Patients' experiences of dialysis services: are national health strategy targets being met?

Ir J Med Sci. 2004 Apr-Jun;173(2):78-81. doi: 10.1007/BF02914561.

Abstract

Background: The National Health Strategy envisages a health system incorporating patient views; and providing accessible, consultant-led dialysis services with patient choice of dialysis modality, in all regions.

Aims: To describe patients' experiences of renal services against National Health Strategy objectives.

Methods: Telephone interviews with 192 dialysis patients from three hospitals in the Eastern region.

Results: One-quarter of participants (16% of haemodialysis [HD] and 46% of peritoneal dialysis patients) lived outside the Eastern region, and travelled there because dialysis was not available locally. Two-thirds (65%) had a choice of dialysis modality. High satisfaction with interpersonal care was observed (83-98% satisfaction). Dissatisfaction with physical environment included parking (39-56%), waiting areas (62-69%), HD unit space (74%). Regarding support services, dietary services were satisfactory (92-95%), with lower satisfaction ratings for social and financial support services (62%).

Conclusions: Structural and management issues must be addressed to advance a quality agenda for renal care in Ireland.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Female
  • Health Services Accessibility
  • Hemodialysis Units, Hospital / standards*
  • Humans
  • Interviews as Topic
  • Ireland
  • Kidney Failure, Chronic / therapy*
  • Male
  • Middle Aged
  • National Health Programs / organization & administration*
  • National Health Programs / standards
  • Organizational Objectives
  • Patient Satisfaction / statistics & numerical data*
  • Peritoneal Dialysis / standards*
  • Quality Indicators, Health Care*
  • Surveys and Questionnaires
  • Waiting Lists