How to improve a urology outpatient service? A survey of patient satisfaction

AIM: To investigate and improve our out-patients department patient satisfaction, provide minimum consultation delay and appropriate consultation duration to meet with targets. METHODS: We distributed the modified satisfaction with outpatient service(SWOPS) questionnaires developed for use in Irish hospitals by the Health Services Research between August and December 2012. The patient disclosed their age and sex and completed the modified SWOPS questionnaire anonymously. Every patient was eligible to participate in the study who attended any of the Urology Outpatient Clinics. Patients lacking capacity to consent were excluded. Additionally, each patient was only permitted to complete one questionnaire regardless of repeat attendances within the 4 mo study period. The answers to every question were presented as percentages. One-way ANOVA was used to establish whether there was a significant difference in appointment delay and "Overall Satisfaction"on the different clinic days. The unpaired t-test was applied to establish whether "Overall Satisfaction" was affected by diagnosis(benign or malignant). Paired t-test was used to establish whether "Overall Satisfaction" was affected by appointment delay and appointment length. RESULTS: Three hundred and forty-eight questionnaires were completed with an overall > 65% participation rate. Eighty-one point six percent were male and 18.4% female with a mean age of 65 ± 21 years. Mean delay time was 32 min, which 30.6% stated should be an improvement priority. The delay times for Wednesday(mean 13 min) were significantly(P < 0.05) lower than for other days(mean 36 min). Generally 12-15 min outpatient appointment length is acceptable and adequate for patients as 97.70% suggested, however 31.60% of patients would favour longer duration. Eleven point four nine percent do not want to see different doctors each time, and 31.60% of the patient feel that no change is required. Average satisfaction was 84.65%. There was no significant relationship between satisfaction and clinic day, diagnosis and consultation length, whether the patient was reviewed by a registrar or consultant. Satisfaction was universally high and independent of consultation delay/length and diagnosis. Dissatisfaction in delay times with a significant improvement on Wednesday suggests necessary and achievable improvements. Notably, the Wednesday clinic has less patients per doctor per hour and enforces a 1 patient per 15 min slot with a no over-booking policy. CONCLUSION: Surveying our patient dissatisfaction would require more frequent audits by clinicians to improve patient satisfaction and to achieve better quality of care.

A survey of public needs for digital information service in libraries and museums

Purpose:The purpose of the research is to investigate public needs for digital information service in the Chinese libraries and museums and seek ways to help these public service institutions improve their service to meet user needs.Design/methodology/approach:An online questionnaire survey was used to study the publicneeds for digital information service provided by libraries and museums.A total of 474 valid questionnaires were retrieved for analysis.Findings:The primary purpose of using the digital library and museum service was for knowledge acquisition,followed by work or class assignment and leisure and entertainment.Users need one-stop information service that provides information and service in a more integrated form and allows cross-database searching as well.Research limitations:A majority of the respondents were young and middle-aged people who often use the Internet.We would need to increase our sample size and include different groups of users such as children and retirees to make the sample more representative.Practical implications:Libraries and museums should collaborate to provide the users with one-stop digital information service.Meanwhile,the research can serve as a reference source for the future studies of digital library and museum service.Originality/value:Few studies were published on the public needs for digital library and museum service in China.This study bridges the gap and contributes to our understanding of the Chinese users’ needs for digital information service in libraries and museums.