Cardiff University | Prifysgol Caerdydd ORCA
Online Research @ Cardiff 
WelshClear Cookie - decide language by browser settings

Time to talk? Patient experiences of waiting for clinical management of knee injuries

Robling, Michael Richard, Pill, Roisin, Hood, Kerenza and Butler, Christopher Collett 2009. Time to talk? Patient experiences of waiting for clinical management of knee injuries. Quality and Safety in Health Care 18 (2) , pp. 141-146. 10.1136/qshc.2007.022475

Full text not available from this repository.

Abstract

Background: People with knee problems face long waits for elective surgery in many parts of the world. However, there is little evidence about the impact of delays in such treatment, especially for patients with mechanical knee injuries. Objective: To conduct a detailed exploration of patient experiences of waits for specialist diagnosis and surgery for knee injuries at one UK centre. Research design: In-depth qualitative paired interviews with a range of patients at baseline and 6 months later. Subjects: Patients awaiting imminent therapeutic arthroscopy of the knee (n = 20) or recently referred from primary care for specialist opinion or imaging for a knee injury (n = 19). Sample stratified to maximise variation by gender and age. Results: 36 patients completed both interviews. Four topic areas were identified. First, problems in the healthcare system were highlighted, including a lack of adequate information, which made it difficult for patients to make decisions about their lives. Second, patients experienced a social and psychological cost of waiting. Third, patients varied in their ability to cope and demonstrated both passive and proactive coping strategies. Fourth, patients described the management effectiveness of clinicians and their ability or otherwise to provide support. Conclusions: A detailed qualitative approach has identified broad physical and psycho-social consequences for patients with knee injuries experiencing delays in clinical management. An overarching theme was the important potential of both systemic and interpersonal communication to improve patient well-being. A managed care pathway which enhanced information provision may provide immediate opportunities for improving patient well-being.

Item Type: Article
Date Type: Publication
Status: Published
Schools: Medicine
Systems Immunity Research Institute (SIURI)
Subjects: R Medicine > R Medicine (General)
Publisher: BMJ Publishing Group
ISSN: 1475-3898
Last Modified: 30 Jun 2017 02:27
URI: http://orca.cf.ac.uk/id/eprint/29235

Citation Data

Cited 7 times in Google Scholar. View in Google Scholar

Cited 10 times in Scopus. View in Scopus. Powered By Scopus® Data

Actions (repository staff only)

Edit Item Edit Item