DOI QR코드

DOI QR Code

Parental satisfaction with pediatric emergency care: a nationwide, cross-sectional survey in Korea

  • Jang, Hye Young (Department of Emergency Medicine, Soonchunhyang University Seoul Hospital) ;
  • Kwak, Young Ho (Department of Emergency Medicine, Seoul National University College of Medicine) ;
  • Park, Ju Ok (Department of Emergency Medicine, Hallym University College of Medicine Dongtan Sacred Heart Hospital) ;
  • Kim, Do Kyun (Department of Emergency Medicine, Seoul National University College of Medicine) ;
  • Lee, Jin Hee (Department of Emergency Medicine, Seoul National University College of Medicine)
  • Received : 2014.09.05
  • Accepted : 2015.01.23
  • Published : 2015.12.10

Abstract

Purpose: This study attempted to examine parental satisfaction with pediatric emergency care (PEC) in Korea and investigate the features influencing overall satisfaction. Methods: A nationwide, cross-sectional survey was conducted among parents who had taken their children to an Emergency Department (ED) in the three years prior to the study. A 21-item, structured questionnaire was administered to the parents through a web-based system. Participants' satisfaction levels and the strength of the association between PEC components and overall satisfaction were rated using a 7-point Likert scale. Results: In total, 1,000 parents participated in the survey, of which 402 (40.2%) stated that they were generally satisfied with the delivered PEC. Female participants, mothers, and parents with low-acuity patients were more likely to be dissatisfied with the delivered PEC. Although the ED environment was the lowest level of satisfaction, it did not significantly influence the respondents' overall levels of satisfaction. The most influential factors in terms of overall satisfaction were "nurses' professionalism" and "doctors' attitude and proper explanation". Conclusion: Parents' overall level of satisfaction with PEC is relatively low and is closely related to factors associated with ED personnel.

Keywords

References

  1. Brown AD, Sandoval GA, Levinton C, Blackstien-Hirsch P. Developing an efficient model to select emergency department patient satisfaction improvement strategies. Ann Emerg Med 2005; 46:3-10.
  2. National Emergency Medical Center. National survey on the recognition and satisfaction of customers with emergency care. Seoul: National Emergency Medical Center, 2010.
  3. Park JO, Shin SD, Song KJ, Ahn KO, Hong KJ, Suh GJ. Factor for the dissatisfaction of patient for emergency department services. J Korean Soc Emerg Med 2007;18:97-106.
  4. Topacoglu H, Karcioglu O, Ozucelik N, Ozsarac M, Degerli V, Sarikaya S, et al. Analysis of factors affecting satisfaction in the emergency department: a survey of 1019 patients. Adv Ther 2004;21:380-8. https://doi.org/10.1007/BF02850102
  5. Kwak YH, Kim DK, Jang HY. Utilization of emergency department by children in Korea. J Korean Med Sci 2012;27:1222-8. https://doi.org/10.3346/jkms.2012.27.10.1222
  6. Kim DK, Kwak YH, Lee SJ, Jung JY, Song BK, Lee JH, et al. A national survey of current practice patterns and preparedness of pediatric emergency care in Korea. J Korean Soc Emerg Med 2012; 23:126-31.
  7. Moon SY, Kim SJ. The degree of satisfaction with nursing care of pediatric patients visiting emergency center. Korean J Child Health Nurs 2000;6:5-17.
  8. Shefrin AE, Milner R, Goldman RD. Adolescent satisfaction in an urban pediatric emergency department. Pediatr Emerg Care 2012;28:633-9. https://doi.org/10.1097/PEC.0b013e31825cfaf5
  9. Johnson MB, Castillo EM, Harley J, Guss DA. Impact of patient and family communication in a pediatric emergency department on likelihood to recommend. Pediatr Emerg Care 2012;28:243-6. https://doi.org/10.1097/PEC.0b013e3182494c83
  10. Rutherford KA, Pitetti RD, Zuckerbraun NS, Smola S, Gold MA. Adolescents' perceptions of interpersonal communication, respect, and concern for privacy in an urban tertiary-care pediatric emergency department. Pediatr Emerg Care 2010;26:257-73. https://doi.org/10.1097/PEC.0b013e3181d6da09
  11. Pagnamenta R, Benger JR. Factors influencing parent satisfaction in a children's emergency department: prospective questionnaire-based study. Emerg Med J 2008;25:417-9. https://doi.org/10.1136/emj.2007.050005
  12. Magaret ND, Clark TA, Warden CR, Magnusson AR, Hedges JR. Patient satisfaction in the emergency department--a survey of pediatric patients and their parents. Acad Emerg Med 2002;9: 1379-88.
  13. Fitzpatrick R. Surveys of patient satisfaction: II--Designing a questionnaire and conducting a survey. BMJ 1991;302:1129-32. https://doi.org/10.1136/bmj.302.6785.1129
  14. Welch SJ. Twenty years of patient satisfaction research applied to the emergency department: a qualitative review. Am J Med Qual 2010;25:64-72. https://doi.org/10.1177/1062860609352536
  15. Cinar O, Ak M, Sutcigil L, Congologlu ED, Canbaz H, Kilic E, et al. Communication skills training for emergency medicine residents. Eur J Emerg Med 2012;19:9-13. https://doi.org/10.1097/MEJ.0b013e328346d56d
  16. Locke R, Stefano M, Koster A, Taylor B, Greenspan J. Optimizing patient/caregiver satisfaction through quality of communication in the pediatric emergency department. Pediatr Emerg Care 2011; 27:1016-21. https://doi.org/10.1097/PEC.0b013e318235be06
  17. Boudreaux ED, Friedman J, Chansky ME, Baumann BM. Emergency department patient satisfaction: examining the role of acuity. Acad Emerg Med 2004;11:162-8. https://doi.org/10.1197/j.aem.2003.08.018
  18. Ekwall A, Gerdtz M, Manias E. The influence of patient acuity on satisfaction with emergency care: perspectives of family, friends and carers. J Clin Nurs 2008;17:800-9. https://doi.org/10.1111/j.1365-2702.2007.02052.x
  19. Boudreaux ED, D'Autremont S, Wood K, Jones GN. Predictors of emergency department patient satisfaction: stability over 17 months. Acad Emerg Med 2004;11:51-8. https://doi.org/10.1111/j.1553-2712.2004.tb01370.x

Cited by

  1. The Impact of Full-Time Attending Physician in the Pediatric Emergency Department vol.23, pp.2, 2015, https://doi.org/10.15746/sms.17.023
  2. Factors associated with satisfaction with pediatric emergency department services in Korea: analysis of Korea Health Panel Data 2010 to 2012 vol.5, pp.3, 2015, https://doi.org/10.15441/ceem.17.254