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Study Objective To identify emergency department (ED) predictors of patients' perception of privacy and whether patients' perception of privacy was significantly associated with patient satisfaction, in an urban, university-based hospital ED. Methods Patients' perceptions of privacy and satisfaction at one urban, university-based hospital ED were assessed. Structured questionnaires were performed, and measures for patients' perception of privacy and satisfaction as well as demographic data were included for data collection for each patient. Ordinal logistic regression model building was conducted for patients' perception of privacy. Results 364 patients were approached and 313 (86%) on-site questionnaires were completed. 75% of patients agreed and strongly agreed that privacy was very important for their emergency care. Factors that were highly correlated with patients' perception of privacy included personal information overheard by others (OR 0.6273), overhearing others' personal information (OR 0.5521), unintentionally heard inappropriate conversations from healthcare providers (OR 0.5992), being seen by irrelevant persons (OR 0.6337), space provided for privacy when being physically examined (OR 1.6091) and providers' respect for patients' privacy (OR 4.3455). Patient characteristics that significantly predicted lower ratings of perception of privacy included older age, the treatment area in a hallway and longer length of stay. Patient satisfaction was strongly predicted by the perception of privacy (OR 8.4545). Conclusion These data identify specific factors that are determinants of patients' perception of privacy. It was found that patients' perception of privacy strongly predicts satisfaction. ED improvement efforts should focus on improving ED environmental design and continuing education of healthcare providers to protect patient privacy during their stay in the ED.
Department of Emergency Medicine, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan.
This article was published in the following journal.
Name: Emergency medicine journal : EMJ
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Paramedical personnel trained to provide basic emergency care and life support under the supervision of physicians and/or nurses. These services may be carried out at the site of the emergency, in the ambulance, or in a health care institution.
Services specifically designed, staffed, and equipped for the emergency care of patients.
The specialty or practice of nursing in the care of patients admitted to the emergency department.
A vehicle equipped for transporting patients in need of emergency care.
An interval of care by a health care facility or provider for a specific medical problem or condition. It may be continuous or it may consist of a series of intervals marked by one or more brief separations from care, and can also identify the sequence of care (e.g., emergency, inpatient, outpatient), thus serving as one measure of health care provided.
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