Hostname: page-component-7479d7b7d-m9pkr Total loading time: 0 Render date: 2024-07-12T18:26:21.882Z Has data issue: false hasContentIssue false

Patient expectations of emergency department care: phase I – a focus group study

Published online by Cambridge University Press:  21 May 2015

Denise Watt*
Affiliation:
Department of Emergency Medicine, Calgary, Alta.
William Wertzler
Affiliation:
Department of Emergency Medicine, Calgary, Alta.
Gordon Brannan
Affiliation:
Survey and Evaluation Unit, Quality Improvement and Health Information, Calgary Health Region, Calgary, Alta.
*
Department of Emergency Medicine, Calgary Health Region, 1403 29th St. NW, Calgary AB T2N 2T9;403 944-1820, fax 403 944-2419, da_watt@telus.net

Abstract

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.
Objectives:

To explore the public's expectations of emergency department care and to compare these with emergency department staff perceptions of patient expectations.

Methods:

Focus groups were conducted with the residents of Calgary, Alta., and with emergency department staff in the Calgary Health Region. Both recent users of the emergency department and people who had not used the emergency department in the past 3 years were included in this study. An experienced moderator conducted the focus groups, which were taped and then transcribed. A well established method of qualitative analysis identified common themes.

Results:

The focus groups identified common expectations of emergency department care. Public expectations were categorized into 6 thematic areas: staff communication with patients, appropriate waiting times, the triage process, information management, quality of care, and improvements to existing services. Those who had recently used the emergency department had similar expectations to those who had not. Emergency department care providers understand some, but not all, of the public's expectations.

Conclusions:

Public expectations of emergency department care were identified by this study. The findings are important for quality improvement initiatives and were used to develop a quantitative questionnaire.

Type
ED Administration • L’administration de la MU
Copyright
Copyright © Canadian Association of Emergency Physicians 2005

References

1.Sanders, A. Quality in emergency medicine: an introduction. Acad Emerg Med 2002;9(11):1064–70.CrossRefGoogle Scholar
2.Committee on Quality Health Care in America, Institute of Medicine. Crossing the quality chasm. Washington (DC): National Academy Press; 2001. Available: http://www.nap.edu/books/0309072808/html/ (accessed 2004 Nov 16).Google Scholar
3.Sun, BC, Adams, J, Orav, EJ, Rucker, DW, Brennan, TA, Burstin, HR. Determinants of patient satisfaction and willingness to return with emergency care. Ann Emerg Med 2000;35:426–34.Google Scholar
4.Trout, A, Magnusson, AR, Hedges, JR. Patient satisfaction investigations and the emergency department: What does the literature say? Acad Emerg Med 2000;7:695709.Google Scholar
5.Thompson, DA, Yarnold, PR, Williams, DR, Adams, SL. Effects of actual waiting time, perceived waiting time, information delivery, and expressive quality on patient satisfaction in the emergency department. Ann Emerg Med 1996;28:657–65.CrossRefGoogle ScholarPubMed
6.Thompson, DA, Yarnold, PR. Relating patient satisfaction to waiting time perceptions and expectations: the disconfirmation paradigm. Acad Emerg Med 1995;2:1057–62.CrossRefGoogle ScholarPubMed
7.Peck, BM, Asch, DA, Goold, SD, Roter, DL, Ubel, PA, McIntyre, LM, et al.Measuring patient expectations: Does the instrument affect satisfaction or expectations? Med Care 2001;39:100–8.Google Scholar
8.Hansagi, H, Carlsson, B, Brismar, B. The urgency of care need and patient satisfaction at a hospital emergency department. Health Care Manage Rev 1992;17:71–5.Google Scholar
9.Brown, K, Sheehan, E, Sawyer, M, Raftos, J, Smyth, V. Parent satisfaction with services in an emergency department located at a paediatric teaching hospital. J Paediatr Child Health 1995;31:435–9.CrossRefGoogle Scholar
10.Boudreaux, ED, Ary, RD, Mandry, CV, McCabe, B. Determinants of patient satisfaction in a large, municipal ED: the role of demographic variables, visit characteristics, and patient perceptions. Am J Emerg Med 2000;18:394400.Google Scholar
11.Bursch, B, Beezy, J, Shaw, R. Emergency department satisfaction: What matters most? Ann Emerg Med 1993;22:586–91.CrossRefGoogle ScholarPubMed
12.Krishel, S, Baraff, LJ. Effect of emergency department information on patient satisfaction. Ann Emerg Med 1993;22:568–72.CrossRefGoogle ScholarPubMed
13.Yarnold, PR, Michelson, EA, Thompson, DA, Adams, SL. Predicting patient satisfaction: a study of two emergency departments. J Behav Med 1998;21:545–63.CrossRefGoogle ScholarPubMed
14.Hostutler, JJ, Taft, SH, Snyder, C. Patient needs in the emergency department: nurses’ and patients’ perceptions. J Nurs Admin 1999;29:4350.CrossRefGoogle ScholarPubMed
15.Patton, MQ. Qualitative evaluation and research methods. Newbury Park (CA): Sage; 1990.p.925.Google Scholar
16.Krueger, R. Analyzing and reporting focus group results: focus group kit 6. Thousand Oaks (CA): Sage: 1998. p. 4152.CrossRefGoogle Scholar
17.Beveridge, R, Clarke, , Janes, L, Savage, N, Thompson, J, Dodd, G, et al.Canadian emergency department triage and acuity scale: implementation guidelines. Can J Emerg Med 1999;1(3 suppl).Google Scholar
18.Cone, D, Nedza, S, Augustine, J, Davidson, S. Quality in clinical practice. Acad Emerg Med 2002;9(11):1085–90.CrossRefGoogle ScholarPubMed