Background: In the Municipality of Aarhus, Denmark, mobile X-ray is offered to selected patients when a transfer to the Department of Radiology may be an obstacle. To our knowledge, no studies have examined patient’s satisfaction with mobile X-ray in a randomized controlled trial, but international qualitative and quantitative studies report a high level of patient satisfaction with mobile X-ray. Purpose: The purpose of the study was to investigate whether patients in aged care facilities who were offered mobile X-ray were more satisfied with the X-ray examination compared to patients examined with X-ray at the Department of Radiology, Aarhus University Hospital. Design: A part of a randomized controlled trial. Methods: Satisfaction was measured using a self-developed questionnaire, containing 13 questions measuring satisfaction from different perspectives. Participants: Due to patient’s fragility, healthcare staff members answered questions concerning satisfaction on behalf of the patients, who had been examined with mobile X-ray (n = 66) or X-ray at the hospital (n = 63). The patients were living in nursing homes and homes for the elderly in Aarhus Municipality. Data: Data were collected and stored using the computer program REDCap. Data were statistically analyzed using Fisher’s exact test. Results: Patients examined with mobile X-ray had a significantly higher satisfaction rate than those examined with X-ray at the hospital. Conclusion: Satisfaction of patients examined with X-ray was reported by healthcare staff to be in favor of mobile X-ray.
References
[1]
Dozet, A., Ivarsson, B., Eklund, K., Klefsgard, R. and Geijer, M. (2016) Radiography on Wheels Arrives to Nursing Homes—An Economic Assessment of a New Health Care Technology in Southern Sweden. Journal of Evaluation in Clinical Practice, 22, 994-1001. https://doi.org/10.1111/jep.12590
[2]
Eklund, K., Klefsgard, R., Ivarsson, B. and Geijer, M. (2012) Positive Experience of a Mobile Radiography Service in Nursing Homes. Gerontology, 58, 107-111. https://doi.org/10.1159/000329452
[3]
Graverholt, B., Forsetlund, L. and Jamtvedt, G. (2014) Reducing Hospital Admissions from Nursing Homes: A Systematic Review. BMC Health Services Research, 14, Article No. 36. https://doi.org/10.1186/1472-6963-14-36
[4]
Kihlgren, A.L., Nilsson, M., Skovdahl, K., Palmblad, B. and Wimo, A. (2004) Older Patients Awaiting Emergency Department Treatment. Scandinavian Journal of Caring Sciences, 18, 169-176. https://doi.org/10.1111/j.1471-6712.2004.00266.x
[5]
Montalto, M., Shay, S. and Le, A. (2015) Evaluation of a Mobile X-Ray Service for Elderly Residents of Residential Aged Care Facilities. Australian Health Review: A Publication of the Australian Hospital Association, 39, 517-521. https://doi.org/10.1071/AH15059
[6]
Thingnes, E.R. and Stalsberg, R. (2010) Kvalitative aspekter ved innføring av mobile røntgentjenester til sykehjem. En studie av tre faggruppers forventninger [Qualitative Aspects on Establishing Mobile Radiography Services for Nursing Homes. A Study of Three Professional Groups Expectations]. Nordisk Tidsskrift for Helseforskning, 6, 14-28. https://doi.org/10.7557/14.1181
[7]
Ricauda, N.A., Tibaldi, V., Bertone, P., Quagliotti, E., Tizzani, A., Zanocchi, M., et al. (2011) The RAD-HOME Project: A Pilot Study of Home Delivery of Radiology Services. Archives of Internal Medicine, 171, 1678-1680. https://doi.org/10.1001/archinternmed.2011.336
[8]
Vigeland, E., Bohm, R.E., Rostad, A. and Lysdahl, K.B. (2017) Mobile X-Ray Service for Nursing Homes. Tidsskrift for den Norske Laegeforening, 137, 198-202. https://doi.org/10.4045/tidsskr.16.0035
[9]
Toppenberg, M.D. and Kjeldsen, A.S. (2016) Evaluation of the Pilot Project Mobile X-Ray at the Department of Radiology, Aarhus University Hospital. Klinisk Sygepleje, 30, 208-220. https://doi.org/10.18261/issn.1903-2285-2016-03-06
[10]
Xiao, H. and Barber, J.P. (2008) The Effect of Perceived Health Status on Patient Satisfaction. Value in Health, 11, 719-725. https://doi.org/10.1111/j.1524-4733.2007.00294.x
[11]
Woodward, S., Berry, K. and Bucci, S. (2017) A Systematic Review of Factors Associated with Service User Satisfaction with Psychiatric Inpatient Services. Journal of Psychiatric Research, 92, 81-93. https://doi.org/10.1016/j.jpsychires.2017.03.020
[12]
Delbanco, T.L. (1996) Quality of Care through the Patient’s Eyes. British Medical Journal, 313, 832-833. https://doi.org/10.1136/bmj.313.7061.832
[13]
Dyer, N., Sorra, J.S., Smith, S.A., Cleary, P.D. and Hays, R.D. (2012) Psychometric Properties of the Consumer Assessment of Healthcare Providers and Systems (CAHPS(R)) Clinician and Group Adult Visit Survey. Medical Care, 50, S28-S34. https://doi.org/10.1097/MLR.0b013e31826cbc0d
[14]
Sixma, H.J., Kerssens, J.J., Campen, C.V. and Peters, L. (1998) Quality of Care from the Patients’ Perspective: From Theoretical Concept to a New Measuring Instrument. Health Expectations, 1, 82-95. https://doi.org/10.1046/j.1369-6513.1998.00004.x
[15]
Kjelle, E. and Lysdahl, K.B. (2017) Mobile Radiography Services in Nursing Homes: A Systematic Review of Residents’ and Societal Outcomes. BMC Health Services Research, 17, Article No. 231. https://doi.org/10.1186/s12913-017-2173-8
[16]
Toppenberg, M., Christiansen, T., Rasmussen, F., Nielsen, C. and Damsgaard, E.M. (2020) Mobile X-Ray outside the Hospital vs. X-Ray at the Hospital Challenges Exposed in an Explorative RCT Study. Healthcare, 8, Article No. 118.
[17]
Kane, R.L., Kane, R.A., Bershadsky, B., Degenholtz, H., Kling, K., Totten, A., et al. (2005) Proxy Sources for Information on Nursing Home Residents’ Quality of Life. The Journals of Gerontology: Series B, 60, S318-S325. https://doi.org/10.1093/geronb/60.6.S318
[18]
Usman, A., Lewis, S., Hinsliff-Smith, K., Long, A., Housley, G., Jordan, J., et al. (2018) Measuring Health-Related Quality of Life of Care Home Residents, Comparison of Self-Report with Staff Proxy Responses for EQ-5D-5L and HowRu: Protocol for Assessing Proxy Reliability in Care Home Outcome Testing. BMJ Open, 8, e022127. https://doi.org/10.1136/bmjopen-2018-022127
[19]
Usman, A., Lewis, S., Hinsliff-Smith, K., Long, A., Housley, G., Jordan, J., et al. (2019) Measuring Health-Related Quality of Life of Care Home Residents: Comparison of Self-Report with Staff Proxy Responses. Age and Ageing, 48, 407-413. https://doi.org/10.1093/ageing/afy191
[20]
Toppenberg, M.D., Christiansen, T.E.M., Rasmussen, F., Nielsen, C.P. and Damsgaard, E.M. (2020) Mobile X-Ray outside the Hospital: A Scoping Review. BMC Health Services Research, 20, Article No. 767. https://doi.org/10.1186/s12913-020-05564-0
[21]
Bryman, A. (2016) Social Research Methods. 5th Edition, Oxford University Press, Oxford.
[22]
de Vet, H.C.W., Terwee, C.B., Mokkink, L.B. and Knol, D.L. (2011) Measurement in Medicine: A Practical Guide. Cambridge University Press, Cambridge. https://doi.org/10.1017/CBO9780511996214
[23]
Kirkwood, B. and Sterne, J. (2003) Essential Medical Statistics. 2nd Edition, Blackwell Science Inc., Hoboken.
[24]
Price, S. and Summers, R. (2006) Mobile Healthcare in the Home Environment. 2006 International Conference of the IEEE Engineering in Medicine and Biology Society, New York, 30 August-3 September 2006, 6446-6448. https://doi.org/10.1109/IEMBS.2006.260722
[25]
Kjelle, E., Lysdahl, K.B., Olerud, H.M. and Myklebust, A.M. (2018) Managers’ Experience of Success Criteria and Barriers to Implementing Mobile Radiography Services in Nursing Homes in Norway: A Qualitative Study. BMC Health Services Research, 18, Article No. 301. https://doi.org/10.1186/s12913-018-3115-9
