A year of foot and ankle orthotic provision for adults: Prospective consultations data, with patient satisfaction survey

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• 作者：Kathleen Malkin ; Jill Dawson ; Robert Harris ; Gary Parfett ; Paul Horwood ; Christopher Morris ; Grahame Lavis
• 关键词：Orthotics ; Patient satisfaction ; Prospective survey
• 刊名：The Foot
• 出版年：2008
• 出版时间：June 2008
• 年：2008
• 卷：18
• 期：2
• 页码：75-83
• 全文大小：265 K

文摘

Objectives

To characterise 12 months’ adult, foot and ankle orthotic out-patient consultations in a regional centre; and to survey patients regarding their satisfaction with services received.

Methods

Prospective survey questionnaires completed by: (1) orthotists, during consecutive clinic consultations (n = 4402 representing 2494 patients); (2) all patients receiving foot or ankle orthoses (n = 1469), mailed 5 weeks later. Questions included a standard foot pain item, patients’ perceived usefulness of the orthosis, and satisfaction with services received. Logistic regression identified factors associated with patients finding their orthosis ‘very’ or ‘fairly helpful’.

Results

Consultations addressed myriad foot, ankle or other conditions. EVA (soft) foot orthoses were most commonly prescribed. The response rate from patients was 72 % . Most (73 % ) said their orthosis would be ‘very’ or ‘fairly helpful’. Following adjustment, females were less likely than males to find orthoses helpful (OR 0.71, p = 0.031). All older age groups were at least twice as likely to find orthoses helpful as patients aged <40 (p < 0.01). Ninety percent of respondents were ‘very’ or ‘fairly satisfied’ with the service received.

Conclusions

Women, younger patients and those with more severe pain were less likely to perceive benefit from foot and ankle orthoses than other groups and may therefore require adjuvant or alternative intervention.