Hardo, P.G.
April 2003
Gut;Apr2003 Supplement 1, Vol. 52, pA74
Academic Journal
Background: The use of self-administered health assessment questionnaires maybe a useful instrument in an outpatient setup, especially when the general practitioner's (GP) referral letters contain insufficient information. They can also improve doctor-patient communication. We therefore routinely use an in-house designed health assessment form (HAF) in the outpatient's clinic. Aims: To evaluate patient satisfaction with the HAF. Methods: The two page HAF contains questions on common Gl symptoms/signs together with information on previous tests, operations, family and social history, drug history and the impact of current illness on quality of life. Enough space is left for comments. All patients completed the HAF before they were assessed. When a GP letter was lack ng information, a HAF was sent to the patient to be returned by post for prioritisation. A total 173 consecutive patients (1) 1F/62M were anonymously asked to evaluate the value of HAD before eaving the hospital. They completed a simple questionnaire about ts relevance, usefulness, clarity, and ease of completion. A satisfaction scale from: 1 = not at all to 5 = yes, definitely, was used and a space for comment was allocated. Results: 36% were male and 64% female. The very small proportion (2-3%) who felt that the HAF was not very relevant or useful (score 1) were mostly patients with minor or no Gl problems. The majority of patients liked the HAF and wrote constructive comments. Conclusion: Most patients found the HAF valuable in preparing them for the consultation and a useful way to think about their problems before seeing the doctor. Based on our 6 years experience with the HAF (which we have modified as a result of this audit) we found it particularly helpful for: prioritising the urgency for consultation; speeding up the consultation process; and avoiding duplication of investigation. We achieve 99% patients' compliance in completing the HAF. We recommend the use of a 'selfiadministered health...


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