Quality of breast reconstruction service at a university hospital as assessed by the patients

被引:0
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作者
de Oliveira, Carlos Eduardo [1 ]
Carvalho Jr, Jose da Conceicao [1 ]
Kuhnen, Ricardo Beckhauser [1 ]
Coelho, Ana Laura Batista [2 ]
Monte, Isabella Scavariello Zicari Di [3 ]
Ferreira, Lydia Masako [1 ]
Veiga, Daniela Francescato [2 ,4 ]
机构
[1] Univ Fed Sao Paulo, Programa Pos graduacao Cirurgia Translac, Sao Paulo, SP, Brazil
[2] Univ Vale Sapucai, Fac Med, Pouso Alegre, MG, Brazil
[3] Univ Santo Amaro, Fac Med, Santo Amaro, SP, Brazil
[4] Univ Vale Sapucai, Div Cirurgia Plast, Pouso Alegre, MG, Brazil
关键词
Breast Neoplasms; Mammaplasty; Patient Satisfaction; Health Services Administration; CANCER;
D O I
10.1590/acb381223
中图分类号
R61 [外科手术学];
学科分类号
摘要
Purpose: To evaluate the quality of breast reconstruction service at a university hospital, as assessed by the patients. Methods: This cross-sectional study enrolled adult women who underwent immediate or delayed breast reconstruction by any technique performed at a university hospital between 1 and 24 months before the assessment. The Brazilian version of the Health Service Quality Scale (HSQS) was self-applied to the participants. The HSQS produces percentage scores, which are expressed in values ranging from 0 to 10 for each domain of the scale, and into an overall percentage quality score. The management team was asked to establish a minimum satisfactory score for the breast reconstruction service. Results: Ninety patients were included. The management team considered 8.00 the minimum satisfactory score for the service. The overall percentage score was 93.3%. Only one domain, 'Support,' had an average score lower than that considered satisfactory (7.22 +/- 3.0); while the others had higher scores. The domain that scored highest was 'Qualification' (9.94 +/- 0.3), followed by 'Result' (9.86 +/- 0.4). There was a positive correlation between 'type of oncologic surgery' and 'intentions of loyalty to the service' (p = 0.272; p = 0.009) and a negative correlation between 'education' and 'quality of the environment' (p = -0.218; p = 0.039). The higher the patient's level of education, the higher the score attributed to 'relationship' (p = 0.261; p = 0.013) and the lower the score of 'aesthetics and functionality' (p = -0.237; p = 0.024). Conclusion: The quality of the breast reconstruction service was considered satisfactory, but there is a demand for structural improvements, better interpersonal relationships, and a stronger support network for patients.
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页数:8
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