使用移动数据收集工具的亚专科眼科医院的等待时间和患者满意度:卡塔尔世界杯8强波胆分析前-后质量改进干预%A Mbwogge,Mathew %A Astbury,Nicholas %A Nkumbe,Henry Ebong %A Bunce,Catey %A Bascaran,Covadonga %+伦敦卫生与热带医学学院国际眼健康中心，伦敦Keppel街，wc1e7ht，英国，44 07424409211，m.mbwoge@gmail.com %K轮候时间%K轮候名单%K患者满意度%K质量改善%K临床审核%K眼科%K以患者为中心的护理%D背景:轮候时间会显著增加诊所和患者的成本，是眼科护理使用者满意度的主要预测因素。有效管理候诊时间仍然是医院面临的一个挑战。在大流行后时代，等待时间管理将变得更加重要。改善等待时间的一个关键考虑因素是眼科护理使用者的参与。本研究旨在通过使用计划-做-研究-行动(PDSA)的质量改进周期来改善患者的等待时间和满意度。目的:本研究的目的是确定候诊时间与患者满意度，测量候诊时间与患者满意度之间的相关性，并确定PDSA模型在改善候诊时间和满意度方面的有效性。方法:这是一项在19至80岁患者中进行的术后质量改善研究，这些患者正在咨询马格拉比国际眼科理事会喀麦隆眼科研究所。我们使用PDSA循环对6周以上的等待时间和满意度进行改进审核。 A data collection app known as Open Data Kit (Get ODK Inc) was used for real-time tracking of waiting, service, and idling times at each service point. Participants were also asked whether they were satisfied with the waiting time at the point of exit. Data from 51% (25/49) preintervention participants and 49% (24/49) postintervention participants were analyzed using Stata 14 at .05 significance level. An unpaired 2-tailed t test was used to assess the statistical significance of the observed differences in times before and after the intervention. Logistic regression was used to examine the association between satisfaction and waiting time. Results: In total, 49 participants were recruited with mean age of 49 (SD 15.7) years. The preintervention mean waiting, service, and idling times were 450 (SD 96.6), 112 (SD 47), and 338 (SD 98.1) minutes, respectively. There was no significant association between patient waiting time and satisfaction (odds ratio 1, 95% CI 0.99-1; P=.37; χ23=0.4). The use of PDSA led to 15% (66 minutes/450 minutes) improvement in waiting time (t47=2; P=.05) and nonsignificant increase in patient satisfaction from 32% (8/25) to 33% (8/24; z=0.1; P=.92). Conclusions: Use of PDSA led to a borderline statistically significant reduction of 66 minutes in waiting time over 6 weeks and an insignificant improvement in satisfaction, suggesting that quality improvement efforts at the clinic have to be made over a considerable period to be able to produce significant changes. The study provides a good basis for standardizing the cycle (consultation) time at the clinic. We recommend shortening the patient pathway and implementing other measures including a phasic appointment system, automated patient time monitoring, robust ticketing, patient pathway supervision, standard triaging, task shifting, physician consultation planning, patient education, and additional registration staff. %R 10.2196/34263 %U https://med.jmirx.org/2022/3/e34263 %U https://doi.org/10.2196/34263