Patient satisfaction with the healthcare system: Assessing the impact of socio-economic and healthcare provision factors

Abstract BackgroundPlanned lower limb surgery is common, with over 90,000 hip replacements, 95,000 knee replacements and 15,000 anterior cruciate ligament reconstructions performed in the UK each year. Patient satisfaction an important element of healthcare provision that is usually measured by functional outcomes but influenced by many other factors. Few studies have assessed patients’ views on the information given to them pertaining surgery and patients are infrequently consulted when designing leaflets and information packs which can lead to confusion during the recovery period and poor long-term outcomes. We aimed to assess if patients were satisfied with the information they received around their operations and identify potential improvements.MethodsSet in a major trauma centre in the West Midlands, a multiple choice and free-text answer survey was administered to patients who used the orthopaedic service over the course of one month. Surveys were designed in Qualtrics and administered face-to-face on paper. Thematic content analysis was performed. ResultsEighty patients completed the survey, of which 88.8% of patients were satisfied with the information they received. Discussions with surgeons were the most useful resource and 53% of patients requested more internet resources. Post-operative patients were statistically more likely to be dissatisfied with information provision. Over 20% of patients requested more information on post-op pain and recovery timelines. ConclusionsAlthough patients were satisfied in general, areas for change were identified. Suggested improvements take the form of webpages, a mobile platform or forum for asking healthcare professionals questions. Extra resources could contain educational videos, patient experiences and an interactive recovery timeline. These suggestions may enable NHS Trusts to “get into the digital age”, however, more research on patient satisfaction around information provision and the impact it has on recovery and decision making is needed.

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The impact of the SARS-CoV-2 pandemic on healthcare provision in Italy to non-COVID patients: a systematic review

Mediterranean Journal of Hematology and Infectious Diseases ◽

10.4084/mjhid.2022.012 ◽

2022 ◽

Vol 14 (1) ◽

pp. e2022012

Author(s):

Annarita Botta ◽

Gianmarco Lugli ◽

Matteo Maria Ottaviani ◽

Guido Ascione ◽

Alessandro Bruschi ◽

...

Keyword(s):

Systematic Review ◽

Healthcare System ◽

Public Healthcare ◽

Healthcare Provision ◽

Hub And Spoke ◽

Medical Specialties ◽

Health Crisis ◽

Outbreak Period ◽

Long Term Impact ◽

The Impact

Background Italy has been one of the countries most affected by the SARS-CoV-2 pandemic and the regional healthcare system has had to quickly adapt its organization to meet the needs of infected patients. This has led to a drastic change in the routine management of non-communicable diseases with a potential long-term impact on patient health care. We investigated the management of non-COVID-19 patients across all medical specialties in Italy. Methods A PRISMA guideline-based systematic review of the literature was performed using PubMed, Embase, and Scopus, restricting the search to the main outbreak period in Italy (from 20 February to 22 June, 2020). We selected articles in English or Italian that detailed changes in the Italian hospital care for non-COVID-19 patients due to the pandemic. Our keywords included all medical specialties in combination with our geographical focus (Italy) and COVID-19. Results Of the 4643 potentially eligible studies identified by the search, 247 studies were included. A decrease in the management of emergencies in non-COVID patients was found together with an increase in mortality. Similarly, non-deferrable conditions met a tendency toward decreased diagnosis. All specialties have been affected by the reorganization of healthcare provision in the hub-and-spoke system and have benefited from telemedicine. Conclusions Our work highlights the changes taking place in the Italian public healthcare system to tackle the developing health crisis due to the COVID-19 pandemic. The findings of our review may be useful to analyze future directions for the healthcare system in the case of new pandemic scenarios.

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A patient satisfaction survey investigating pre- and post-operative information provision in lower limb surgery

10.21203/rs.3.rs-58693/v2 ◽

2020 ◽

Author(s):

Maxwell Stanley Renna ◽

Andrew Metcalfe ◽

David Ellard ◽

David Davies

Keyword(s):

Patient Satisfaction ◽

Lower Limb ◽

Cruciate Ligament ◽

Recovery Period ◽

Information Provision ◽

Free Text ◽

Healthcare Provision ◽

Major Trauma Centre ◽

Lower Limb Surgery ◽

The Impact

Abstract Background Planned lower limb surgery is common, with over 90,000 hip replacements, 95,000 knee replacements and 15,000 anterior cruciate ligament reconstructions performed in the UK each year. These procedures are primarily indicated to treat osteoarthritis, sporting injuries and trauma. Patient satisfaction is an important element of healthcare provision, which is usually measured by functional outcomes but influenced by other factors. Few studies have assessed patients’ views on the information given to them pertaining surgery and patients are infrequently consulted when designing leaflets and information packs, which can lead to confusion during the recovery period and poor long-term outcomes. Furthermore, previous studies have not directly asked patients what resources they would prefer, or which format would suit them best. This project aimed to assess if patients were satisfied with the information they received around their operations and to identify potential improvements.Methods Set in a National Health Service (NHS) run major trauma centre in the West Midlands, a multiple choice and free-text answer survey was administered to patients who used the orthopaedic service over the course of one month. Surveys were designed in Qualtrics and administered face-to-face on paper. Thematic content analysis was performed on the results. Results Eighty patients completed the survey, of which 88.8% of patients were satisfied with the information they received. Discussions with surgeons were the most useful resource and 53% of patients requested more internet resources. Post-operative patients were statistically more likely to be dissatisfied with information provision than pre-operative patients. Over 20% of study population requested more information on post-operative pain and recovery timelines. Conclusions Although patients were satisfied in general, areas for change were identified. Suggested resources take the form of webpages and mobile platforms. These resources could contain educational videos, patient experience blogs or interactive recovery timelines, to be of benefit to patients. These suggestions may enable NHS Trusts to “get into the digital age”, however, more research on patient satisfaction around information provision and the impact it has on recovery and decision making is needed.

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The impact of the SARS-CoV-2 pandemic on healthcare provision in Italy to non-COVID patients: a systematic review

10.1101/2020.09.17.20192088 ◽

2020 ◽

Author(s):

Lugli Gianmarco ◽

Ottaviani Matteo Maria ◽

Botta Annarita ◽

Ascione Guido ◽

Bruschi Alessandro ◽

...

Keyword(s):

Systematic Review ◽

Healthcare System ◽

Public Healthcare ◽

Healthcare Provision ◽

Hub And Spoke ◽

Medical Specialties ◽

Health Crisis ◽

Outbreak Period ◽

Long Term Impact ◽

The Impact

AbstractBackgroundItaly has been one of the countries most affected by the SARS-CoV-2 pandemic and the regional healthcare system has had to quickly adapt its organization to meet the needs of infected patients. This has led to a drastic change in the routine management of non-communicable diseases with a potential long-term impact on patient health care. We investigated the management of non-COVID-19 patients across all medical specialties during the pandemic in Italy.MethodsA PRISMA guideline-based systematic review of the available literature was performed using PubMed, Embase, and Scopus, restricting the search to the main outbreak period in Italy (from 20 February to 22 June, 2020). We selected articles in English or Italian that detailed changes in the Italian hospital care for non-COVID-19 patients due to the pandemic. Our keywords included all medical specialties in combination with our geographical focus (Italy) and COVID-19.FindingsOf the 4643 potentially eligible studies identified by the search, 247 studies were included in the systematic review. A decrease in the management of emergencies in non-COVID patients was found together with an increase in mortality. Similarly, non-deferrable conditions met a tendency toward decreased diagnosis. All specialties have been affected by the reorganization of healthcare provision in the hub-and-spoke system and have benefited from telemedicine during the pandemic.InterpretationOur work highlights the changes taking place in the Italian public healthcare system in order to tackle the developing health crisis due to the COVID-19 pandemic. The findings of our review may be useful to analyze future directions for the healthcare system in the case of new pandemic scenarios.

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A patient satisfaction survey investigating pre- and post-operative information provision in lower limb surgery

BMC Musculoskeletal Disorders ◽

10.1186/s12891-020-03761-w ◽

2020 ◽

Vol 21 (1) ◽

Author(s):

Maxwell Stanley Renna ◽

Andrew Metcalfe ◽

David Ellard ◽

David Davies

Keyword(s):

Patient Satisfaction ◽

Lower Limb ◽

Cruciate Ligament ◽

Recovery Period ◽

Information Provision ◽

Free Text ◽

Healthcare Provision ◽

Major Trauma Centre ◽

Lower Limb Surgery ◽

The Impact

Abstract Background Planned lower limb surgery is common, with over 90,000 hip replacements, 95,000 knee replacements and 15,000 anterior cruciate ligament reconstructions performed in the UK each year. These procedures are primarily indicated to treat osteoarthritis, sporting injuries and trauma. Patient satisfaction is an important element of healthcare provision, which is usually measured by functional outcomes but influenced by other factors. Few studies have assessed patients’ views on the information given to them pertaining surgery and patients are infrequently consulted when designing leaflets and information packs, which can lead to confusion during the recovery period and poor long-term outcomes. Furthermore, previous studies have not directly asked patients what resources they would prefer, or which format would suit them best. This project aimed to assess if patients were satisfied with the information they received around their operations and to identify potential improvements. Methods Set in a National Health Service (NHS) run major trauma centre in the West Midlands, a multiple choice and free-text answer survey was administered to patients who used the orthopaedic service over the course of 1 month. Surveys were designed in Qualtrics and administered face-to-face on paper. Thematic content analysis was performed on the results. Results Eighty patients completed the survey, of which 88.8% of patients were satisfied with the information they received. Discussions with surgeons were the most useful resource and 53% of patients requested more internet resources. Post-operative patients were statistically more likely to be dissatisfied with information provision than pre-operative patients. Over 20% of the study population requested more information on post-operative pain and recovery timelines. Conclusions Although patients were satisfied in general, areas for change were identified. Suggested resources took the form of webpages and mobile platforms. These resources could contain educational videos, patient experience blogs or interactive recovery timelines, to be of benefit to patients. These suggestions may enable NHS Trusts to “get into the digital age”, however, more research on patient satisfaction around information provision and the impact it has on recovery and decision making is needed.

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Examination of the Impact of Patient Engagement Tools on Patient Satisfaction

International Journal of Patient-Centered Healthcare ◽

10.4018/ijpch.2020010103 ◽

2020 ◽

Vol 10 (1) ◽

pp. 37-46

Author(s):

Lesley Clack ◽

Bhoomica Nagi

Keyword(s):

Patient Satisfaction ◽

Data Analysis ◽

Healthcare System ◽

Patient Engagement ◽

Secondary Data ◽

Patient Portals ◽

Satisfaction Rating ◽

The Past ◽

The Impact ◽

Patient Satisfaction Rating

The healthcare system has experienced a rapid advancement in technology over the past few decades, which has led to an increased focus on patient engagement and satisfaction. The purpose of this study was to investigate the association between patient engagement tools and the level of patient satisfaction. A secondary data analysis was conducted to determine if a relationship exists between patient satisfaction and use of patient engagement tools. Findings revealed that patient portals were equally accessible to patients (83%) regardless of the institution's patient satisfaction rating. However, more advanced engagement tools, such as online scheduling of appointments, were more commonly found in hospitals with higher patient satisfaction ratings. While the availability, knowledge, interest, and age of the patient play an important role, patient engagement tools were found to be positively linked to patient satisfaction.

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Nursing Communication Bundle: Behavior Standards Review Article Series: 1

10.47890/ijnscp/glenndpascual/2021/10042116 ◽

2021 ◽

Vol 2 (1) ◽

pp. 1-6

Author(s):

Glenn D Pascual

Keyword(s):

Patient Satisfaction ◽

Service Delivery ◽

Clinical Outcomes ◽

Healthcare System ◽

Improve Quality ◽

Healthcare Organizations ◽

Increase Patient Satisfaction ◽

Ongoing Process ◽

Patient Satisfaction Scores ◽

The Impact

Changing healthcare delivery systems demand greater accountability from hospital organizations and healthcare providers (Briggs et al., 2018). The radical restructuring of the healthcare system that is required to reduce spiraling healthcare costs and make healthcare accessible to all citizens will necessitate ongoing changes in healthcare organizations. The challenge for hospital organizations is to improve quality and service delivery through an ongoing process of innovation, restructuring of systems and processes, and implementation of aligned service behaviors to increase patient satisfaction and enhance clinical outcomes (Figure 1.0). Patient satisfaction scores serve as system indicators for financial reimbursement from government and private insurance agencies and as impetus for hospital organizations to choose the functional system of delivering care to improve quality, achieve desired outcomes, and enhance the patient care experience. Given the macroeconomic nature of the impact of patient satisfaction scores on hospital reimbursement, the challenge for healthcare organizations is to improve quality and service delivery through an ongoing process of innovation, restructuring systems and processes, and implementation of aligned standardized service behaviors to increase patient satisfaction and enhance clinical outcomes. Hospitals under the current healthcare landscape are rewarded for the quality of care provided; thus, better outcomes indicate hospitals’ financial viability (Centers for Medicare and Medicaid Services, 2018).Managing service delivery across a highly divergent and fast-paced healthcare system requires sharp focus on execution and standardized operational excellence. Continuous quality improvement (CQI) has been shown to be a powerful tool to help make health care organizations more effective. CQI is a structured system for creating organization-wide participation and partnership in planning and implementing continuous improvement methods to understand, meet, or exceed patient needs and expectations. Developing a culture of excellence and quality in care can create an enthusiasm for change, passion for results, and drive for innovation equating to better service to healthcare consumers and better patient satisfaction scores.

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