Impact of Personality Characteristics on Patient Satisfaction After Multifocal Intraocular Lens Implantation: Results From the “Happy Patient Study”

Mester, U; Vaterrodt, Thomas; Goes, Frank; Huetz, Werner W; Neuhann, Irmingard M.; Schmickler, Stefanie; Szurman, Peter; Gekeler, Katrin

doi:10.3928/1081597x-20140903-05

Cited by 46 publications

(53 citation statements)

References 11 publications

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“…21,22 We also measured a number of factors previously shown to be associated with patient satisfaction with clinicians. 6,16,[23][24][25][26][27][28][29][30] Sociodemographics measured included age, sex, race/ethnicity, education level, and marital status. Body mass index was gathered from visit vital signs documentation in the electronic health…”

Section: Methodsmentioning

confidence: 99%

Association of Clinician Denial of Patient Requests With Patient Satisfaction

et al. 2018

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Prior studies suggesting clinician fulfillment or denial of requests affects patient satisfaction included limited adjustment for patient confounders. The studies also did not examine distinct request types, yet patient expectations and clinician fulfillment or denial might vary among request types. OBJECTIVE To examine how patient satisfaction with the clinician is associated with clinician denial of distinct types of patient requests, adjusting for patient characteristics. DESIGN, SETTING, AND PARTICIPANTS Cross-sectional observational study of 1319 outpatient visits to family physicians (n = 56) by 1141 adults at one Northern California academic health center. MAIN OUTCOMES AND MEASURES We used 6 Consumer Assessment of Healthcare Providers and Systems Clinician and Group Adult Visit Survey items to measure patient satisfaction with the visit physician. Standardized items were averaged to form the satisfaction score (Cronbach α = 0.80), which was then percentile-transformed. Seven separate linear mixed-effects models examined the adjusted mean differences in patient satisfaction percentile associated with denial of each of the following requests (if present)-referral, pain medication, antibiotic, other new medication, laboratory test, radiology test, or other test-compared with fulfillment of the respective requests. The models adjusted for patient sociodemographics, weight, health status, personality, worry over health, prior visit with clinician, and the other 6 request categories and their dispositions. RESULTS The mean (SD) age of the 1141 patients was 45.6 (16.1) years, and 902 (68.4%) were female. Among 1319 visits, 897 (68.0%) included at least 1 request; 1441 (85.2%) were fulfilled. Requests by category were referral, 294 (21.1%); pain medication, 271 (20.5%); antibiotic, 107 (8.1%); other new medication, 271 (20.5%); laboratory test, 448 (34.0%); radiology test, 153 (11.6%); and other tests, 147 (11.1%). Compared with fulfillment of the respective request type, clinician denials of requests for referral, pain medication, other new medication, and laboratory test were associated with worse satisfaction (adjusted mean percentile differences, −19.75 [95% CI, −30.75 to −8.74], −10.72 [95% CI, −19.66 to −1.78], −20.36 [95% CI, −29.54 to −11.18], and −9.19 [95% CI, −17.50 to −0.87]), respectively. CONCLUSIONS AND RELEVANCE Clinician denial of some types of requests was associated with worse patient satisfaction with the clinician, but not for others, when compared with fulfillment of the requests. In an era of patient satisfaction-driven compensation, the findings suggest the need to train clinicians to deal effectively with requests, potentially enhancing patient and clinician experiences.

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Section: Methodsmentioning

confidence: 99%

Association of Clinician Denial of Patient Requests With Patient Satisfaction

et al. 2018

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“…cataract surgery, LASIK surgery) and their clinical outcomes [32,33,[35][36][37][38][39][40][41][42]. The majority of this work is limited to the effects of different procedures on clinical outcomes and patient satisfaction.…”

Section: Discussionmentioning

confidence: 99%

Perspectives of Ophthalmologists on Managing Patient Expectations and Improving Patient Satisfaction

Rozenblum¹,

Donzé²,

Assia³

et al. 2017

J Clin Exp Ophthalmol

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Purpose: To achieve a high level of patient satisfaction, physicians need to identify and address patients' expectations. However, ophthalmologists' attitudes and behavior with respect to patient expectations and satisfaction are not well understood. Therefore, we undertook a study to examine ophthalmologists' attitudes, performance and major determinants of their behavior with respect to managing patient expectations in different settings: public hospitals and private clinics. Methods:The authors refined a previously validated questionnaire to assess ophthalmologists' attitudes and performance with respect to patient expectations and patient satisfaction in public hospitals and private clinics. The authors surveyed ophthalmologists at the Annual Conference of Ocular Microsurgery in Israel.Results: Overall, 164 ophthalmologists completed the survey (65.6% response rate), of which 24 (14.6%) were residents and 140 (85.4%) were attendings. Although all the ophthalmologists working at public hospitals believed that it is important to be attentive to patient expectations, only 41.2% reported that they sometimes or always inquire about their patients' expectations; only 2% always asked patients about their expectations. Residents at public hospitals were more likely to ask than attendings (95.8% vs. 29.0%, p<0.001). Conversely, 98.3% of ophthalmologists working in private clinics reported asking about patient expectations. Overall, 83% of ophthalmologists reported low to moderate awareness of patient expectations and 90% believed they had inadequate training to address patient expectations. Conclusion:Although addressing patient expectations is perceived as an important part of patient-centered care, most ophthalmologists fail to routinely ask about patient expectations and, consequently, may not respond adequately. These results identify a "blind spot" in ophthalmologists' approach in attempting to address patient expectations and improve patient satisfaction. Our findings emphasize the gaps in ophthalmologists' performance regarding patient expectations in public hospitals as compared to private clinics, suggesting a need for public hospital management to take an active role in increasing ophthalmologists' awareness and performance towards addressing patient expectations.

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“…Es wurden mit einem unselektierten Patientengut international vergleichbare visuelle, refraktive sowie Zufriedenheitsergeb-nisse erreicht [2,5,6,[9][10][11][12][13][14][15][16][17][18][19][20][21][22][23]. Zu unseren ersten beiden Endpunkten der visuellen Rehabilitation und refraktiven Treffsicherheit sind in ▶ Tab.…”

Section: Diskussionunclassified

“…Es muss ausreichende Informationen über realistische und erreichbare Ziele für den Patienten beinhalten und gerade in Anbetracht schon bekannter okulärer Komorbiditäten die bestehende Erwartungshaltung anpassen. Dazu gehört auch der offene Umgang mit auftretenden Komplikationen in beiderseitigem Interesse[6,23].Burow und Schwab zeigten 1999, dass Patienten mit einer geringen allgemeinen Lebenszufriedenheit statistisch signifikant weniger zufrieden mit dem Ergebnis einer Kataraktoperation waren und sogar mehr intraoperative Komplikationen erleiden als Patienten mit einer höheren allgemeinen Lebenszufriedenheit[24]. Sie schlossen Patienten mit ophthalmologischen Komorbiditäten aus ihren Untersuchungen aus.…”

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Versorgungsforschung in der Kataraktchirurgie – eine Analyse der Patientenzufriedenheit nach Kataraktchirurgie in Mecklenburg-Vorpommern

Seifried

Höh

2017

Klin Monatsbl Augenheilkd

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The collection of pre-, peri- and postoperative data took place between 2005 and 2008, based on a contract between the social insurance company, AOK Mecklenburg-Vorpommern, and the outpatient cataract surgeons/centers in Mecklenburg-Vorpommern, Germany. The purpose of the contract was the monitoring of quality of cataract surgery in the outpatient healthcare system. We analysed 2952 datasets of 2952 eyes, remaining after exclusion of 109 datasets because of lack of plausibility and missing data (initially 3058 eyes with surgery in our centre). Visual acuity (VA), refraction, comorbidities and further data were correlated to patient satisfaction with cataract surgery. The average age of our patients was 74.5 years (Cataracta senilis 96.51%) and they had a mean VA increase from decimal 0.4 ± 0.2 (LogMAR 0.5 ± 0.3) to 0.8 ± 0.3 (LogMAR 0.2 ± 0.2). The target refraction was reached by 78.9% (respectively 49.9%) of the eyes within ± 1.0 D (respectively ± 0.5 D). Factors correlating with a positive overall satisfaction of the patients with surgery were the postoperative increase of VA (Spearman, r = 0.404, p = 0.01), the absence of comorbidities (Spearman, r = - 0.168, p = 0.01) and absence of perioperative complications (Spearman, r = - 0.104, p = 0.01). 1.7% of our patients were dissatisfied despite an increase of VA ≥ 0.1, no comorbidities and no complications. We found the biggest percentage of not satisfied patients without objective reason (Patient-reported Outcome Measure negative/Clinical Outcome Measure positive, PROM-/COM+ 3.9%) in the sector of improvement of reading abilities. With a not preselected patient cohort, we reached internationally comparable visual, refractive and satisfaction results. The overall satisfaction with cataract surgery is high. The majority of our patients (84.2%) were PROM+ combined with COM+ (VA increase ≥ 0.1). Dissatisfaction could be explained by the presence of comorbidities, perioperative complications and with a poor surgical outcome (no increase of VA ≥ 0.1). Nevertheless 1.7% of our patients remained unsatisfied without an objective reason (COM+, PROM-), which underlines the importance of general life satisfaction.

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Impact of Personality Characteristics on Patient Satisfaction After Multifocal Intraocular Lens Implantation: Results From the “Happy Patient Study”

Abstract: Postoperative patient satisfaction after MIOL implantation is correlated to visual performance, spectacle independence, and less photic phenomena. Personality characteristics have an impact on subjective disturbance by photic phenomena and thus are important for patient satisfaction.

Cited by 46 publications

References 11 publications

Association of Clinician Denial of Patient Requests With Patient Satisfaction

Association of Clinician Denial of Patient Requests With Patient Satisfaction

Perspectives of Ophthalmologists on Managing Patient Expectations and Improving Patient Satisfaction

Versorgungsforschung in der Kataraktchirurgie – eine Analyse der Patientenzufriedenheit nach Kataraktchirurgie in Mecklenburg-Vorpommern

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