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. 2018 Aug;111(2):151-159.
doi: 10.5935/abc.20180143.

Satisfaction of Emergency Physicians with the Care Provided to Patients with Cardiovascular Diseases in the Northern Region of Minas Gerais

[Article in English, Portuguese]
Milena Soriano Marcolino  1   2 , João Antonio de Queiroz Oliveira  1   2 , Grace Kelly Matos E Silva  1 , Thatiane Dantas Dias  1 , Barbara Campos Abreu Marino  1 , André Pires Antunes  3 , Antonio Luiz Ribeiro  1   2 , Clareci Silva Cardoso  4
Affiliations

Satisfaction of Emergency Physicians with the Care Provided to Patients with Cardiovascular Diseases in the Northern Region of Minas Gerais

[Article in English, Portuguese]
Milena Soriano Marcolino et al. Arq Bras Cardiol. 2018 Aug.

Abstract

Background: The dissatisfaction of health professionals in emergency services has a negative influence on both the quality of care provided for acute myocardial infarction (AMI) patients and the retention of those professionals.

Objective: To assess physicians' satisfaction with the structure of care and diagnosis at the emergency services in the Northern Region of Minas Gerais before the implementation of the AMI system of care.

Methods: This cross-sectional study included physicians from the emergency units of the ambulance service (SAMU) and level II, III and IV regional hospitals. Satisfaction was assessed by using the CARDIOSATIS-Team scale. The median score for each item, the overall scale and the domains were calculated and then compared by groups using the non-parametric Mann-Whitney test. Correlation between time since graduation and satisfaction level was assessed using Spearman correlation. A p value < 0.05 was considered significant.

Results: Of the 137 physicians included in the study, 46% worked at SAMU. Most of the interviewees showed overall dissatisfaction with the structure of care, and the median score for the overall scale was 2.0 [interquartile range (IQR) 2.0-4.0]. Most SAMU physicians expressed their dissatisfaction with the care provided (54%), the structure for managing cardiovascular diseases (52%), and the technology available for diagnosis (54%). The evaluation of the overall satisfaction evidenced that the dissatisfaction of SAMU physicians was lower when compared to that of hospital emergency physicians. Level III/IV hospital physicians expressed greater overall satisfaction when compared to level II hospital physicians.

Conclusion: This study showed the overall dissatisfaction of the emergency physicians in the region assessed with the structure of care for cardiovascular emergencies.

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Conflict of interest statement

Potential Conflict of Interest

No potential conflict of interest relevant to this article was reported.

Figures

Figure 1
Figure 1
Satisfaction of physicians of the mobile emergency service (SAMU) and of hospital emergency services (non-SAMU) according to the domains of the CARDIOSATIS-Team scale.
Figure 2
Figure 2
Satisfaction of physicians of level II hospitals and those of level III/IV hospitals according to the domains of the CARDIOSATIS-Team scale.
See this image and copyright information in PMC

Comment in

References

    1. GBD 2013 Mortality and Causes of Death Collaborators Global, regional, and national age-sex specific all-cause and cause-specific mortality for 240 causes of death, 1990-2013: a systematic analysis for the Global Burden of Disease Study 2013. Lancet. 2015;385(9963):117–171. - PMC - PubMed
    1. Orozco-Beltran D, Cooper RS, Gil-Guillen V, Bertomeu-Martinez V, Pita-Fernandez S, Durazo-Arvizu R. Trends in mortality from myocardial infarction A comparative study between Spain and the United States: 1990-2006. Rev Esp Cardiol. 2012;65(12):1079–1085. - PubMed
    1. Schmidt M, Jacobsen JB, Lash TL, Botker HE, Sorensen HT. 25 year trends in first time hospitalisation for acute myocardial infarction, subsequent short and long term mortality, and the prognostic impact of sex and comorbidity a Danish nationwide cohort study. BMJ. 2012 Jan 25;344:e356. - PMC - PubMed
    1. Shroff GR, Li S, Herzog CA. Trends in mortality following acute myocardial infarction among dialysis patients in the United States over 15 years. J Am Heart Assoc. 2015;4(10):e002460. - PMC - PubMed
    1. Roth GA, Huffman MD, Moran AE, Feigin V, Mensah GA, Naghavi M. Global and regional patterns in cardiovascular mortality from 1990 to 2013. Circulation. 2015;132(17):1667–1678. - PubMed

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