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Patient satisfaction with family physician colonoscopists
Journal article   Open access

Patient satisfaction with family physician colonoscopists

Upneet K Nijjar, John A Edwards and Matthew W Short
Journal of the American Board of Family Medicine, Vol.24(1), pp.51-56
01/2011
DOI: 10.3122/jabfm.2011.01.100112
PMID: 21209344
url
https://doi.org/10.3122/jabfm.2011.01.100112View
Published (Version of record) Open Access

Abstract

assessing patient satisfaction after endoscopy with a standardized survey is recommended by gastrointestinal professional societies. The purpose of this study was to assess both patient satisfaction with colonoscopy performed by family physicians and physicians' technical competence in colonoscopy. modified Group Health Association of America 9 surveys were sent to all 230 patients who received a colonoscopy by family physicians at Madigan Army Medical Center from June to December 2007. Responses were graded on a 5-point Likert scale (LS), with a score of ≥ 3 (good to excellent) defined as a favorable response. Procedure reports and medical records were reviewed for all patients, and selected quality indicators were compared with recommended colonoscopy standards. sixty-nine percent of patients responded: 85 men (54%; mean age ± SD, 54.9 ± 5.6 years) and 73 women (46%; mean age ± SD, 54.3 ± 4.3 years). The overall rating of the visit received a favorable response rate of 98% (average LS rating, 4.6). Nearly all patients said they would have the procedure repeated by the same physician (98%) and at the same facility (98%). The overall reach-the-cecum rate was 100%. Adenomas were detected in 22% of women and 36% of men. All polyps measuring <2 cm were removed, and 99% of the procedures had scope withdrawal times of at least 6 minutes. Hemostasis techniques were used for 2 patients after polypectomy. There were no perforations. family physicians can perform colonoscopy with a high level of accuracy, safety, and patient satisfaction.
Clinical Competence - standards Clinical Competence - statistics & numerical data Colonoscopy - psychology Colonoscopy - statistics & numerical data Family Practice - statistics & numerical data Female Gastrointestinal Diseases - diagnosis Gastrointestinal Diseases - psychology Gastrointestinal Diseases - surgery Health Knowledge, Attitudes, Practice Humans Male Middle Aged Patient Satisfaction - statistics & numerical data Physicians, Family - statistics & numerical data Psychometrics Quality Improvement Quality of Health Care - statistics & numerical data Surveys and Questionnaires United States Washington

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