Rheumatology: a study of patient satisfaction with follow-up monitoring care

Background. This paper reports the findings of a quantitative study to determine the satisfaction of rheumatology patients receiving follow-up monitoring care within primary and secondary locations. Aims and objectives. The aim of the study was to compare and contrast the satisfaction of patients with rheumatoid arthritis following two different routes of care. The objective was to explore the dimensions of care identified in an earlier qualitative study. Design. A convenience sample of 80 participants was used; 40 from each care location. Methods. Data were collected using the Leeds Satisfaction Questionnaire, which explores the dimensions of satisfaction previously identified as being important to this group of patients. Results. The secondary care group showed significantly higher levels of satisfaction in respect of general satisfaction, provision of information and continuity of care and a significant difference in relation to empathy, technical ability and attitude to the patient. Conclusions. While patients from both locations were satisfied with the care they received, those receiving specialist nursing care in the secondary location were more satisfied. Relevance to clinical practice. Increased emphasis on care in the community and the evolution of nurse specialist roles indicate the need for further qualitative work to inform the future planning of care provision for rheumatology patients in this area.