RESUMEN
Meeting and exceeding customers' expectations is the heart of any quality improvement program. The authors describe the development of a survey tool designed to assess patient satisfaction and its role in the hospital's total quality management initiative.
Asunto(s)
Relaciones Paciente-Hospital , Satisfacción del Paciente , Garantía de la Calidad de Atención de Salud/organización & administración , Adolescente , Adulto , Anciano , Anciano de 80 o más Años , Femenino , Servicio de Alimentación en Hospital/normas , Administración Hospitalaria/normas , Humanos , Masculino , Participación en las Decisiones , Persona de Mediana Edad , New York , Innovación Organizacional , Encuestas y CuestionariosRESUMEN
Advances in the long-term survival and possible cure of the child with cancer have challenged pediatric professionals to no longer view this child as terminally ill, but rather as a developing person with a future. The time of initial diagnosis presents the family with coping tasks which, once mastered, lay the ground work for future adjustment and, hopefully, the child's eventual return to good health. A multidimensional psychosocial assessment can be used to identify strengths and difficulties. A range of psychosocial interventions helps children and families with the coping tasks of this difficult but challenging experience.
Asunto(s)
Adaptación Psicológica , Neoplasias/psicología , Psicología Infantil , Niño , Desarrollo Infantil , Preescolar , Familia , Femenino , Humanos , Masculino , Educación del Paciente como AsuntoRESUMEN
Advances in the treatment of childhood cancer have required a shift in our approach to the patient and family. Previously parents were helped to cope with the inevitable decline of the child's health over a rather short period of time; the child was acutely ill and crisis-oriented intervention was utilized. Today, the family unit can be helped to maintain normal life amidst intensive medical treatment; the child is acutely ill at times, but also chronically ill, and even well. Crisis intervention is still appropriate, but so is education, ego-supportive counseling, and insight-oriented psychotherapy. Psychological staging of pediatrics cancer patients and their families is essential in order to properly anticipate psychological adjustment and plan appropriate interventions. Assessment and staging require a multi-dimensional perspective including stage of disease, socioeconomic vulnerability, degree of psychopathology, family cohesion, and personal/family history. This article discusses this multi-dimensional perspective and implications for intervention. Illustrative case material is utilized.