Factors Associated with Patient Satisfaction in Surgery: The Role of Patients’ Perceptions of Received Care, Visit Characteristics, and Demographic Variables

Schoenfelder, Tonio; Klewer, Jörg; Kügler, Joachim

doi:10.1016/j.jss.2010.08.001

Cited by 49 publications

(49 citation statements)

References 24 publications

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“…In our case patients' age influenced feedback (see Table 3, 0.22% variance), albeit with a low level of influence whereas in the literature the data is more equivocal with some saying that neither age, gender nor length of stay explained the variation in patient satisfaction [30,37] and others claiming age codetermines patient satisfaction. [38,39] The majority of authors do however agree that older patients (e.g. > 65 years) provide higher satisfaction scorings; [28,35] but the correlation is reduced when multivariate analysis is performed.…”

Section: Published By Sciedu Pressmentioning

confidence: 99%

Partnership between patients and health care professionals is an important determinant of patient satisfaction

Heberer

Bourke

Wildhaber

et al. 2015

IJH

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Background: A five year single institution survey of patient experience was analysed according to organisational units and for disease-and treatment-based patient groups to detect potential predictors of patient satisfaction. Methods: The public and academic, acute care hospital was monitored during times of change in reimbursement and ownership (2010)(2011)(2012)(2013)(2014) and exhibited a high level of overall patient satisfaction (score 3.5/4) which remained constant over the duration of the study. Out of 134,593 in-house patients during this period, 54,686 responded (40.6%) to the 18-question survey mailed a fortnight after hospital discharge. This patient satisfaction database was merged with the medical and administrative database in order to enable subgroup analysis and factorial analysis performed. Results: Despite a high level of overall patient satisfaction there existed remarkable heterogeneity within the hospital in patient satisfaction between different organisational units or patient groups. Patient socio-demographic factors remained stable among the groups and over time and made a significant but albeit small, contribution to patient satisfaction variance: organisational units (0.7%), age (0.22%), patient origin (0.12%), gender (0.1%), type of insurance (0.04%), migration status (0.03%) and destination (post-discharge location, 0.02%). Without a significant influence was comorbidity, admission status, or length of stay. Using factorial analysis the single most relevant factor was partnership which explained 25% of the variance of patient satisfaction. Partnership or "partnership between patients and health care professionals" included coherent information exchange, involvement in decision-making and treatment with dignity and respect. Other components influencing satisfaction were responsiveness, information, family involvement and pain control (accounting for 1%-8% variance). Conclusions: The structural heterogeneity of hospitals demands the analysis of patient satisfaction in subgroups and over periods of time (trend analysis). Furthermore, "partnership between patients and the health care professionals" appears to be a factor that offers potential for quality improvement initiatives.

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Section: Published By Sciedu Pressmentioning

confidence: 99%

Partnership between patients and health care professionals is an important determinant of patient satisfaction

Heberer

Bourke

Wildhaber

et al. 2015

IJH

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“…In addition, an increasing amount of research studies on surgical patient satisfaction with medical care and treatment have been performed [4][5][6][7]. Central dimensions in evaluation are fulfillment of patients' health care needs and requests in Surgery hospital departments.…”

Section: Introductionmentioning

confidence: 99%

“…In particular, a study by Schönfelder et al [7] found factors which are associated with patient satisfaction in Surgery. The strongest predictors for patient satisfaction found in this study were interpersonal manners of medical practitioners and nurses, organization of operations, admittance, and discharge, as well as perceived length of stay [7].…”

Section: Introductionmentioning

confidence: 99%

Improving quality of medical treatment and care: are surgeons’ working conditions and job satisfaction associated to patient satisfaction?

Mache

Vitzthum

Klapp

et al. 2012

Langenbecks Arch Surg

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“…Third, we subjecttively assessed patient's anxiety prior to their procedure and did not correlate it with objective findings such as vital signs or amount of sedation used during the procedure. Fourth, previous studies on patient satisfaction during surgery [20] have found that predictors of patient satisfaction include a number of factors such as perceived length of stay which we did not account for in our study. Lastly, we did not obtain data on patient's comorbidities, including anxiety disorders or patient's taking ant-anxiety medications, which could potentially influence patient's preferences prior to endoscopy.…”

Section: Discussionmentioning

confidence: 74%

Patient preferences and factors related to the pre-procedure process at a large, urban county hospital

Day¹,

Nazareth²,

Sewell³

2013

OJGas

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Background: Evaluation of the pre-procedural process prior to endoscopic procedures has never been conducted. Methods: Prospective cross-sectional, multilanguage survey was administered to outpatients undergoing endoscopy at a large, diverse county hospital that examined patients' pre-procedural preferences. Multivariate logistic regression was used to assess the relationship between patient preferences and several patient-related variables. Results: 128/156 outpatients completed the survey. The majority of respondents were female (53.1%), did not speak English (61.7%), were of Asian (39.1%) or Hispanic (29.7%) racial background, and had a mean age of 56.1 ± 15.7 years. Most patients underwent colonoscopy (48.4%) with 90.6% of patients knowing the indication for their procedure. While waiting for their endoscopic procedure, 42.2% of patients preferred waiting in a gurney while 28.1% preferred to wait in a chair. In terms of being comfortable wearing a hospital gown and sitting in a chair or gurney in the pre-procedure area, mean patient anxiety scores were 5.2 ± 3.3 and 6.1 ± 3.2, respectively (scale of 1 -10). Race was associated with several pre-procedural patient preferences; Hispanics were less comfortable than Asians wearing a hospital gown while sitting in a chair with other patients prior to their procedure (OR = 0.3, CI 0.1 -1.0) while Whites and African-Americans were less likely than Asians to prefer sitting in a chair as compared to a gurney before their procedure (OR = 0.09, CI 0.008 -0.9 and OR = 0.07, CI 0.007 -0.8, respectively). Patients who had undergone a prior endoscopic procedure were less comfortable wearing a hospital gown and sitting in a chair (OR = 0.3, CI 0.1 -0.7) or gurney (OR = 0.4, CI 0.2 -1.0) in the pre-procedure area. Conclusion: A patient's race and having had a prior endoscopic procedure were the most powerful predictors on pre-procedure patient preferences while sex, type of endoscopic procedure and patient knowledge of the indication for their procedure were not. Our study highlights the importance of patient preferences and factors involved in the pre procedure process at a large, diverse county hospital.

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Factors Associated with Patient Satisfaction in Surgery: The Role of Patients’ Perceptions of Received Care, Visit Characteristics, and Demographic Variables

Cited by 49 publications

References 24 publications

Partnership between patients and health care professionals is an important determinant of patient satisfaction

Partnership between patients and health care professionals is an important determinant of patient satisfaction

Improving quality of medical treatment and care: are surgeons’ working conditions and job satisfaction associated to patient satisfaction?

Patient preferences and factors related to the pre-procedure process at a large, urban county hospital

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