scholarly journals Patient satisfaction rating scales v. patient-related outcome and experience measures

2011 ◽  
Vol 35 (1) ◽  
pp. 32-33 ◽  
Author(s):  
Paul J. Whelan ◽  
Leena Reddy ◽  
Tresa Andrews
2020 ◽  
Vol 10 (1) ◽  
pp. 37-46
Author(s):  
Lesley Clack ◽  
Bhoomica Nagi

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.


2020 ◽  
Vol 2020 ◽  
pp. 1-7
Author(s):  
Neil Manson ◽  
Dana El-Mughayyar ◽  
Erin Bigney ◽  
Eden Richardson ◽  
Edward Abraham

Study Design. Clinical case series. Background. Percutaneous stabilization for spinal trauma confers less blood loss, reduces postoperative pain, and is less invasive than open stabilization and fusion. The current standard of care includes instrumentation removal. Objective. 1. Reporting patient outcomes following minimally invasive posterior percutaneous pedicle screw-rod stabilization (PercStab). 2. Evaluating the results of instrumentation retention. Methods. A prospective observational study of 32 consecutive patients receiving PercStab without direct decompression or fusion. Baseline data demographics were collected. Operative outcomes of interest were operative room (OR) time, blood loss, and length of hospital stay. Follow-up variables of interest included patient satisfaction, Numeric Rating Scales for Back and Leg (NRS-B/L) pain, Oswestry Disability Index (ODI), and return to work. Clinical outcome data (ODI and NRS-B/L) were collected at 3, 12, 24 months and continued at a 24-month interval up to a maximum of 8 years postoperatively. Results. 81.25% of patients (n = 26) retained their instrumentation and reported minimal disability, mild pain, and satisfaction with their surgery and returned to work (mean = 6 months). Six patients required instrumentation removal due to prominence of the instrumentation or screw loosening, causing discomfort/pain. Instrumentation removal patients reported moderate back and leg pain until removal occurred; after removal, they reported minimal disability and mild pain. Neither instrumentation removal nor retention resulted in complications or further surgical intervention. Conclusions. PercStab without instrumentation removal provided high patient satisfaction, mild pain, and minimal disability and relieved the patient from the burden of finances and resources allocation of a second surgery.


1998 ◽  
Vol 89 (6) ◽  
pp. 1377-1388 ◽  
Author(s):  
Manon Choiniere ◽  
Brian E. Rittenhouse ◽  
Sylvie Perreault ◽  
Daniel Chartrand ◽  
Pierre Rousseau ◽  
...  

Background Many studies have shown the efficacy of patient-controlled analgesia (PCA). However, it is not clear whether PCA has clinical or economic benefits in addition to efficient analgesia. The current study was designed to evaluate these issues by comparing PCA with regularly administered intramuscular injections of opioids after hysterectomy. Methods This prospective study included 126 patients who underwent abdominal hysterectomy and were randomly assigned to receive PCA or regularly timed intramuscular injections of morphine during a period of 48 h. Doses were adjusted to provide satisfactory analgesia in both treatment groups. Pain at rest and with movement, functional recovery, drug side effects, and patient satisfaction were measured using rating scales and questionnaires. The costs of PCA and intramuscular therapy were calculated based on personnel time and drug and material requirements. Results Comparable analgesia was observed with the two treatment methods, with no significant differences in the incidence of side effects or patient satisfaction. The medication dosage had to be adjusted significantly more frequently in the intramuscular group than in the PCA patients. The PCA did not favor a faster recuperation time compared with intramuscular therapy in terms of times to ambulation, resumption of liquid and solid diet, passage of bowel gas, or hospital discharge. The results of the economic evaluation, which used a cost-minimization model and sensitivity analyses, showed that PCA was more costly than regular intramuscular injections despite the fact that no costs for the pump were included in the analyses. Cost differences in nursing time favoring PCA were offset by drug and material costs associated with this type of treatment. Conclusions Compared with regularly scheduled intramuscular dosing, PCA is more costly and does not have clinical advantages for pain management after hysterectomy. Because of the comparable outcomes, the general use of PCA in similar patients should be questioned.


2019 ◽  
Vol 7 (5) ◽  
pp. 801-806
Author(s):  
Koichiro Otani ◽  
Yihao Deng ◽  
Patrick A Herrmann ◽  
Richard S Kurz

Patient satisfaction studies have gained more and more attention, and there are many patient satisfaction studies. These studies assume that patients were selected randomly and independently, but patient satisfaction surveys are described as a multistage or hierarchically structured sample. Thus, there is a need to conduct a hierarchical linear model (HLM) analysis with a large number of hospitals. This study utilized an HLM to investigate both the individual patient-level effect on the overall satisfaction rating and the effect of hospital characteristics on the combining process of patient’s overall satisfaction rating. This study used patient satisfaction data collected from 100 hospitals with the sample size of 85 766. The hospital-level characteristics include total expense per personnel, payroll expense per personnel, number of staffed beds per personnel, and number of admission per personnel. This study found that hospital characteristics influence overall rating of the hospital through the doctor, staff, and room attributes. When considering the complex nature of the overall patient rating process of hospitals, it makes more sense to analyze hospital characteristics that are interacting with attributes rather than treat hospital characteristics as independent of these factors.


2014 ◽  
Vol 32 (30_suppl) ◽  
pp. 108-108
Author(s):  
David Michael Waterhouse ◽  
Patrick J. Ward ◽  
Karyn M. Dyehouse ◽  
Robert Miller ◽  
Richard Schiano

108 Background: Patient satisfaction surveys using Likert-style rating scales are subject to response, level, and dispersion bias. "MaxDiff" or "worst-best" scaling allows opportunity to determine and quantify the relative importance of satisfaction drivers. The focus of this conjoint survey was to assess satisfaction with factors related to the chemotherapy experience, while simultaneously defining the relative importance of these satisfaction drivers. Methods: Sequential chemotherapy pts at four independent office sites were offered an "in chair" electronic tablet survey. The 38 question survey instrument was adapted from the Community Oncology Alliance Oncology Medical Home (COA OMH) patient satisfaction survey. Sample size was calculated to allow maximum sensitivity for analysis of questions/attributes at a 90% confidence level. MaxDiff scaling (Sawtooth Software) was analyzed using hierarchal Bayes estimation. Comparisons were made between male/female pts, age, length of time as OHC pt, and office site; statistical significance was determined by the Mann-Whiney test. Results: In total, 297 pts of 320 pts (92.8%) responded; mean patient age was 61.7 yrs, 197 female/100male. MD and staff wait times, professional skills, concern and communication abilities weighed heavily in driving high satisfaction; whereas scheduling, availability of clinical trials, facilities, account, and pharmacy services had low influence. Wait times (higher importance/lower satisfaction) offered the highest enhancement opportunity for process improvement. Both genders had similar priorities for factors driving chemotherapy satisfaction. Wait time, staff and facility satisfaction differed slightly by office. No significant age or time differences were identified. Conclusions: The addition of MaxDiff scaling to conventional patient satisfaction surveys is novel, feasible and acceptable in the community oncology office setting, and can yield relevant, interpretable data. Results of this survey are currently being used to inform ongoing OHC process and quality improvement initiatives.


Author(s):  
Bernice L. Neugarten ◽  
Robert J. Havighurst ◽  
Sheldon S. Tobin

2014 ◽  
Vol 4 (6) ◽  
pp. 296-300 ◽  
Author(s):  
Sarah E. Grady ◽  
Hannah Reichert

Introduction This study analyzed patient satisfaction survey responses in which patients evaluated their experience with the pharmacy staff in an acute psychiatric unit. Methods Thirty-one patients rated pharmacy services upon discharge by completing a 13-item survey. Results Overall patient satisfaction was found to be high with a 77.4–100% satisfaction rating reported on every survey item. Discussion Results indicated that the pharmacy staff should focus their efforts on improving communication with patients by selecting a quiet meeting location and by making themselves more accessible to patients in order to better serve their needs.


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