to them. He exemplifies a holistic healer working along the periphery of the modern biomedical system. His practice exemplifies the alternative medicine category of the domain of nonconventional medicine.