Quality of breast reconstruction service at a university hospital as assessed by the patients
ABSTRACT 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 be...
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| Format: | Article |
| Language: | English |
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Sociedade Brasileira para o Desenvolvimento da Pesquisa em Cirurgia
2023-05-01
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| Series: | Acta Cirúrgica Brasileira |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-86502023000100800&lng=en&tlng=en |
| _version_ | 1797835514077773824 |
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| author | Carlos Eduardo de Oliveira José da Conceição Carvalho Júnior Ricardo Beckhauser Kuhnen Ana Laura Batista Coelho Isabella Scavariello Zicari Di Monte Lydia Masako Ferreira Daniela Francescato Veiga |
| author_facet | Carlos Eduardo de Oliveira José da Conceição Carvalho Júnior Ricardo Beckhauser Kuhnen Ana Laura Batista Coelho Isabella Scavariello Zicari Di Monte Lydia Masako Ferreira Daniela Francescato Veiga |
| author_sort | Carlos Eduardo de Oliveira |
| collection | DOAJ |
| description | ABSTRACT 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’ (ρ = 0.272; p = 0.009) and a negative correlation between ‘education’ and ‘quality of the environment’ (ρ = –0.218; p = 0.039). The higher the patient’s level of education, the higher the score attributed to ‘relationship’ (ρ = 0.261; p = 0.013) and the lower the score of ‘aesthetics and functionality’ (ρ = –0.237; p = 0.024). Conclusions: 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. |
| first_indexed | 2024-04-09T14:53:55Z |
| format | Article |
| id | doaj.art-2f23c0adf2574673a1695b6b2998380c |
| institution | Directory Open Access Journal |
| issn | 1678-2674 |
| language | English |
| last_indexed | 2024-04-09T14:53:55Z |
| publishDate | 2023-05-01 |
| publisher | Sociedade Brasileira para o Desenvolvimento da Pesquisa em Cirurgia |
| record_format | Article |
| series | Acta Cirúrgica Brasileira |
| spelling | doaj.art-2f23c0adf2574673a1695b6b2998380c2023-05-02T07:34:29ZengSociedade Brasileira para o Desenvolvimento da Pesquisa em CirurgiaActa Cirúrgica Brasileira1678-26742023-05-013810.1590/acb381223Quality of breast reconstruction service at a university hospital as assessed by the patientsCarlos Eduardo de Oliveirahttps://orcid.org/0000-0003-4544-6631José da Conceição Carvalho Júniorhttps://orcid.org/0000-0003-3370-8876Ricardo Beckhauser Kuhnenhttps://orcid.org/0000-0002-5983-8815Ana Laura Batista Coelhohttps://orcid.org/0000-0002-9385-7665Isabella Scavariello Zicari Di Montehttps://orcid.org/0000-0002-9463-456XLydia Masako Ferreirahttps://orcid.org/0000-0001-6661-1830Daniela Francescato Veigahttps://orcid.org/0000-0002-8713-2940ABSTRACT 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’ (ρ = 0.272; p = 0.009) and a negative correlation between ‘education’ and ‘quality of the environment’ (ρ = –0.218; p = 0.039). The higher the patient’s level of education, the higher the score attributed to ‘relationship’ (ρ = 0.261; p = 0.013) and the lower the score of ‘aesthetics and functionality’ (ρ = –0.237; p = 0.024). Conclusions: 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.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-86502023000100800&lng=en&tlng=enBreast NeoplasmsMammaplastyPatient SatisfactionHealth Services Administration |
| spellingShingle | Carlos Eduardo de Oliveira José da Conceição Carvalho Júnior Ricardo Beckhauser Kuhnen Ana Laura Batista Coelho Isabella Scavariello Zicari Di Monte Lydia Masako Ferreira Daniela Francescato Veiga Quality of breast reconstruction service at a university hospital as assessed by the patients Acta Cirúrgica Brasileira Breast Neoplasms Mammaplasty Patient Satisfaction Health Services Administration |
| title | Quality of breast reconstruction service at a university hospital as assessed by the patients |
| title_full | Quality of breast reconstruction service at a university hospital as assessed by the patients |
| title_fullStr | Quality of breast reconstruction service at a university hospital as assessed by the patients |
| title_full_unstemmed | Quality of breast reconstruction service at a university hospital as assessed by the patients |
| title_short | Quality of breast reconstruction service at a university hospital as assessed by the patients |
| title_sort | quality of breast reconstruction service at a university hospital as assessed by the patients |
| topic | Breast Neoplasms Mammaplasty Patient Satisfaction Health Services Administration |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-86502023000100800&lng=en&tlng=en |
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