慢性疼痛患者多学科诊疗满意度的调查分析*

Investigation and Analysis of Patient Satisfaction with Chronic Pain Multi-disciplinary Team Services

摘要:

目的:为了解慢性疼痛多学科诊疗(multi-disciplinary team,MDT)医疗服务中患者满意度,应用问卷调查分析慢性疼痛患者多学科诊疗的满意度。方法:检索2023年1月至2023年12月期间浙江大学医学院附属第一医院MDT信息中心平台由疼痛科医生发起或参与的MDT,收集MDT患者的人口统计学资料、疼痛情况及其对MDT的满意度,通过非参数检验和多元线性回归分析MDT满意度的影响因素。结果:慢性疼痛MDT总体满意率为89.2%,相关性分析结果显示:疗效、服务态度、MDT前疼痛改善期望值和MDT总体评价,与患者满意度相关,利用多学科联合会诊优化疼痛管理方法,将很大程度上提高慢性疼痛的治疗效果和患者的满意度。结论:慢性疼痛MDT模式能够为患者提供更便捷、高效的就医体验,可积极开展,以期进一步完善慢性疼痛管理,提升我国疼痛科整体诊断和治疗水平。

Abstract:

Objective: This study aimed to investigate patient satisfaction with chronic pain multi-disciplinary team (MDT) services by deploying a questionnaire to assess the perceptions of patients regarding their experiences with MDTs. Methods: Data were retrieved from records of MDTs initiated or participated in by pain physicians at The First Affiliated Hospital, Zhejiang University School of Medicine, from January to December 2023. This data included patient demographics, pain characteristics, and levels of satisfaction. These variables were subjected to nonparametric testing and multivariate linear regression analysis to identify factors influencing patient satisfaction with the MDT services. Results: The findings indicated a high satisfaction rate (89.2%) among chronic pain patients involved with MDTs. The analysis further identified significant correlations between patient satisfaction and several variables, including treatment efficacy, service demeanor, initial expectations of pain improvement prior to MDT consultation, and overall assessment of the MDT experience. The study highlighted the beneficial impact of an integrated multidisciplinary approach on both pain management outcomes and patient satisfaction. Conclusion: The chronic pain MDT model offers a more convenient and efficient medical experience for patients. Its active implementation is advisable to further enhance chronic pain management and improve the overall diagnostic and treatment standards of the pain medicine departments in China.