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2015
August
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Sickle Cell Support Group Healthcare Survey
Sickle Cell Support Group Healthcare Survey
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Dear Patients,
You are invited to participate in this Healthcare Survey, created by the Sickle Cell Support Group of Durham County, regarding adult healthcare services at Duke University Hospital. The survey will provide essential information on Sickle Cell patient experience for review with appropriate Duke personnel. You will be asked to complete questions about your positive and / or negative experiences in the Duke Sickle Cell Clinic, Emergency Room Department, Day Hospital, and In-patient Hospital Stay. The results from the survey will help in the continued effort to address patient’s healthcare needs and concerns. Your participation in this study is completely voluntary. Thank you in advance for your prompt attention, time, and support.
Sincerely,
Sickle Cell Support Group of Durham County
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How long have you received care or treatment for Sickle Cell Anemia at Duke?
Less than 6 months
6 months to less than 1 year
1 year to less than 3 years
3 to less than 5 years
5 years or more
How often do you use the following services at Duke for Sickle Cell related purposes?
Less than once a year
Once a year
Every 2-3 Months
Once a Month
Weekly
Every 2 weeks
Never
*
Labs (Clinic 1D)
*
Sickle Cell Clinic
*
Emergency Department
*
Day Hospital (Infusion Center)
*
Inpatient Hospital Stays
How often do you conduct surveys?
Weekly
Monthly
Quarterly
Annually
In the last 12 months, what is the average time spent in the waiting room before you saw a Triage Nurse or Nurse for your care? (from check-in to triage or other evaluation method)
< 30 min
30 min - 1 hr
1 hr - 1.5 hr
1.5 hr - 2 hr
> 2 hr
N/A
*
Labs or Clinic 1D
*
Sickle Cell Clinic
*
Emergency Room
*
Day Hospital / Infusion Center
In the last 12 months, what is the average time
THEN
spent in the waiting room before receiving treatment or care from a Doctor or Physican's Assistant?
< 30 min
30 min - 1 hr
1 hr - 1.5 hr
1.5 hr - 2 hr
> 2 hr
N/A
*
Sickle Cell Clinic
*
Emergency Room
In the last 12 months, how many times have you been seen by the following providers for your care at the Sickle Cell Clinic?
Once
2-3
3-5
5-7
7 or More
Never
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Physician (M.D.)
*
Physician's Assistant
*
Other
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