Influence of Elective versus Emergent Hospital Admission on Patient Satisfaction

Fenton, Joshua J.; Jerant, Anthony F; Franks, Peter

doi:10.3122/jabfm.2014.02.130177

Cited by 16 publications

(13 citation statements)

References 45 publications

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“…The findings are consistent with the hypothesis that greater use of elective hospital services is related to subsequently higher patient satisfaction (Fenton, Jerant, & Franks, 2014). To find out, where is the difference between the groups, a multivariate regression analysis for each of the group was carried out.…”

Section: Discussionsupporting

confidence: 71%

The Difference in a Patient Satisfaction Regarding the Reason of Admission to the Department of Surgery in General Hospital Ptuj, Slovenia

Pevec¹,

Majerič²,

Jakopanec³

2015

CUBR

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Regional general hospitals in Slovenia admit both elective as well as acute patients. Is there a difference in patient satisfaction to the regarding the reason of admission? There were 88 patients included in this study: 52 elective and 36 acutely admitted. The national survey on patient satisfaction was used. With the Mann-Whitney U test, two groups were compared with the satisfaction scores and preformed a logistic regression analysis. Out of 100, the average total evaluated patient satisfaction score was 79 (SD 10.9) points. There is a statistically significant difference in the evaluated patient satisfaction score (p = 0.006) between the electively (82 points) and the acutely (75 points) admitted. Higher satisfaction is predicted by the patient satisfaction with the admission, the environment, and the manner of dismissal. Because this study included a small number of patients, authors will have to continue with the study to gain more credible results.

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Section: Discussionsupporting

confidence: 71%

The Difference in a Patient Satisfaction Regarding the Reason of Admission to the Department of Surgery in General Hospital Ptuj, Slovenia

Pevec¹,

Majerič²,

Jakopanec³

2015

CUBR

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“…Overall patient experience concerning doctors, nurses, the hospital environment, the hospital experience, and discharge process is a complex construct. Previous literature has shown that higher general patient satisfaction is correlated with patient characteristics such as female gender ( 15 ), older age ( 15 ), language concordance ( 16 ), lower level of disability ( 17 ), higher degree of chronic illness ( 18 ), hospital stay attributes such as the patient being admitted electively rather than emergently ( 19 ), and incurring higher health-care expenditures ( 12 , 20 ); hospital traits themselves like being a nonteaching facility and having a smaller local population size ( 21 ); and hospitality issues like room amenities and cleanliness ( 22 , 23 ).…”

Section: Discussionmentioning

confidence: 99%

Relationship Between Patient Satisfaction And Physician Characteristics

Chen

Zou

Shuster

2017

Journal of Patient Experience

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Background:Physician care influences patient satisfaction. Inherent physician attributes may also affect scores.Objective:To determine the relationship between physician characteristics and patient satisfaction regarding physician care and communication.Method:Observational retrospective study. We examined patient satisfaction surveys from inpatient adults across 9 questions (HCAHPS: Courtesy, Listen, and Explain; Press Ganey: Time, Concern, Informed, Friendliness, Skill, Rating) in relation to physician gender, age, ethnicity, race, and specialty.Results:We analyzed 51 896 surveys on 914 physicians. In univariate analysis, males were rated significantly more often in the highest category (top box) compared to females on Informed and Skill, and whites were rated in the top box more often than nonwhites on all questions. In multivariate analysis, there were no significant associations between ratings and physician gender, ethnicity, and race. On all questions, the odds of being rated in the top box were highest for obstetricians, second highest for surgeons, and lowest for medicine providers. On the question of Skill, the odds of being rated in the top box were higher with increasing age.Conclusion:Patient satisfaction regarding physicians is associated with physician specialty and age.

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“…Specifically, patients admitted through the emergency department and those who required intensive care had lower satisfaction. 25,26 These types of findings have previously raised concern about the applicability of standard HCAHPS survey questions for surgical patients, as surgical hospital care may be fundamentally different from medical care. The recent development of the Surgical HCAHPS (S-CAHPS) is a step forward in assessment of patient satisfaction 27–29 and will hopefully allow further study of the factors unique to patient satisfaction in surgical patients.…”

Section: Discussionmentioning

confidence: 99%

The number of inpatient consultations is negatively correlated with patient satisfaction in patients with prolonged hospital stays

Schmocker

Holden

Vang

et al. 2016

The American Journal of Surgery

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Background Patient satisfaction is often measured using the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) Survey. Our aim was to examine the structural and clinical determinants of satisfaction among inpatients with prolonged lengths of stays (LOS). Methods Adult patients who were admitted between 2009 and 2012, had a LOS ≥ 21 days, and completed the HCAHPS survey were included. Univariate analyses assessed the relationship between satisfaction and patient/system variables. Recursive partitioning was used to examine the relative importance of the identified variables. Results 101 patients met inclusion criteria. The average LOS was 35 days and 58% were admitted to a surgical service. Satisfaction with physician communication was significantly associated with fewer consultations (p<0.01), non-operative admission (p<.001), no ICU stay (p<.01), non-surgical service (p<.01), and non-ER admissions (p=.03). Among these, having fewer consultations had the highest relative importance. Conclusions In long stay patients, having fewer inpatient consultations was the strongest predictor of patient satisfaction with physician communication. This suggests that examination of patient-level data in clinically relevant subgroups may be a useful way to identify targets for quality improvement.

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Influence of Elective versus Emergent Hospital Admission on Patient Satisfaction

Cited by 16 publications

References 45 publications

The Difference in a Patient Satisfaction Regarding the Reason of Admission to the Department of Surgery in General Hospital Ptuj, Slovenia

The Difference in a Patient Satisfaction Regarding the Reason of Admission to the Department of Surgery in General Hospital Ptuj, Slovenia

Relationship Between Patient Satisfaction And Physician Characteristics

The number of inpatient consultations is negatively correlated with patient satisfaction in patients with prolonged hospital stays

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