ISfTeH Student`s Session - Med-e-Tel

EIGHT YEARS OF A TELE-ECG SYSTEM IN SOUTHERN BRAZIL:
A MULTIDISCIPLINARY ANALYSIS REGARDING THE
DEGREE OF SATISFACTION
A.P. Born, A. Sparenberg, T. Russomano,
R. Timm, E. Soares, T. Schaun, R. Cardoso,
A.W. Wiemann, S.R. Bainy, B. Beskow
Medical Association of Sao Lourenço do Sul - SOMESUL
Microgravity Centre – PUCRS, Porto Alegre
Brazil
ISfTeH Student’s Session
Med-e-Tel, Luxembourg - 2008
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Digital Tele-ECG System
Rio Grande do Sul State
(10,398,133 inhabitants)
1.
Tele-ECG: 8 Years
8.000 Online Exams
2000
Online Digital Tele-ECG (n = 8000)
2008
Mean Time:
8 min
2
Santa Casa Hospital
Rural Hospital
Turuçu Outpatient Unit
Digital Tele-ECG System RS
DEGREE OF SATISFACTION
SURVEY OBJECTIVES
™ To evaluate the degree of satisfaction of: patients,
medical doctors, nursing staff and the administrative
sector of the urban hospital
™ To analyse the results in an attempt to get a
multidisciplinary evaluation of the Tele-ECG System
™ To establish in the near future – based on the
survey results – technical and administrative
decisions to improve the quality and the efficacy of
the system
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Digital Tele-ECG System RS
DEGREE OF SATISFACTION
Serviço de Tele-ECG digital Santa Casa de São Lourenço do Sul
Setor de emergência
METHODS
Questionário
Grau de Satisfação com serviço de Tele-eletrocardiografia na emergência da Santa
Casa de São Lourenço do Sul.
QUESTIONÁRIO AO SETOR ADMINISTRATIVO
Prezados senhores, o presente questionário destina-se a obter a opinião do
™ Data Acquisition: August/September 2007
™ Working Group:
Students and Nursing Staff
setor administrativo do hospital no que se refere ao sistema de Tele-ECG digital
em operação nesta instituição.
Considerando a visão administrativa e levando em conta os aspectos de custo e
™ Printed QUESTIONNAIRE
benefício do sistema de Tele-ECG digital, responda objetivamente este
questionário através de uma escala de 0 a 10, sendo:
0 a menor eficiência e 10 como grau máximo de relação custo e
™ Scale 0-10
(less satisfaction=0 / full satisfaction=10)
benefício
0
1
2
3
4
5
6
7
8
Gostaria de fazer algum comentário ou sugestão?
4
9
10
™ 4 Segments:
- patients (or relatives): 45 days sample
- medical doctors, nursing staff, administrative sector
Digital Tele-ECG System RS
RESULTS
DEGREE OF SATISFACTION
AMONG PATIENTS
SCORE 7
SCORE 8
6%
8%
SCORE 10
21% SCORE 9
65%
PATIENTS
SAMPLE: 53 PATIENTS
(Patients submitted to urgent ECGs)
Period: 45 days (Aug/Sept, 2007)
™ Mean Score: 9.46 (SD±0.87)
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Digital Tele-ECG System RS
RESULTS
DEGREE OF SATISFACTION
AMONG NURSING STAFF
SAMPLE: 17 NURSES
SCORE 8
6%
SCORE 10
65%
NURSING STAFF
SCORE 9
(out of 19 nurses, 89%)
Period: Aug, 2007
29%
™ Mean
6
Score: 9.59 (SD±0.62)
Digital Tele-ECG System RS
RESULTS
DEGREE OF SATISFACTION
AMONG MEDICAL STAFF
SAMPLE: 16 Medical Doctors
SCORE 8
SCORE 10
50%
7
6%
MEDICAL STAFF
SCORE 9
44%
(Out of 20 physicians, 80%)
Period: Aug, 2007
™ Mean Score: 9.44 (SD±0.63)
Digital Tele-ECG System RS
RESULTS
DEGREE OF SATISFACTION
ADMINISTRATIVE SECTOR
SCORE 8 SCORE 1
6%
25%
SCORE 5
SCORE 7
50%
6%
13%
ADMINISTRATIVE
SECTOR
SAMPLE: 16 members
(100% of the administrative sector)
Period: Aug, 2007
SCORE 6
™ Mean Score: 5.75 (DP±1.8)
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Digital Tele-ECG System RS
CONCLUSION
FINAL COMMENTS:
RESULTS OF ALL INVOLVED
CATEGORIES
™
10
8
6
4
2
0
SCORES
9
Patients
Nurse
Medical
Admin
9.47
9.59
9.44
5.75
A high degree of satisfaction
among patients, medical staff
and nursing team.
™ The lowest score from the
administrative sector, indicates:
- a high cost to support a round-theclock Tele-ECG system.
- a lack of financial support for
public telemedicine.
- a possible medical overuse of TeleECGs.
™ The suggestions and criticisms
from this survey emphasize the
importance of promoting technical
and financial discussions about
public e-health.
Digital TELE-ECG System
Degree of Satisfaction
Questions!
Contact:
RS
[email protected]
Thank You!!
Med-e-Tel, Luxembourg - April 18th, 2008
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