Neilson, LJ;
Patterson, J;
von Wagner, C;
Hewitson, P;
McGregor, LM;
Sharp, L;
Rees, CJ;
(2020)
Patient experience of gastrointestinal endoscopy: informing the development of the Newcastle ENDOPREM.
Frontline Gastroenterology
10.1136/flgastro-2019-101321.
(In press).
Preview |
Text
Von Wagner_Patient experience of gastrointestinal endoscopy. informing the development of the Newcastle ENDOPREM_AAM.pdf - Accepted Version Download (779kB) | Preview |
Abstract
BACKGROUND: Measuring patient experience is important for evaluating the quality of patient care, identifying aspects requiring improvement and optimising patient outcomes. Patient Reported Experience Measures (PREMs) should, ideally, be patient derived, however no such PREMs for gastrointestinal (GI) endoscopy exist. This study explored the experiences of patients undergoing GI endoscopy and CT colonography (CTC) in order to: identify aspects of care important to them; determine whether the same themes are relevant across investigative modalities; develop the framework for a GI endoscopy PREM. METHODS: Patients aged ≥18 years who had undergone oesophagogastroduodenoscopy (OGD), colonoscopy or CTC for symptoms or surveillance (but not within the national bowel cancer screening programme) in one hospital were invited to participate in semi-structured interviews. Recruitment continued until data saturation. Inductive thematic analysis was undertaken. RESULTS: 35 patients were interviewed (15 OGD, 10 colonoscopy, 10 CTC). Most patients described their experience chronologically, and five ‘procedural stages’ were evident: before attending for the test; preparing for the test; at the hospital, before the test; during the test; after the test. Six themes were identified: anxiety; expectations; choice & control; communication & information; comfort; embarrassment & dignity. These were present for all three procedures but not all procedure stages. Some themes were inter-related (eg, expectations & anxiety; communication & anxiety). CONCLUSION: We identified six key themes encapsulating patient experience of GI procedures and these themes were evident for all procedures and across multiple procedure stages. These findings will be used to inform the development of the Newcastle ENDOPREM™.
| Type: | Article |
|---|---|
| Title: | Patient experience of gastrointestinal endoscopy: informing the development of the Newcastle ENDOPREM |
| Open access status: | An open access version is available from UCL Discovery |
| DOI: | 10.1136/flgastro-2019-101321 |
| Publisher version: | https://doi.org/10.1136/flgastro-2019-101321 |
| Language: | English |
| Additional information: | This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions. |
| UCL classification: | UCL UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health > Behavioural Science and Health |
| URI: | https://discovery.ucl.ac.uk/id/eprint/10090923 |
Archive Staff Only
 |
View Item |
