Who is satisfied with general surgery clinic visits?

Huynh, Ho Phi; Legg, Angela M.; Ghane, Arezou; Tabuenca, Arnold; Sweeny, Kate

doi:10.1016/j.jss.2014.05.086

Cited by 14 publications

(15 citation statements)

References 37 publications

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“…Women with higher incomes and higher educational attainment were previously shown to have higher expectations and to be less pleased with their care. 28 In our study population, twice as many private patients had more than four prenatal scans as opposed to pregnancies followed primarily under the national health system, despite no differences in labor inductions for amniotic fluid or fetal growth disorders, CDs for macrosomia or labor dystocia, mean birth weight, and weight < 2,500 g or > 4,000 g at birth.…”

Section: Discussionmentioning

confidence: 89%

“The More the Better” Paradox of Antenatal Ultrasound Examinations in Low-Risk Pregnancy

et al. 2016

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Objective To investigate whether different antenatal care models could account for differences in operative delivery rates and adverse neonatal outcomes among low-risk pregnant women, and to identify independent variables associated with delivery modes and adverse neonatal outcomes. Study design Retrospective cohort from a single center of singleton, term, live births between January 2012 and June 2014. Rates of cesarean deliveries, operative vaginal deliveries, and neonatal morbidities were analyzed among women followed by private obstetrician-gynecologists versus national health system providers (certified nurse midwifes supervised by obstetrician-gynecologists), and adjusted for potential confounders. Results Among the 2,831 women in our cohort, obstetric and neonatal outcomes were independent of obstetric providers. After we controlled for confounders, private patients having more than four antenatal ultrasound examinations were more likely to undergo cesarean delivery than public patients with four or fewer sonographic assessments (five to eight prenatal scans: relative risk ratio, 3.3; 95% confidence interval [CI] 1.4-8; nine or more prenatal scans: relative risk ratio, 4.1; 95% CI 1.2-14). Conclusions Multiple prenatal ultrasound examinations in low-risk obstetric populations appear to be an independent and potentially modifiable risk factor for cesarean deliveries.

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Section: Discussionmentioning

confidence: 89%

“The More the Better” Paradox of Antenatal Ultrasound Examinations in Low-Risk Pregnancy

et al. 2016

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“…La satisfacción del paciente no es más que un componente de la calidad de la atención, que es una construcción compleja y multidimensional (29) . Depende mucho de las expectativas de los pacientes pues a menor expectativa cualquier atención puede ser buena (30) .…”

Section: Discussionunclassified

Level of satisfaction of the patients discharged from General Surgery Service of the Hospital Nacional in 2018

Barrios

Ibarrola

Ruiz

et al. 2018

Rev. Nac. (Itauguá)

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Introducción: la medición de la satisfacción de los usuarios de un servicio es uno de los parámetros que miden la calidad del mismo. Objetivos: determinar el nivel de satisfacción de los pacientes egresados del Servicio de Cirugía General del Hospital Nacional en 2018. Metodología: se aplicó el cuestionario SERVQUAL a los varones y mujeres egresados del Servicio de Cirugía General entre agosto y septiembre del 2018. Resultados: ingresaron al estudio 208 pacientes, siendo 133 varones (64%) y 75 mujeres (36%). La edad media fue 42±17 años (rango 15-94 años). La media del cuestionario fue 4,7±0,8. Aplicando el percentil 60, la frecuencia de satisfacción se observó en 85 pacientes (41%). Las dimensiones con mejor puntuación fueron la capacidad de respuesta y la seguridad o competencia profesional. La dimensión con menor puntuación se refirió a los elementos tangibles del servicio (comidas servidas y señalizaciones). Los factores de riesgo asociados a la insatisfacción fueron Artículo Original Nivel de satisfacción de los pacientes egresados del Servicio de Cirugía General del Hospital Nacional en 2018 Level of satisfaction of the patients discharged from General Surgery Service of the Hospital Nacional in 2018

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“…A study conducted in Ethiopia–another developing country—also observed satisfaction to be higher in the private sector [ 30 ]. In the US, privately insured patients have also been shown to be more satisfied following surgical consultations in outpatient clinics [ 31 ]. A UK study concluded that whether satisfaction is rated more highly amongst patients treated in the private sector compared to the NHS depended on the therapy being evaluated [ 27 ].…”

Section: Discussionmentioning

confidence: 99%

Is Satisfaction with the Acute-Care Experience Higher amongst Consumers Treated in the Private Sector? A Survey of Public and Private Sector Arthroplasty Recipients

et al. 2016

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BackgroundConsumer satisfaction with the acute-care experience could reasonably be expected to be higher amongst those treated in the private sector compared to those treated in the public sector given the former relies on high-level satisfaction of its consumers and their subsequent recommendations to thrive. The primary aims of this study were to determine, in a knee or hip arthroplasty cohort, if surgery in the private sector predicts greater overall satisfaction with the acute-care experience and greater likelihood to recommend the same hospital. A secondary aim was to determine whether satisfaction across a range of service domains is also higher in the private sector.MethodsA telephone survey was conducted 35 days post-surgery. The hospital cohort comprised eight public and seven private high-volume arthroplasty providers. Consumers rated overall satisfaction with care out of 100 and likeliness to recommend their hospital on a 5-point Likert scale. Additional Likert-style questions were asked covering specific service domains. Generalized estimating equation models were used to analyse overall satisfaction (dichotomised as ≥ 90 or < 90) and future recommendations for care (dichotomised as ‘definitely recommend’ or ‘other’), whilst controlling for covariates. The proportions of consumers in each sector reporting the best Likert response for each individual domain were compared using non-parametric tests.Results457 survey respondents (n = 210 private) were included. Less patient-reported joint impairment pre-surgery [OR 1.03 (95% CI 1.01–1.05)] and absence of an acute complication (OR 2.13 95% CI 1.41–3.23) significantly predicted higher overall satisfaction. Hip arthroplasty [OR 1.84 (1.1–2.96)] and an absence of an acute complication [OR 2.31 (1.28–4.17] significantly predicted greater likelihood for recommending the hospital. The only care domains where the private out-performed the public sector were hospitality (46.7 vs 35.6%, p <0.01) and frequency of surgeon visitation (76.4 vs 65.8%, p = 0.03).ConclusionsArthroplasty consumers treated in the private sector are not more satisfied with their acute-care experience nor are they more likely to recommend their hospital provider. Rather, avoidance of complications in either sector appears to result in improved satisfaction as well as a greater likelihood that patients would recommend their hospital provider.

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Who is satisfied with general surgery clinic visits?

Cited by 14 publications

References 37 publications

“The More the Better” Paradox of Antenatal Ultrasound Examinations in Low-Risk Pregnancy

“The More the Better” Paradox of Antenatal Ultrasound Examinations in Low-Risk Pregnancy

Level of satisfaction of the patients discharged from General Surgery Service of the Hospital Nacional in 2018

Is Satisfaction with the Acute-Care Experience Higher amongst Consumers Treated in the Private Sector? A Survey of Public and Private Sector Arthroplasty Recipients

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