Patient satisfaction with wait times at an emergency ophthalmology on-call service

Chan, Brian J.; Barbosa, Joshua; Moinul, Prima; Sivachandran, Nirojini; Donaldson, Laura; Zhao, Lily; Mullen, Sarah J.; McLaughlin, Christopher; Chaudhary, Varun

doi:10.1016/j.jcjo.2017.08.002

Cited by 5 publications

(7 citation statements)

References 11 publications

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“…Finally, it is important here to discuss that both control variables for length of stay, wait time and treatment time, were negatively associated with patient experience scores in the pediatric ED. These results are consistent with previous studies linking patient satisfaction with wait times in multiple settings 9,40–44 . Here, we highlight the implications for health systems in developing strategies for timely evaluation and treatment of patients in the ED.…”

Section: Discussionsupporting

confidence: 91%

“…These results are consistent with previous studies linking patient satisfaction with wait times in multiple settings. 9,[40][41][42][43][44] Here, we highlight the implications for health systems in developing strategies for timely evaluation and treatment of patients in the ED. Although providers have limited abilities to ameliorate health system demands, the decisions made in individual patient care can arguably play an important role in influencing patient flow.…”

Section: Discussionmentioning

confidence: 99%

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The Impact of Diagnostic Decisions on Patient Experience in the Pediatric Emergency Department

2021

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Objective: Patient experience serves as both a subjective measure of value-based health care delivery and a metric to inform operational decision making. The objective of this study was to determine if specific diagnostic and therapeutic interventions affect patient experience scores for children seen in the emergency department. Methods:We performed a retrospective observational study in the emergency department of a large quaternary care children's hospital on patients who were discharged to home and later completed a National Research Corporation Health patient experience survey. We matched the survey results to electronic health record (EHR) data and were able to extract demographics, operational metrics, and order information for each patient. We performed multiple logistic regression analyses to determine the association of image acquisition, laboratory test ordering, medication administration, and discharge prescribing with likelihood to recommend the facility as our measure of patient experience.Results: Of the 4103 patients who met inclusion criteria for the study, 75% strongly recommended the facility. Longer wait times were associated with lower patient experience scores [odds ratio (OR) per waiting room hour increase, 0.72; 95% confidence interval (CI), 0.65-0.81]. Significant diagnostic factors associated with higher patient experience included magnetic resonance imaging ordering (OR, 2.38; 95% CI, 1.00-5.67), x-ray ordering (OR, 1.19; 95% CI, 1.00-1.42), and electrocardiogram ordering (OR, 1.62; 95% CI, 1.07-2.44). Of the treatment factors studied, only antibiotic prescribing at discharge was found to have a significant positive association with patient experience (OR, 1.32; 95% CI, 1.08-1.63). Conclusion:The positive association between more intensive diagnostic workups and patient experience could have implications on the utility of patient experience scores to evaluate pediatric care teams. Consideration should be taken to interpret patient experience scores in the context of compliance with approaches in evidence-based medicine.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 99%

The Impact of Diagnostic Decisions on Patient Experience in the Pediatric Emergency Department

2021

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“…5 The efficiency of medical services included the convenience of making appointments for diagnosis and treatment and charging convenience. 6,7 Attitudes of medical staff included the attitudes of doctors and nurses and the attitudes of other personnel, which were manifestations of doctor-patient relationships. 8,14 In addition, treatment environmental factors included medical equipment, sanitation, comfort, and accuracy of guidelines.…”

Section: Introductionmentioning

confidence: 99%

Influencing Factors of Outpatients’ Satisfaction in China a Cross-Sectional Study of 16 Public Tertiary Hospitals

Zhou¹,

Xu²,

Sun³

et al. 2021

PPA

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This study aimed to analyze the status of patient satisfaction in outpatients of tertiary hospitals and the factors affecting patient satisfaction, in order to provide a scientific basis for improving patient satisfaction. Methods: A total of 6480 surveys of outpatients were conducted by a cross-sectional study in 16 tertiary hospitals in the Zhejiang province of China. The main contents of the survey were the basic characteristics of patients. Statistical description, single-factor analysis and binary logistic regression analysis were used to screen influencing factors. Results: Results of this study showed that the total satisfaction score of outpatients was 87.13±13.47, and higher scored factors in the survey factors were nursing level, the convenience of registration and convenience of appointment diagnosis and treatment. The factors with lower scores were treatment effect, environmental sanitation and comfort and other staffs' attitudes. Hospital managers should pay attention to the improvement of treatment level, environmental sanitation and comfort and other staffs' attitudes. Conclusion:In the process of serving outpatients, doctors should pay more attention to patients who are male, 31-45 years old or over 60 years old, permanent residents, from public institutions, possessed postgraduate education, without medical insurance, and who visiting paediatrics and Chinese medicine hospitals.

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“…Such issue could be addressed by reducing wait times or addressing patient's perception of how long they wait. However, a study in Hamilton, Ontario found that telling patients anticipated wait time information did not affect their satisfaction level [18]. As such, working with staff to minimize wait times might have a greater impact.…”

Section: Discussionmentioning

confidence: 97%

An evaluation of Alberta retina health service delivery in an office setting: a cross-sectional survey of patient experience

Henry

Palakkamanil

Hamarneh

et al. 2020

BMC Health Serv Res

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Background Retina sub-specialists provide much of the retina related eye care across Canada. In the province of Alberta, 18 retina sub-specialists work across six different offices. The purpose of this study was to assess the quality of care provided by Alberta retina sub-specialists in an office setting by administering a patient satisfaction survey. The results of this survey were provided to the same retina specialists to promote improvements in patient-centered health care delivery. Methods A cross sectional patient satisfaction survey was performed using a thirty-part questionnaire developed in collaboration with the Physician Learning Program at the University of Alberta. The survey was modelled after other similar patient satisfaction surveys used in other areas of medicine. Patients from ten of the eighteen retina practices in Alberta participated in this survey. Topics of the survey included pre-appointment experience, physician-patient interactions and quality, comments/ feedback and patient demographics. Results 214 randomly sampled patients completed the survey from three geographically separate office locations in Calgary and Edmonton. 90% of patients responded that their retina sub-specialist listened adequately and provided quality care in a timely manner. Patients felt that there could be improvements to accessibility to the clinic and reduced wait times, as well as in the pre-operative consent process. Including a more complete explanation of the procedure as well as the potential risks and benefits. Only 51% of patients felt that the risks of a potential surgery had been adequately explained to them. There was a statistically significant association found between overall satisfaction and lower wait times, understanding of procedural risks and time with, listening to and involving the patient in care. There were no correlations found with other demographics such as ethnicity, sex, distance traveled or age. Conclusions This patient satisfaction survey provided valuable patient care feedback to the retina sub-specialists of Alberta. The survey results will assist this group to improve the consent process and thereby improve patient centered health care delivery. We would recommend the distribution of this survey or other similar patient satisfaction questionnaire by retina sub-specialists to their patients to improve patient centered care in their clinics.

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Patient satisfaction with wait times at an emergency ophthalmology on-call service

Cited by 5 publications

References 11 publications

The Impact of Diagnostic Decisions on Patient Experience in the Pediatric Emergency Department

The Impact of Diagnostic Decisions on Patient Experience in the Pediatric Emergency Department

Influencing Factors of Outpatients’ Satisfaction in China a Cross-Sectional Study of 16 Public Tertiary Hospitals

An evaluation of Alberta retina health service delivery in an office setting: a cross-sectional survey of patient experience

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