Are patient satisfaction rates higher for birthing center births compared with hospital births?

2016 ◽  
Vol 19 (10) ◽  
pp. 26
Author(s):  
Stuart K. Johnson ◽  
Brian Waite
Keyword(s):  
Patient Satisfaction ◽  
Birthing Center ◽  
Hospital Births ◽  
Satisfaction Rates

scholarly journals First Metatarsophalangeal Joint Arthrodesis

2018 ◽  
Vol 3 (3) ◽  
pp. 247301141775267 ◽  
Author(s):  
Paola Filomeno ◽  
Julio López
Keyword(s):  
Patient Satisfaction ◽  
Plate Fixation ◽  
Metatarsophalangeal Joint ◽  
Functional Improvement ◽  
Dorsal Plate ◽  
Level Of Evidence ◽  
First Metatarsophalangeal Joint ◽  
Joint Fusion ◽  
Vas Scores ◽  
Satisfaction Rates

Background: First metatarsophalangeal (MTP) joint arthrodesis can be fixed using either a dorsal plate or crossed screws. However, there is considerable difference in the cost of these implants, and it is not known if there is sufficient difference in outcome that might justify this cost difference. Our aim was to compare the functional results and patient satisfaction rates after first MTP joint arthrodesis in a group of patients using the same surgical technique except for the fixation devices. Methods: A prospective cohort of 27 patients who underwent first MTP joint fusion by the same surgeon using 2 crossed screws or a single screw with a dorsal plate was recruited over a 3-year period. Demographic information, patient satisfaction rates, complications, and union rates were evaluated. American Orthopaedic Foot & Ankle Society (AOFAS) and visual analog scale (VAS) scoring systems were used pre- and postoperatively to compare the functional outcomes. Thirty consecutive procedures (screws, n = 15; plate, n = 15) were performed. Age (55.8 ± 11.1 vs 63.3 ± 12.4 years for screws and plate respectively; P = .091) and female gender percentages (80% and 73%, P = .666) were similar between groups. Results: The overall union rate was 93% with no differences between groups. AOFAS and VAS scores improved significantly postoperatively for each technique, and no differences were found between the two in the improvement in AOFAS (42.4 ± 8.0 vs 44.3 ± 8.2, screws and plate respectively; P = .520) and VAS scores (66.0 ± 5.4 vs 69.0 ± 6.9; P = .195). The implant cost for screws was $40 and for dorsal plate, $328. Conclusions: First MTP joint fusion using either screws or plate fixation results in an improvement in AOFAS and VAS scores. Functional improvement and patient satisfaction did not differ between the 2 techniques, despite a considerable difference in cost between the two methods of fixation. Level of Evidence: Level III, prospective comparative study.

scholarly journals Long-term Results of Hemiarthroplasty for Osteoarthritis of the First Metatarsophalangeal Joint

2017 ◽  
Vol 2 (3) ◽  
pp. 2473011417S0001
Author(s):  
Stefan Beekhuizen ◽  
Ron Onstenk
Keyword(s):  
Patient Satisfaction ◽  
Scale Score ◽  
Operative Treatment ◽  
Primary Outcome ◽  
Metatarsophalangeal Joint ◽  
Long Term Results ◽  
First Metatarsophalangeal Joint ◽  
Satisfaction Rates

Category: Big toe, MTP-1 joint osteoarthritis Introduction/Purpose: Osteoarthritis of the first metatarsophalangeal joint is the second most common disorder affecting the hallux. If non-operative treatment is not efficacious, operative treatment should be considered. Arthrodesis is considered standard care for grade III and IV osteoarthritis of the first metatarsophalangeal joint. If preservation of joint mobility is preferred, implant arthroplasty could be considered. Total arthroplasty is less recommendable because of high failure rates. However, recent studies showed similar short term results after arthrodesis and hemi joint replacement with greater satisfaction rates, as well as low postoperative pain, after hemiarthroplasty. In our study we mainly focussed on long-term subjective results like patient satisfaction as well as patient recommendation for the performed procedure including our primary outcome; the postoperative AOFAS HMI score. Methods: We therefore evaluated primary arthrodesis and hemiarthroplasty as treatment for arthritis of the first metatarsophalangeal joint. All 102 patients operated between January 2005 and December 2011 were asked to participate in our study, sixty-seven patients responded and were included. Forty-seven arthrodesis were performed in 40 patients using different fixation techniques and thirty-one hemiarthroplasties were performed in 27 patients using the BiopPro® First MPJ implant. Both procedures performed for stage 3 or 4 osteoarthritis and patients had been followed for at least five years, the American Orthopaedic Foot and Ankle Society Hallux Metatarsophalangeal Interphalangeal (AOFAS-HMI) scale score was measured as primary outcome. Secondary outcomes addressed satisfaction rates, recommendation of the performed procedure, number of unplanned surgical repeat procedures, return to daily activities (work as well as sports), and influence of smoking and diabetes mellitus on postoperative results. Finally, financial costs for both procedures were calculated. Results: The 47 primary arthrodeses and 31 hemiarthroplasties performed between January 2005 and December 2011 were evaluated. After a mean follow-up of 8.3 years (range 5-11.8) the mean AOFAS-HMI scale score after arthrodesis and after hemiarthroplasty were 72.8±14.5 and 89.7±6.6 respectively (p =.001). Patients were significantly more pleased after hemiarthroplasty (p<.001) and this procedure was better recommended (p<.001). The number of unplanned repeat surgical procedures did not differ between the two groups. No differences were found in postoperative work resumption, but patients returned to sports significantly sooner after hemiarthroplasty (p=.002). No association was found between smoking and the total AOFAS-HMI score. Overall costs, the sum of procedure costs as wel as additional costs, were quite similar for both procedures. Conclusion: Higher postoperative AOFAS HMI scores after a long-term follow-up (mean 8.3 years, range 5-11.8 years) were found after hemiarthroplasty compared to arthrodesis of the MTP-1 joint. Also greater patient satisfaction and better recommendation is seen after hemiarthroplasty. However return to work showed no differences, a significantly faster return to sports was seen after hemiarthoplasty. Based on these long-term results we could recommend hemiarthroplasty in future patient with osteoarthritis of the MTP-1 joint, with modest preference for the younger, more active patients.

scholarly journals Evaluation of Satisfaction and Axial Rigidity with Titan XL Cylinders

2012 ◽  
Vol 2012 ◽  
pp. 1-6
Author(s):  
Gerard D. Henry ◽  
Caroline Jennermann ◽  
J. Francois Eid
Keyword(s):  
Patient Satisfaction ◽  
Penile Prosthesis ◽  
New Product ◽  
Mechanical Reliability ◽  
Penile Length ◽  
High Patient Satisfaction ◽  
Good Patient ◽  
Inflatable Penile Prosthesis ◽  
Satisfaction Rates ◽  
Good Patient Satisfaction

The inflatable penile prosthesis (IPP) has high patient satisfaction rates and good mechanical reliability rates in multiple studies. The number one patient compliant at six months is penile length. Recently, new technique for aggressive sizing of the cylinders has been published on in the literature. One IPP company has produced a new product that has longer length cylinders (XL) than those available. However, traditionally long cylinders were felt to lack axial rigidity. Therefore, a prospective, multicenter, central IRB-approved, monitored study was performed on the new product to address these concerns. At 2 centers, a total of 17 patients underwent surgical implantation of these new XL cylinders. These patients were questioned for patient satisfaction and tested for axial rigidity using a Fastsize Erectile Quality Monitor. The results showed excellent patient satisfaction rates and great axial rigidity with the Fastsize Erectile Quality Monitor. The XL cylinders appear to give the IPP surgeon the ability to use longer cylinders with good patient satisfaction and great axial rigidity.

P65 Implementing a pain scale to improve botulinum toxin practice for cervical dystonia

2019 ◽  
Vol 90 (3) ◽  
pp. e39.4-e40
Author(s):  
Aaron Jesuthasan ◽  
Amit Batla ◽  
Kailash Bhatia
Keyword(s):  
Patient Satisfaction ◽  
Cervical Dystonia ◽  
Pain Scale ◽  
Spasmodic Torticollis ◽  
Clinical Team ◽  
Standard Assessment ◽  
Pain Scales ◽  
Pain Subscale ◽  
Satisfaction Rates ◽  
To Receive

ObjectivesTo evaluate the effectiveness of introducing a pain scale to improve cervical dystonia (CD) patient satisfaction rates in the National Hospital for Neurology and Neurosurgery (NHNN) Botox clinic.DesignCase control study.SubjectsSubjects included CD patients attending the NHNN Botox clinic to receive injections.MethodsInjectors were educated about the Toronto Western Spasmodic Torticollis Rating pain subscale (TWSTRS) and subsequently incorporated it into their standard assessment of CD patients prior to injections. Surveys were created and disseminated to patients immediately following their appointment to assess their opinions of the clinical team. Information was entered into Microsoft Excel and analysed using appropriate statistical methods. Results were compared with a previous NHNN Botox clinic audit.Results42 surveys were collected in total from CD patients over a 4 week period. 36 patients (85.7%) reported pain associated with the condition. In comparison to an audit conducted in 2016, involving a similar sample size (n=40, with 28 reporting pain), a higher proportion of CD patients felt their pain was well understood by the clinical team (89.3% vs 94.4%). Furthermore, a higher proportion felt the team were competent in managing their pain (67.9% vs 94.4%).ConclusionsOur study supports the use of a TWSTRS pain subscale to improve CD patient satisfaction rates in the Botox clinic. Further studies are encouraged to validate these findings and determine other suitable pain scales for implementation.

Key features to ensure sustainability of a tele-oncology program at a national cancer center.

2021 ◽  
Vol 39 (15_suppl) ◽  
pp. e13613-e13613
Author(s):  
Chevon Rariy ◽  
Lynn Truesdale ◽  
Jennifer Greenman ◽  
Julian C. Schink
Keyword(s):  
Patient Satisfaction ◽  
Hybrid Model ◽  
Symptom Management ◽  
Clinical Care ◽  
Effective Means ◽  
Use Cases ◽  
Cancer Center ◽  
Provider Education ◽  
Specialty Area ◽  
Satisfaction Rates

e13613 Background: Prior to COVID-19, there were few telehealth services offered in the oncology specialty area. During the pandemic, we at a national cancer center rapidly scaled our oncology telehealth program to meet the needs of our patients. At the peak of the pandemic, telehealth initially served as a risk-mitigation strategy providing continued care to our patients while socially distancing, yet additionally, we have embedded necessary processes in place to create a sustained a telehealth oncology program that encompasses a hybrid model including face to face visits augmented with telehealth visits, where appropriate. Here we describe the key telehealth program features that have enabled a national cancer center to evolve into a hybrid model of oncology care across its five geographically distinct hospitals. Methods: Transitioning into a sustainable hybrid telehealth model of care involves a foundation of clinical leadership and partnerships among multiple departments. The telehealth oncology program leaders collaborate with the operations, technology, finance, clinical care teams, and governance council to implement telehealth growth initiatives and nimbly troubleshoot and ameliorate issues. A concierge service provides telehealth readiness checks to ensure timely resolution of issues. Workflows are followed to standardize processes. Telehealth use-cases ensure patients who need on-site services keep their in-person appointments, allowing telehealth visits for symptom management to enhance patient outcomes. A provider education session includes training on telehealth technology and “webside manner” training to ensure we preserve the personal touch with our patients in each telehealth encounter. Program data is regularly collected and reviewed to track the program’s success and opportunities for improvement. Results: After the initial peak of telehealth visits driven by the COVID pandemic, we continue to see a sustained 10-fold increase in service volume versus Jan/Feb 2020. There were 25,328 total telehealth visits from Mar. 2020-Jan. 2021, 75 clinical trial visits between July-Dec. 2020, and 848 readiness check escalations from Nov. 2020-Dec. 2021. Service lines expanded from 2 to 33, including growing rural health partnerships and a home chemotherapy infusion model. Use-cases expanded to bridge to on-site care, rapid initial visits, preop/postop checks, symptom management, and surveillance. Press Ganey patient satisfaction rates are as high as 92% and 90% of providers reported overall satisfaction with the telehealth consultations. Conclusions: Our key program features have enabled the growth and success of our enterprise tele-oncology program. One of the most promising indicators of success is the positive provider and patient satisfaction rates. Telehealth provides an effective means to provide a bridge to onsite cancer care even for our complex oncology patients.

Abstract P385: Switching Insufficient Hypotensive Monotherapy to ARB/CCB Combination Tablet in Elderly Patients Increases Both Patient and Physician Satisfaction Rates and Contributes Better Patient-physician Concordance (Patients Voice study)

Hypertension ◽  
2017 ◽  
Vol 70 (suppl_1) ◽  
Author(s):  
Yoshiyuki Ikeda
Keyword(s):  
Patient Satisfaction ◽  
Patient Involvement ◽  
Antihypertensive Drugs ◽  
Hypotensive Effect ◽  
Physician Satisfaction ◽  
Open Label ◽  
Combination Tablet ◽  
Satisfaction Rate ◽  
Satisfaction With Treatment ◽  
Satisfaction Rates

Aim: This study was conducted to evaluate the effect of ARB/CCB combination tablet treatment considering patient-physician concordance on the patient and physician satisfaction for the hypertensive treatment. Methods: In an open-label, multicenter study, patients with insufficient hypotensive effect receiving treatment with ARB or CCB monotherapy were enrolled and their medication switched to an ARB/CCB combination tablet taken for 12 weeks. Home and clinic BP rates were evaluated at baseline and at 12 weeks. Both physicians and patients participated in satisfaction surveys concerning the treatment at baseline and at 12 weeks. Results: One hundred twelve patients were screened and 85 patients were enrolled. Significant differences were found between patient and physician rates of satisfaction and dissatisfaction in most survey items at baseline. Both home and clinic BP rates showed a significant decrease after switching to the ARB/CCB combination tablet. Patient satisfaction increased for the following survey items: treatment, 69.4% (59/85) to 90.1% (73/81); antihypertensive drugs, 60.0% (51/85) to 76.5% (62/81); clinic BP, 37.0% (31/84) to 68.8% (55/80); and home BP, 41.2% (35/85) to 67.5% (54/80). Component ratios of both patient and physician satisfaction showed significant increases in the following survey items: satisfaction with treatment, 18.8% (16/85) to 65.4% (53/81); involvement in treatment, 44.7% (38/85) to 65.4% (53/81); antihypertensive drugs, 18.8% (16/85) to 55.6% (45/81); clinic BP, 10.7% (9/84) to 46.3% (37/80); and home BP, 9.5% (8/84) to 46.3% (37/80). Our results indicate that, together with the effectiveness of the ARC/CCB combination tablet, participation in a satisfaction survey and access to a home BP monitor may have contributed to an increase in patient involvement in their treatment, a more mutual relationship between patients and physicians, and improvement in patient satisfaction. Conclusion: After switching to a ARB/CCB combination tablet treatment, better control of BP was found in patients with insufficient hypotensive effect from ARB or CCB monotherapy. Surveys showed that satisfaction rate for patients and physicians were improved in addition to patient-physician concordance.

Temporal Augmentation: A Systematic Review

2019 ◽  
Vol 36 (03) ◽  
pp. 217-225
Author(s):  
Sammy Othman ◽  
Jason E. Cohn ◽  
Jacob Burdett ◽  
Srihari Daggumati ◽  
Jason D. Bloom
Keyword(s):  
Patient Satisfaction ◽  
Fat Grafting ◽  
Cochrane Library ◽  
Complication Rates ◽  
Ovid Medline ◽  
Primary Literature ◽  
Prospective Trials ◽  
Key Terms ◽  
Satisfaction Rates ◽  
Procedural Choice

AbstractClinicians employ various modalities in order to achieve temporal augmentation; however, no literature comprehensively describes these methods or provides perspective on available options. Understanding the available methodologies for cosmetic temporal augmentation allows for improved patient satisfaction with limited risk of complications. To synthesize the available literature on cosmetic temporal augmentation, including all available methodologies, patient satisfaction data, and complication rates, as well as to identify gaps in the available literature to encourage further research. A literature search was performed using the databases PubMed, Ovid Medline, Cochrane Library, and Web of Science. Using the key terms “temporal” or “temple” and “augmentation” or “rejuvenation,” all article formats presenting primary literature data involving cosmetic temporal augmentation were included. Articles not presenting patient data or not discussing cosmetic indications were eliminated. A total of 12 articles were deemed appropriate for analysis. Of the 12 articles included, 6 (50%) evaluated filler techniques, 3 discussed fat grafting (25%), and 3 reviewed solid implant (25%) techniques. Eight (67%) of these were retrospective reviews, with the remaining being prospective trials (33%). All studies found high patient satisfaction rates and a small number of complications with their respective methodology. Several methods are employed for cosmetic temporal augmentation, including various types of injectable fillers, solid implants, and fat grafting, with all reporting successful satisfaction and complication outcomes. Further research is necessary to properly compare these modalities. Clinician discretion should guide procedural choice until future well-controlled studies are able to provide standardized outcomes.

scholarly journals Contemporary Patient Satisfaction Rates for Three-Piece Inflatable Penile Prostheses

2012 ◽  
Vol 2012 ◽  
pp. 1-5 ◽  
Author(s):  
Raymond M. Bernal ◽  
Gerard D. Henry
Keyword(s):  
Patient Satisfaction ◽  
Erectile Dysfunction ◽  
Penile Prosthesis ◽  
Surgical Approaches ◽  
Patient Dissatisfaction ◽  
Inflatable Penile Prosthesis ◽  
Penile Prostheses ◽  
The Many ◽  
Data Collation ◽  
Satisfaction Rates

Among the many treatments for erectile dysfunction, implantation of a penile prosthesis has been associated with high patient satisfaction rates. Specifically, the placement of a three-piece inflatable penile prosthesis (IPP) confers the highest rates of satisfaction. We reviewed the literature over the past 20 years regarding satisfaction rates for penile prostheses, with a focus on patients who had undergone an initial IPP implantation for erectile dysfunction. In all, 194 articles were reviewed, and of these, nine met inclusion criteria for analysis and data collation. We determined contemporary satisfaction rates to reflect patients’ experiences with newer products and surgical approaches. Of importance, we noted that varied metrics were used to determine patient satisfaction, and overall satisfaction could not be precisely determined. Nevertheless, we found that patients in general were quite satisfied with their three-piece IPPs and restoration of sexual function. We also identified reasons for patient dissatisfaction and reviewed the literature to find ways by which satisfaction could be improved. Given the various means by which patient satisfaction was determined, future efforts should include standardized and validated questionnaires.

scholarly journals Patient Satisfaction With Physiotherapy Services in Libya: A Cross-Sectional Study

2021 ◽  
Vol 8 ◽  
pp. 237437352110331
Author(s):  
Alhadi M. Jahan ◽  
Ali E. Rwaiha ◽  
Sara R. Gusaibat ◽  
Nisrin A. Al-Ahwal ◽  
Zaineb M. Al-Jafairi ◽  
...  
Keyword(s):  
Patient Satisfaction ◽  
Sociodemographic Factors ◽  
Cross Sectional Study ◽  
Influential Factors ◽  
Questionnaire Data ◽  
Sectional Study ◽  
Cross Sectional ◽  
Satisfaction Rates ◽  
Structured Questionnaire

Patient satisfaction (PS) is an essential indicator of the quality of physiotherapy services. However, regarding Libya, there has been a dearth of research on PS. This cross-sectional study aimed to measure PS with outpatient physiotherapy services and to examine the sociodemographic factors that influence the levels of satisfaction in Libya. Patient satisfaction with physiotherapy services was assessed using a reliable, valid, and structured questionnaire. Data were collected from 501 patients, and the participants’ ages ranged from 18 to 79 (mean ± standard deviation = 47.19 ± 12.8), with more females (n = 312) than males (n = 189). Participants were satisfied or very satisfied with the physiotherapy they received in the domains that measure PS. The highest percentage of satisfaction was in the physiotherapists’ attributes and ability to provide detailed explanations to their patients. Patient satisfaction was also associated with gender and occupation, with females and unemployed patients reporting higher satisfaction rates. This highlights the value of surveys administered to patients during treatments, as well as the value of strategies to address the influential factors for the improvement of PS in public physiotherapy clinics in Libya.

Early Functional, Radiological Outcomes and Satisfaction Rates of Total Ankle Arthroplasty in an Asian Population

2018 ◽  
Vol 11 (5) ◽  
pp. 425-432 ◽  
Author(s):  
Shi Ming Tan ◽  
Hamid Rahmatullah Bin Abd Razak ◽  
Inderjeet Singh Rikhraj
Keyword(s):  
Patient Satisfaction ◽  
Short Form ◽  
Mental Component Summary Score ◽  
Asian Population ◽  
Summary Score ◽  
Total Ankle Arthroplasty ◽  
Ankle Arthroplasty ◽  
Sf 36 ◽  
The Mean ◽  
Satisfaction Rates

Background. Few studies have outlined the outcomes and complications in Asians undergoing total ankle arthroplasty. This study reports the functional, radiological outcomes and satisfaction rates in our Asian population. Methods. Patients who underwent primary total ankle arthroplasty from 2007 to 2013 were recruited. Outcomes evaluated were the AOFAS Ankle-Hindfoot Score (AHS), Visual Analogue Scale (VAS), and the Short Form 36 (SF-36)questionnaire. Outcome scores were collected prospectively up to 2 years. Patient satisfaction was evaluated on a 6-point scale based on North American Spine Society Low Back Pain Instrument and classified as satisfied or unsatisfied. Results. Forty-one patients underwent primary total ankle arthroplasty. All patients experienced improvements in AHS, VAS, and Mental Component Summary score of the SF-36 at both 6-month and 2-year postoperative interval. The mean AHS score improved from 35 ± 19 points preoperatively to 64 ± 24 at 6 months (P<.001) and 72 ± 26 at 24 months (P <.001). VAS scores improved from 7 ± 2 preoperatively to 3 ± 3 (P < .001) at 6 and 24 months. The Physical Component Summary (PCS) of the SF-36 has an established minimum clinically important difference (MCID) of 5. The mean improvement in PCS in our cohort met this MCID for the PCS; 63% and 71% of patients were satisfied with the procedure at 6 months and 2 years postoperatively, respectively. Revision rate in this series was 9.7%. Conclusion. Total ankle arthroplasty has good patient satisfaction rates, with favorable early clinical outcome in Asian patients. Levels of Evidence: Therapeutic, Level II

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