Is primary angioplasty an acceptable alternative to thrombolysis? Quantitative and qualitative study of patient and carer satisfaction.

Health Expectations : an International Journal of Public Participation in Health Care and Health Policy
Fiona SampsonSteve Goodacre

Abstract

The National Infarct Angioplasty Project assessed the feasibility of establishing a comprehensive primary angioplasty service. We aimed to compare satisfaction at intervention hospitals offering angioplasty-based care and control hospitals offering thrombolysis-based care. Mixed methods, with postal survey of patients and their carers, supported by semi-structured interviews. Survey of 682 patients and 486 carers, and interviews with 33 patients and carers, in eight English hospitals. Primary angioplasty or thrombolysis. Satisfaction with treatment. Responses were received from 595/682 patients (87%) and 418/486 carers (86%). Satisfaction with overall care was high at both intervention and control sites (78% vs. 71% patients rated their care as 'excellent', P = 0.074). Patient satisfaction was higher at intervention sites for some aspects of care such as speed of treatment (80% vs. 67%'excellent', P = 0.001). Convenience of visiting was rated lower at intervention sites by carers (12% vs. 1%'poor', P = 0.001). During interviews, carers reported that they accepted the added inconvenience of visiting primary angioplasty sites in the context of this life-saving treatment. Patient satisfaction with discharge and aftercare was lower...Continue Reading

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Citations

Aug 25, 2012·EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·James M McLenachanJohn Birkhead
Sep 27, 2014·EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·Mark A de BelderHuon H Gray
Jun 5, 2013·European Journal of Cardiovascular Nursing : Journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology·Lisa DullaghanDonna Fitzsimons
Apr 2, 2018·Health Expectations : an International Journal of Public Participation in Health Care and Health Policy·Catherine PerryNaomi J Fulop

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