Patient-Reported Experiences in Vascular Surgery: A Qualitative Analysis of Care Quality.
Background: The complexity of treatment pathways and the chronic nature of diseases in vascular surgery necessitate a patient-centred approach to improve care quality and health outcomes. Objectives: To explore vascular patients' experiences, identifying key factors influencing their satisfaction an...
| Publicado en: | Health Services Insights pp. 1 - 11 |
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| Autores principales: | , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Sage Publications Inc.
6/4/2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=185741645&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 185741645 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 11786329 B10H jtl: Health Services Insights issn: 11786329 maglogo: Y pubinfo: dt: 6/4/2025 pid: 344 pub: Sage Publications Inc. place: Thousand Oaks, California artinfo: ui: 185741645 185741645 185741645 10.1177/11786329251342283 185741645 ppf: 1 ppct: 10 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Patient-Reported Experiences in Vascular Surgery: A Qualitative Analysis of Care Quality. aug: au: Darwish, Maram Abdelgafar, Katrin Jackson, Sian Coulson, James Withers, Kathleen Bosanquet, David C. affil: Southeast Wales Vascular Network, University Hospital of Wales, Cardiff, UK sug: subj: Vascular Surgery Psychosocial Factors Patient-Reported Outcomes Evaluation Patient Attitudes Evaluation Patient Satisfaction Evaluation Patient Compliance Evaluation Quality of Health Care Human Funding Source Male Female Adult Middle Age Aged Aged, 80 and Over Qualitative Studies Thematic Analysis Semi-Structured Interview Wales Random Sample Decision Making, Patient Health Personnel Professionalism Continuity of Patient Care Support, Psychosocial Communication Pain Management Adult: 19-44 years Middle Aged: 45-64 years Aged: 65+ years Aged, 80 & over Male Female ab: Background: The complexity of treatment pathways and the chronic nature of diseases in vascular surgery necessitate a patient-centred approach to improve care quality and health outcomes. Objectives: To explore vascular patients' experiences, identifying key factors influencing their satisfaction and adherence to treatment. Study Design: Qualitative design using thematic analysis Methods: Seventeen semi-structured interviews were conducted with vascular patients (10 males and 7 females) from 3 vascular units in Wales. Proportional random sampling was used for participant selection based on recent vascular care, age, sex, and clinical backgrounds. Interviews were conducted in person, recorded, and transcribed verbatim. Thematic analysis was employed to identify key themes. NVivo 10 software facilitated data management. Results: Six themes were identified: (i) communication and information delivery, (ii) patient involvement in decision-making, (iii) pain management, (iv) psychological and emotional support, (v) healthcare environment and systemic processes and (vi) continuity of care and post-discharge experience. While patients generally appreciated the professionalism of the healthcare staff, notable disparities emerged in communication, particularly for patients with lower health literacy or during waiting periods. Inconsistencies in discharge planning and follow-up care highlighted systemic inequities. Across all units, patients reported a lack of formal psychological support. Involvement in decision-making varied, with some patients feeling adequately included, while others experienced exclusion and anxiety. Conclusion: These findings reveal key areas for improvement, with communication serving as a foundational element that enhances patient involvement in decision-making, psychological support, and continuity of care. Addressing these interconnected areas, with a focus on effective communication and health equity, may help close care gaps and improve outcomes for all vascular patients. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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