K Rundle1, O Keegan, H M McGee. 1. Health Services Research Centre, Department of Psychology, Royal College of Surgeons in Ireland, Dublin, Ireland. krundle@rcsi.ie
Abstract
BACKGROUND: The National Health Strategy envisages a health system incorporating patient views; and providing accessible, consultant-led dialysis services with patient choice of dialysis modality, in all regions. AIMS: To describe patients' experiences of renal services against National Health Strategy objectives. METHODS: Telephone interviews with 192 dialysis patients from three hospitals in the Eastern region. RESULTS: One-quarter of participants (16% of haemodialysis [HD] and 46% of peritoneal dialysis patients) lived outside the Eastern region, and travelled there because dialysis was not available locally. Two-thirds (65%) had a choice of dialysis modality. High satisfaction with interpersonal care was observed (83-98% satisfaction). Dissatisfaction with physical environment included parking (39-56%), waiting areas (62-69%), HD unit space (74%). Regarding support services, dietary services were satisfactory (92-95%), with lower satisfaction ratings for social and financial support services (62%). CONCLUSIONS: Structural and management issues must be addressed to advance a quality agenda for renal care in Ireland.
BACKGROUND: The National Health Strategy envisages a health system incorporating patient views; and providing accessible, consultant-led dialysis services with patient choice of dialysis modality, in all regions. AIMS: To describe patients' experiences of renal services against National Health Strategy objectives. METHODS: Telephone interviews with 192 dialysis patients from three hospitals in the Eastern region. RESULTS: One-quarter of participants (16% of haemodialysis [HD] and 46% of peritoneal dialysis patients) lived outside the Eastern region, and travelled there because dialysis was not available locally. Two-thirds (65%) had a choice of dialysis modality. High satisfaction with interpersonal care was observed (83-98% satisfaction). Dissatisfaction with physical environment included parking (39-56%), waiting areas (62-69%), HD unit space (74%). Regarding support services, dietary services were satisfactory (92-95%), with lower satisfaction ratings for social and financial support services (62%). CONCLUSIONS: Structural and management issues must be addressed to advance a quality agenda for renal care in Ireland.
Authors: N C Milas; M P Nowalk; L Akpele; L Castaldo; T Coyne; L Doroshenko; L Kigawa; D Korzec-Ramirez; L K Scherch; L Snetselaar Journal: J Am Diet Assoc Date: 1995-11
Authors: R Maiorca; E F Vonesh; P Cavalli; A De Vecchi; A Giangrande; G La Greca; L L Scarpioni; L Bragantini; G C Cancarini; A Cantaluppi Journal: Perit Dial Int Date: 1991 Impact factor: 1.756