PATIENT SATISFACTION WITH MEDICAL ENCOUNTERS IN NEUROLOGY OUTPATIENT CLINICS

2015 ◽  
Vol 86 (11) ◽  
pp. e4.163-e4
Author(s):  
Markus Reuber ◽  
Merran Toerien ◽  
Hannah Wiseman ◽  
Rebecca Shaw ◽  
Rod Duncan
Keyword(s):  
Public Policy ◽  
Regression Analysis ◽  
Patient Satisfaction ◽  
Patient Choice ◽  
Outpatient Clinics ◽  
Medical Interview ◽  
Satisfaction Scale ◽  
Policy Documents ◽  
Clinical Encounters ◽  
Spearman's Rho

AimRecent public policy documents have emphasised the need for healthcare practitioners to give patients choice. As part of a larger qualitative project investigating how neurologists give patients choices, we explored whether evidence of patient choice is associated with higher patient satisfaction.MethodFourteen neurologists and 223 patients were recruited in neurology outpatient clinics in Glasgow and Sheffield. All participants completed post-appointment questionnaires assessing whether choice was offered or perceived. Clinicians also rated the extent to which symptoms were medically explained. Patients completed the Medical Interview Satisfaction Scale-21 (MISS-21).ResultsTwo dominant factors contributed to the total MISS-21 scale, ‘rapport’ and ‘distress-relief’. Regression analysis showed that the extent to which symptoms were medically explained predicted most of the variance on both subscales and the total MISS-21 score. Spearman's rho correlations showed greater patient satisfaction if symptoms were medically explained and if no choice had been offered or perceived.ConclusionThere was no evidence that giving patients choices in interaction increased patient satisfaction with clinical encounters. Our findings suggest that patient satisfaction is most strongly influenced by the extent to which neurologists perceive symptoms as medically explained.

scholarly journals SP4.1.8 Patient satisfaction with telephone versus face-to-face consultations during the COVID-19 pandemic

2021 ◽  
Vol 108 (Supplement_7) ◽  
Author(s):  
Emmanouil Psaltis ◽  
Anastasia Tzatzidou ◽  
Yunli Chua ◽  
Hidayatul Abdullmalek ◽  
Venkatesh Kanakala
Keyword(s):  
Patient Satisfaction ◽  
General Surgery ◽  
Economic Benefits ◽  
Three Dimensions ◽  
Outpatient Clinics ◽  
Medical Interview ◽  
Satisfaction Scale ◽  
Face To Face ◽  
Group I ◽  
Group Ii

Abstract Aims Patient satisfaction is an important and commonly used indicator for measuring the quality in health care. During the COVID-19 pandemic, several face-to-face appointments in the outpatient clinics have been converted to telephone consultations. The aim of this study was to compare patient satisfaction following telephone consultations over face-to-face appointments in General Surgery. Methods A retrospective survey on consecutive patients (n = 63) was conducted over the telephone by independent interviewers. Group I (n = 36) consisted of patients who had telephone consultations and Group II (n = 27) of patients who had face-to-face appointments. Patient satisfaction was recorded using the Generic Medical Interview Satisfaction Scale (G-MISS) questionnaire as it has been validated for use in General Surgery. Statistical analysis was performed to assess for any differences between the two groups in the cumulative satisfaction scores and the three dimensions of the G-MISS questionnaire, “relief”, “compliance” and “communication”. Results Median, Q1-Q3 of the satisfaction score in Group I (77.3, 62.1-93.3) did not statistically differ compared with Group II (76.5, 62.5-93.3, p = 0.91). “Relief” in Group I (78.1, 57.0-92.9) did not significantly vary compared with Group II (75.0, 53.1-93.7, p = 0.85). “Compliance” in Group I (62.5, 50.0-96.8) was very similar with that in Group II (75.0, 50.0-100.0, p = 0.82). “Communication” in Group I (87.5, 71.8-98.9) was also very similar compared with Group II (87.5, 75.0-100.0, p = 0.74). Conclusions We demonstrated high levels of patient satisfaction with telephone consultations. Therefore, during the pandemic the services of the outpatient department remain of high quality. Considering the economic benefits to the NHS, telephone consultations might be “here to stay”.

HASTANELERİN HİZMET KALİTESİNİN HASTA TATMİN ÖLÇEĞİ İLE ÖLÇÜLMESİ: KARABÜK DEVLET HASTANESİNDE YATAN HASTALAR ÜZERİNDE BİR ARAŞTIRMA THE MEASUREMENT SERVICE QUALITY OF THE HOSPITALS BY THE PATIENT SCALE: A RESEARCH ON THE PATIENTS IN KARABUK STATE HOSP

2013 ◽  
Vol 1 (1) ◽  
pp. 100
Author(s):  
Selçuk Yurtsever
Keyword(s):  
Patient Satisfaction ◽  
Health Services ◽  
Literature Review ◽  
Private Sector ◽  
State Hospital ◽  
Continuous Change ◽  
Satisfaction Scale ◽  
The World ◽  
Main Factors

It has been known that both in the world and in Turkey a continuous change has been experienced in the provision of health services in recent years. In this sense by adopting the customer(client) focused approach of either public or private sector hospitals; it has been seen that they are in the struggle for presenting a right, fast, trustuble, comfy service. The purpose of this research is to measure the satisfaction degree, expectations and perceptions of the patients in Karabük State Hospital through comparison. In this context, the patient satisfaction scale which has been developed as a result of literature review has been used and by this scale it has been tried to measure the satisfaction levels of the patients in terms of material and human factors which are the two main factors of the service that was presented. In the study, with the scales of Servqual and 0-100 Points together, in the part of the analysis MANOVA have been used. The expectations and the perceptions of the patient has been compared first by generally and then by separating to different groups according to the various criterias and in thisway it has been tried to be measured their satisfaction levels. According to the results that were obtained, although, the satisfaction levels of the patients who have taken service from Karabük State Hospital are high in terms of thedoctors and the nurses; it has been reached to the result that their satisfaction levels are low in terms of the materials that have been used at the presenting of the service and the management.

scholarly journals Validation of a Patient Satisfaction Scale in Patients Undergoing Bowel Preparation Prior to Colonoscopy

2015 ◽  
Vol 9 (1) ◽  
pp. 27-34 ◽  
Author(s):  
Hind T. Hatoum ◽  
Swu-Jane Lin ◽  
Raymond E. Joseph ◽  
David N. Dahdal
Keyword(s):  
Patient Satisfaction ◽  
Bowel Preparation ◽  
Satisfaction Scale

scholarly journals Evaluating nuanced practices for initiating decision-making in neurology clinics: a mixed-methods study

2018 ◽  
Vol 6 (34) ◽  
pp. 1-148 ◽  
Author(s):  
Markus Reuber ◽  
Paul Chappell ◽  
Clare Jackson ◽  
Merran Toerien
Keyword(s):  
Decision Making ◽  
Patient Satisfaction ◽  
Mixed Methods ◽  
Patient Choice ◽  
Self Report ◽  
Primary Study ◽  
Significant Difference ◽  
Report Data ◽  
Option Listing ◽  
Self Report Data

BackgroundWe report follow-on research from our previous qualitative analysis of how neurologists offer patients choice in practice. This focus reflects the NHS’s emphasis on ‘patient choice’ and the lack of evidence-based guidance on how to enact it. Our primary study identified practices for offering choice, which we called ‘patient view elicitors’ (PVEs) and ‘option-listing’. However, that study was not designed to compare these with recommendations or to analyse the consequences of selecting one practice over another.ObjectivesTo (1) map out (a) the three decision-making practices – recommending, PVEs and option-listing – together with (b) their interactional consequences; (2) identify, qualitatively and quantitatively, interactional patterns across our data set; (3) statistically examine the relationship between interactional practices and self-report data; and (4) use the findings from 1–3 to compare the three practices as methods for initiating decision-making.DesignA mixed-methods secondary analysis of recorded neurology consultations and associated questionnaire responses. We coded every recommendation, PVE and option-list together with a range of variables internal (e.g. patients’ responses) and external to the consultation (e.g. self-reported patient satisfaction). The resulting matrix captured the qualitative and quantitative data for every decision.Setting and participantsThe primary study was conducted in two neurology outpatient centres. A total of 14 neurologists, 223 patients and 114 accompanying others participated.ResultsDistribution of practices – recommending was the most common approach to decision-making. Patient demographics did not appear to play a key role in patterning decisional practices. Several clinical factors did show associations with practice, including (1) that neurologists were more likely to use option-lists or PVEs when making treatment rather than investigation decisions, (2) they were more certain about a diagnosis and (3) symptoms were medically explained. Consequences of practices – option-lists and PVEs (compared with recommendations) – were strongly associated with choice by neurologists and patients. However, there was no significant difference in overall patient satisfaction relating to practices employed. Recommendations were strongly associated with a course of action being agreed. Decisions containing PVEs were more likely to end in rejection. Option-lists often ended in the decision being deferred. There was no relationship between length of consultation and the practice employed.LimitationsA main limitation is that we judged only outcomes based on the recorded consultations and the self-report data collected immediately thereafter. We do not know what happened beyond the consultation.ConclusionsPatient choice is harder to enact than policy directives acknowledge. Although there is good evidence that neurologists are seeking to enact patient choice, they are still more likely to make recommendations. This appears to be partly due to concerns that ‘choice’ might conflict with doctors’ duty of care. Future guidance needs to draw on evidence regarding choice in practice to support doctors and patients to achieve the wider goal of shared decision-making.Future researchTo advance understanding of how interactional practices might have effects beyond the clinic, a priority is to investigate associations between decision-making practices and external outcomes (such as adherence).FundingThe National Institute for Health Research Health Services and Delivery Research programme.

scholarly journals The Effect of Job Motivation, Job Satisfaction, and Attitude towards Profession on Nurse Performance in Outpatient Clinic of Prof. Dr. R.D. Kandou Hospital

2020 ◽  
Author(s):  
Nova H. Kapantow ◽  
Muchlis R. Luddin ◽  
Daniel C. Kambey
Keyword(s):  
Job Satisfaction ◽  
Regression Analysis ◽  
Outpatient Clinic ◽  
Analytical Study ◽  
Outpatient Clinics ◽  
Survey Method ◽  
Direct Influence ◽  
Job Motivation ◽  
The Relationship ◽  
Self Administered Questionnaire

In an effort to achieve the goals set by hospital, qualified nurses are needed. Qualified nurses must show good performance. There are many factors that affect nurse performance. This research was conducted to study the effect of job motivation, job satisfaction, and attitude towards profession on nurse performance in the Outpatient Clinics of Prof. Dr. R. D. Kandou Hospital. The research was an analytical study using a survey method. The subjects of this research were the 62 nurses in the Outpatient Clinics. Data were collected via a self-administered questionnaire. Multiple regression analysis was used to examine the relationship among variables. Results show that job motivation had a significant direct influence on nurse performance, job satisfaction also had an effect directly on nurse performance, and attitude toward profession had an effect on nurse performance. Besides that, job motivation and attitude towards the nurse profession proved to have a direct influence on job satisfaction. Based on the findings above, it can be concluded that the variations that occur on nurse performance variable are influenced directly by job motivation, job satisfaction, and attitude towards the profession. Keywords: nurse performance, job motivation, job satisfaction, and attitude towards profession

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