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Assessing patient satisfaction with a microsuction service in general practice: a comparative study
Ruairi Hasson1, Eoin McDermott2, Karena Hanley3
1GP Registrar, Irish College of General Practitioners, Dublin, Ireland rnhasson@hotmail.com.
Background:
In the UK, about 2.3 million people each year require intervention for wax impaction, while otitis externa accounts for just over 1% of general practice consultations. Aural microsuction of debris from the ear canal is a commonly performed procedure within the ear, nose, and throat (ENT) outpatient clinic. This article examines the patient acceptability of an aural microsuction service delivered in general practice.
Aim:
To determine patient satisfaction following the introduction of a new microsuction service in general practice compared with a hospital-delivered service.
Design & Setting:
This is a prospective comparative study in two rural general practices in Ireland and the emergency department (ED) of the Royal Victoria Eye and Ear Hospital (RVEEH), Dublin.
Method:
A 3-month period of data collection on usual care of 56 patients in general practice was followed by a 3-month period of GP-intervention data collection on 67 patients. Comparative data were collected on 37 patients who attended the RVEEH for the same intervention procedure. Patients completed a validated patient satisfaction questionnaire (PSQ-18).
Results:
Both general practice groups scored significantly higher in all seven aspects of medical care than the RVEEH cohort. Patients in the GP-intervention group scored significantly higher in terms of satisfaction with procedure technique compared with the usual care GP group.
Conclusion:
The provision of microsuction as a service in general practice confers as much or more patient satisfaction as the provision of the service in a hospital setting.
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