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Analysis of the question-answer service of the Emma Children's Hospital information centre
Frea H Kruisinga1, Richard C Heinen, Hugo S A Heymans
1Emma Children's Hospital AMC, Amsterdam, The Netherlands. f.kruisinga@amc.uva.nl
Insights
A specialized information center in a children's hospital effectively answers patient and parent questions about diseases and treatments. This service, though costly, improves patient satisfaction and outcomes by providing accessible, quality medical information.
Area of Science:
- Pediatric Healthcare
- Medical Information Services
- Health Communication
Background:
- Specialized information centers play a crucial role in academic children's hospitals.
- Evaluating the effectiveness of these centers is essential for optimizing patient care and resource allocation.
Purpose of the Study:
- To evaluate the question-answer service of the Emma Children's Hospital AMC Information Centre (EKZ AMC).
- To determine the role, optimal resources, and positive effects of a specialized information center in a pediatric academic setting.
Main Methods:
- A case management system in MS ACCESS was developed to track question characteristics, requester details, response times, and information sources.
- Analysis of 1,434 questions asked in 2007, including cost determination and working hour allocation.
Main Results:
- Parents (23.3%) and healthcare workers (31.8% combined) were primary users.
- Most frequent questions concerned disease (20.2%) and treatment (13.0%), primarily using paper resources.
- Questions were typically answered within 15 minutes, utilizing 12-28% of total working hours.
Conclusions:
- Specialized information services provide valuable, high-quality medical information, reducing time spent by expensive healthcare staff.
- These centers meet the information needs of parents and caregivers, potentially improving patient satisfaction, coping, and medical outcomes.
- A dedicated information center is a valuable and affordable asset for academic children's hospitals.
Abstract:
The information centre of the Emma Children's Hospital AMC (EKZ AMC) is a specialised information centre where paediatric patients and persons involved with the patient can ask questions about all aspects of disease and its social implications. The aim of the study was to evaluate the question-answer service of this information centre in order to determine the role of a specialised information centre in an academic children's hospital, identify the appropriate resources for the service and potential positive effects. For this purpose, a case management system was developed in MS ACCESS. The characteristics of the requester and the question, the time it took to answer questions, the information sources used and the extent to which we were able to answer the questions were registered. The costs of the service were determined. We analysed all questions that were asked in the year 2007. Fourteen hundred thirty-four questions were asked. Most questions were asked by parents (23.3%), healthcare workers (other than nurses; 16.5%) and nurses (15.3%). The scope of the most frequently asked questions include disease (20.2%) and treatment (13.0%). Information on paper was the main information source used. Most questions could be solved within 15 min. Twelve percent to 28% of total working hours are used for the question-answer service. Total costs including staff salary are rather large. In conclusions, taking over the task of providing additional medical information and by providing readily available, good quality information that healthcare professionals can use to inform their patients will lead to less time investment of these more expensive staff members. A specialised information service can anticipate on the information need of parents and persons involved with the paediatric patient. It improves information by providing with relatively simple resources that has the potential to improve patient and parent satisfaction, coping and medical results. A specialised information centre is therefore a valuable and affordable asset to an academic children's hospital.
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