| Factors that influence patient choice of an excimer laser treatment center. | |
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MedLine Citation:
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PMID: 9559469 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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PURPOSE: To identify the factors that most influenced patient choice of an excimer laser treatment center and those most likely to deter patients from selecting a particular center. SETTING: A National Health Service (NHS) excimer laser unit in the northeast of England. METHODS: An anonymous 24-item questionnaire was constructed. Each question had a visual analogue scale, anchored at each end with an adjectival description. Patients were asked to mark their response to the related question on the scale. Using the database of over 300 patients treated by excimer laser photorefractive keratectomy (PRK) at Sunderland Eye infirmary between May 1993 and December 1995, the first 140 consecutive patients were identified. Questionnaires were sent to them and returned between August 1 and October 31, 1995. RESULTS: A 64.3% reply rate (90 patients) was achieved. Overall, the results suggest that patients considered many factors to be important in their selection of a treatment center for PRK correction of myopia. Over 95% said that treatment and review by a consultant ophthalmologist, comprehensive follow-up appointments, professional attitude by staff, and reputation of the hospital were important factors in their selection of the center. Ninety to 95% said confidence in the clinical reputation and skills of the ophthalmic surgeons performing the treatment was important, as was having follow-up by only one or two staff members. Slightly more than 50% said that being treated in an NHS hospital setting (51.7%) or that expense of the treatment (50.5%) were important factors in their decision. CONCLUSION: Patients who chose to have excimer laser PRK based their choice of a unit on reputation of the staff and hospital but also on having care and follow-up by a consultant ophthalmic surgeon, high standards of equipment, continuity of care, and a comprehensive review system backed up by ready accessibility to staff members. Although proximity of a unit was important, cost appeared less important than the other factors. |
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Authors:
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D Orr; S S Sidiki; C N McGhee |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Journal of cataract and refractive surgery Volume: 24 ISSN: 0886-3350 ISO Abbreviation: J Cataract Refract Surg Publication Date: 1998 Mar |
Date Detail:
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Created Date: 1998-05-19 Completed Date: 1998-05-19 Revised Date: 2008-11-21 |
Medline Journal Info:
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Nlm Unique ID: 8604171 Medline TA: J Cataract Refract Surg Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 335-40 Citation Subset: IM |
Affiliation:
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University Department, Ninewells Hospital, Dundee, Scotland. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Choice Behavior* Cornea / surgery* Female Humans Lasers, Excimer Male Middle Aged Myopia / surgery* National Health Programs Patient Satisfaction* Photorefractive Keratectomy* / psychology Questionnaires Refraction, Ocular Visual Acuity |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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