Factors Driving Patient Perception of Quality Care After Primary Total Hip and Total Knee Arthroplasty

Abstract

Introduction:Differences in female and male patient perception of care and satisfaction following primary total hip arthroplasty (THA) and total knee arthroplasty (TKA) were assessed via Hospital Consumer Assessment of Healthcare Providers and Systems survey, demographic, and clinical data.Methods:After institutional review board approval, a retrospective review of the Hospital Consumer Assessment of Healthcare Providers and Systems survey responses at a private, academic, level-I trauma center was performed from January 2011 to December 2013. Inclusion criteria were primary THA and TKA patients who were 18 years or older and returned the survey.Results:Overall, 1,166 THA and 1,411 TKA were included, with 55.0% of female THA patients and 64.5% of male THA patients highly satisfied (P = 0.002). The mean overall hospital rating was 7.2 for female THA and 7.8 for male THA (P = 0.003) patients. No significant differences was found in the TKA cohort. For all cohorts, the Nurse Communication with Nurses domain reported the greatest correlation with overall hospital rating (range, ρ = 0.418 to ρ = 0.502; P < 0.0001).Discussion:This series indicated that initiatives to improve patient care and patient perception of care should focus on nurse-patient communication, hospital staff responsiveness, the care transition process, and hospital environment. Patient sex was a significant factor in the overall satisfaction for THA, with female patients reporting significantly lower ratings than male patients.

Patients’ satisfaction and experiences during elective primary fast‐track total hip and knee arthroplasty journey: A qualitative study

“…The results, however, should be interpreted with caution due to limited sample size. In the literature, no association has been found between overall satisfaction and age, length of stay (LOS) or comorbidities, except in TKA patients with diabetes (Specht et al, 2015) and female THA patients (Fraudenberger, Baker, Siljander, & Rohde, 2018).…”

Prevalence, Factors, and Association of Electronic Communication Use With Patient-Perceived Quality of Care From the 2019 Health Information National Trends Survey 5-Cycle 3: Exploratory Study

“…Factors that affect patient-perceived quality of care mainly include person-related conditions such as the patients’ age, sex, education level, and self-reported health status, and external objective care conditions such as the organizational structure of care, competence of health care personnel, the size of the hospital, inpatient stay and occupancy, and comfortable environment [ 26 ]. Patient-clinician communication has been reported as one of the major factors driving patient perception of quality care in addition to hospital staff responsiveness, the care transition process, and hospital environment [ 27 ]. In the era of digital health, particularly with the increased popularity of e-communication between patients and clinicians and extended health care efficiency, the use of e-communication may increase the patient-perceived quality of care as opposed to no use of any e-communication [ 21 ].…”

Patient satisfaction and total hip arthroplasty: a review

“…Patient satisfaction has been measured in multiple orthopaedic procedures, including total hip arthroplasty. THA is a common surgical procedure that improves the lives of patients with end-stage arthritis by decreasing pain, and improving motor function and mobility as measured by validated health-related outcome tools [8][9][10][11][12]. However, there are still patients who remain dissatisfied following this procedure due to multiple individual factors [4,7].…”