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Erschienen in: Herz 4/2016

06.11.2015 | Invasive Diagnostik in der Kardiologie | Original article

Patient satisfaction in cardiology after cardiac catheterization

Effects of treatment outcome, visit characteristics, and perception of received care

verfasst von: R.R. Weidemann, T. Schönfelder, J. Klewer, J. Kugler

Erschienen in: Herz | Ausgabe 4/2016

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Abstract

Background

Patient satisfaction is a key indicator for quality of care. However, recent data on determinants of satisfaction in invasive cardiology are lacking. Hence this study was conducted to identify determinants of patient satisfaction after hospitalization for cardiac catheterization.

Patients and methods

Data were obtained from 811 randomly selected patients discharged from ten hospitals responding to a mailed post-visit questionnaire. The satisfaction dimension was measured with a validated 42-item inventory assessing demographic and visit characteristics as well as medical, organizational, and service aspects of received care. Bivariate and multivariate statistical analyses were performed to identify predictors of satisfaction.

Results

Patients were most satisfied with the kindness of medical practitioners and nurses. The lowest ratings were observed for discharge procedures and instructions. Multivariate analysis revealed five predictors of satisfaction: treatment outcome (OR, 2.14), individualized medical care (OR, 1.64), clear reply to patient’s inquiries by physicians (OR, 1.63), kindness of nonmedical professionals (OR, 3.01), and room amenities (OR, 2.02). No association between demographic data and overall satisfaction was observed.

Conclusion

Five key determinants that can be addressed by health-care providers in order to improve patient satisfaction were identified. Our findings highlight the importance of the communicational behavior of health-care professionals and the transparency of discharge management.
Literatur
1.
Zurück zum Zitat Vermeulen RP, Jessurun GA, Peels HO et al (2008) Clinical performance indicators for percutaneous coronary intervention. Crit Pathw Cardiol 7:126–132CrossRefPubMed Vermeulen RP, Jessurun GA, Peels HO et al (2008) Clinical performance indicators for percutaneous coronary intervention. Crit Pathw Cardiol 7:126–132CrossRefPubMed
2.
Zurück zum Zitat Kupfer JM, Bond EU (2012) Patient satisfaction and patient-centered care: necessary but not equal. JAMA 308:139–140CrossRefPubMed Kupfer JM, Bond EU (2012) Patient satisfaction and patient-centered care: necessary but not equal. JAMA 308:139–140CrossRefPubMed
3.
Zurück zum Zitat Sitzia J, Wood N (1997) Patient satisfaction: a review of issues and concepts. Soc Sci Med 45:1829–1843CrossRefPubMed Sitzia J, Wood N (1997) Patient satisfaction: a review of issues and concepts. Soc Sci Med 45:1829–1843CrossRefPubMed
4.
Zurück zum Zitat Schoenfelder T, Klewer J, Kugler J (2011) Determinants of patient satisfaction: a study among 39 hospitals in an in-patient setting in Germany. Int J Qual Health Care 23:503–509CrossRefPubMed Schoenfelder T, Klewer J, Kugler J (2011) Determinants of patient satisfaction: a study among 39 hospitals in an in-patient setting in Germany. Int J Qual Health Care 23:503–509CrossRefPubMed
5.
Zurück zum Zitat Van Campen C, Sixma H, Friele RD et al (1995) Quality of care and patient satisfaction: a review of measuring instruments. Med Care Res Rev 52:109–133CrossRefPubMed Van Campen C, Sixma H, Friele RD et al (1995) Quality of care and patient satisfaction: a review of measuring instruments. Med Care Res Rev 52:109–133CrossRefPubMed
6.
Zurück zum Zitat Lin GA, Fagerlin A (2014) Shared decision making: state of the science. Circ Cardiovasc Qual Outcomes 7:328–334CrossRefPubMed Lin GA, Fagerlin A (2014) Shared decision making: state of the science. Circ Cardiovasc Qual Outcomes 7:328–334CrossRefPubMed
7.
Zurück zum Zitat Hall JA, Dornan MC (1990) Patient sociodemographic characteristics as predictors of satisfaction with medical care: a meta-analysis. Soc Sci Med 30:811–818CrossRefPubMed Hall JA, Dornan MC (1990) Patient sociodemographic characteristics as predictors of satisfaction with medical care: a meta-analysis. Soc Sci Med 30:811–818CrossRefPubMed
8.
Zurück zum Zitat Boudreaux ED, O’Hea EL (2004) Patient satisfaction in the emergency department: a review of the literature and implications for practice. J Emerg Med 26:13–26CrossRefPubMed Boudreaux ED, O’Hea EL (2004) Patient satisfaction in the emergency department: a review of the literature and implications for practice. J Emerg Med 26:13–26CrossRefPubMed
9.
Zurück zum Zitat Young GJ, Meterko M, Desai KR (2000) Patient satisfaction with hospital care: effects of demographic and institutional characteristics. Med Care 38:325–334CrossRefPubMed Young GJ, Meterko M, Desai KR (2000) Patient satisfaction with hospital care: effects of demographic and institutional characteristics. Med Care 38:325–334CrossRefPubMed
10.
Zurück zum Zitat Sun BC, Adams J, Orav EJ et al (2000) Determinants of patient satisfaction and willingness to return with emergency care. Ann Emerg Med 35:426–434CrossRefPubMed Sun BC, Adams J, Orav EJ et al (2000) Determinants of patient satisfaction and willingness to return with emergency care. Ann Emerg Med 35:426–434CrossRefPubMed
11.
Zurück zum Zitat Arnetz JE, Arnetz BB (2009) Gender differences in patient perceptions of involvement in myocardial infarction care. Eur J Cardiovasc Nurs 8:174–181CrossRefPubMed Arnetz JE, Arnetz BB (2009) Gender differences in patient perceptions of involvement in myocardial infarction care. Eur J Cardiovasc Nurs 8:174–181CrossRefPubMed
12.
Zurück zum Zitat Wolf ZR, Miller PA, Devine M (2003) Relationship between nurse caring and patient satisfaction in patients undergoing invasive cardiac procedures. Medsurg Nurs 12:391–396PubMed Wolf ZR, Miller PA, Devine M (2003) Relationship between nurse caring and patient satisfaction in patients undergoing invasive cardiac procedures. Medsurg Nurs 12:391–396PubMed
13.
Zurück zum Zitat Boudreaux ED, Ary RD, Mandry CV, McCabe B (2000) Determinants of patient satisfaction in a large, municipal ED: the role of demographic variables, visit characteristics, and patient perceptions. Am J Emerg Med 18:394–400CrossRefPubMed Boudreaux ED, Ary RD, Mandry CV, McCabe B (2000) Determinants of patient satisfaction in a large, municipal ED: the role of demographic variables, visit characteristics, and patient perceptions. Am J Emerg Med 18:394–400CrossRefPubMed
14.
Zurück zum Zitat Burney M, Purden M, McVey L (2002) Patient satisfaction and nurses’ perceptions of quality in an inpatient cardiology population. J Nurs Care Qual 16:56–67 (quiz 68–9)CrossRefPubMed Burney M, Purden M, McVey L (2002) Patient satisfaction and nurses’ perceptions of quality in an inpatient cardiology population. J Nurs Care Qual 16:56–67 (quiz 68–9)CrossRefPubMed
15.
Zurück zum Zitat Knopf WD, Cohen-Bernstein C, Ryan J et al (1999) Outpatient PTCA with same day discharge is safe and produces high patient satisfaction level. J Invasive Cardiol 11:290–295PubMed Knopf WD, Cohen-Bernstein C, Ryan J et al (1999) Outpatient PTCA with same day discharge is safe and produces high patient satisfaction level. J Invasive Cardiol 11:290–295PubMed
16.
Zurück zum Zitat Heyde GS, Koch KT, de Winter RJ et al (2007) Randomized trial comparing same-day discharge with overnight hospital stay after percutaneous coronary intervention: results of the Elective PCI in Outpatient Study (EPOS). Circulation 115:2299–2306CrossRefPubMed Heyde GS, Koch KT, de Winter RJ et al (2007) Randomized trial comparing same-day discharge with overnight hospital stay after percutaneous coronary intervention: results of the Elective PCI in Outpatient Study (EPOS). Circulation 115:2299–2306CrossRefPubMed
17.
Zurück zum Zitat Glaser R, Gertz Z, Matthai WH et al (2009) Patient satisfaction is comparable to early discharge versus overnight observation after elective percutaneous coronary intervention. J Invasive Cardiol 21:464–467PubMed Glaser R, Gertz Z, Matthai WH et al (2009) Patient satisfaction is comparable to early discharge versus overnight observation after elective percutaneous coronary intervention. J Invasive Cardiol 21:464–467PubMed
18.
Zurück zum Zitat Chow A, Mayer EK, Darzi AW, Athanasiou T (2009) Patient-reported outcome measures: the importance of patient satisfaction in surgery. Surgery 146:435–443CrossRefPubMed Chow A, Mayer EK, Darzi AW, Athanasiou T (2009) Patient-reported outcome measures: the importance of patient satisfaction in surgery. Surgery 146:435–443CrossRefPubMed
19.
Zurück zum Zitat Farley H, Enguidanos ER, Coletti CM et al (2014) Patient satisfaction surveys and quality of care: an information paper. Ann Emerg Med 64:351–357CrossRefPubMed Farley H, Enguidanos ER, Coletti CM et al (2014) Patient satisfaction surveys and quality of care: an information paper. Ann Emerg Med 64:351–357CrossRefPubMed
20.
Zurück zum Zitat Gallagher S, Clark L, Brown C et al (1998) Quality care for cardiology patients. Nurs Manage 29:36H–36ICrossRefPubMed Gallagher S, Clark L, Brown C et al (1998) Quality care for cardiology patients. Nurs Manage 29:36H–36ICrossRefPubMed
21.
Zurück zum Zitat Niles N, Tarbox G, Schults W et al (1996) Using qualitative and quantitative patient satisfaction data to improve the quality of cardiac care. Jt Comm J Qual Improv 22:323–335PubMed Niles N, Tarbox G, Schults W et al (1996) Using qualitative and quantitative patient satisfaction data to improve the quality of cardiac care. Jt Comm J Qual Improv 22:323–335PubMed
22.
Zurück zum Zitat Siebens K, Miljoen H, Fieuws S et al (2010) Implementation of the guidelines for the management of patients with chest pain through a critical pathway approach improves length of stay and patient satisfaction but not anxiety. Crit Pathw Cardiol 9:30–34CrossRefPubMed Siebens K, Miljoen H, Fieuws S et al (2010) Implementation of the guidelines for the management of patients with chest pain through a critical pathway approach improves length of stay and patient satisfaction but not anxiety. Crit Pathw Cardiol 9:30–34CrossRefPubMed
23.
Zurück zum Zitat Varkevisser M, van der Geest SA, Schut FT (2012) Do patients choose hospitals with high quality ratings? Empirical evidence from the market for angioplasty in the Netherlands. J Health Econ 31:371–378CrossRefPubMed Varkevisser M, van der Geest SA, Schut FT (2012) Do patients choose hospitals with high quality ratings? Empirical evidence from the market for angioplasty in the Netherlands. J Health Econ 31:371–378CrossRefPubMed
25.
Zurück zum Zitat Sack C, Lütkes P, Günther W et al (2010) Challenging the holy grail of hospital accreditation: a cross sectional study of inpatient satisfaction in the field of cardiology. BMC Health Serv Res 10:120CrossRefPubMedPubMedCentral Sack C, Lütkes P, Günther W et al (2010) Challenging the holy grail of hospital accreditation: a cross sectional study of inpatient satisfaction in the field of cardiology. BMC Health Serv Res 10:120CrossRefPubMedPubMedCentral
26.
Zurück zum Zitat German Federal Bureau Of Statistics (2012) Gesundheit, Grunddaten der Krankenhäuser. Fachserie 12 Reihe 6.1.1:1–104 German Federal Bureau Of Statistics (2012) Gesundheit, Grunddaten der Krankenhäuser. Fachserie 12 Reihe 6.1.1:1–104
27.
Zurück zum Zitat Bernard AW, Lindsell CJ, Handel DA et al (2007) Postal survey methodology to assess patient satisfaction in a suburban emergency medical services system: an observational study. BMC Emerg Med 7:5CrossRefPubMedPubMedCentral Bernard AW, Lindsell CJ, Handel DA et al (2007) Postal survey methodology to assess patient satisfaction in a suburban emergency medical services system: an observational study. BMC Emerg Med 7:5CrossRefPubMedPubMedCentral
28.
Zurück zum Zitat McLafferty RB, Williams RG, Lambert AD, Dunnington GL (2006) Surgeon communication behaviors that lead patients to not recommend the surgeon to family members or friends: analysis and impact. Surgery 140:616–622CrossRefPubMed McLafferty RB, Williams RG, Lambert AD, Dunnington GL (2006) Surgeon communication behaviors that lead patients to not recommend the surgeon to family members or friends: analysis and impact. Surgery 140:616–622CrossRefPubMed
29.
Zurück zum Zitat Barry MJ, Edgman-Levitan S (2012) Shared decision making–pinnacle of patient-centered care. N Engl J Med 366:780–781CrossRefPubMed Barry MJ, Edgman-Levitan S (2012) Shared decision making–pinnacle of patient-centered care. N Engl J Med 366:780–781CrossRefPubMed
30.
Zurück zum Zitat Jackson JL, Chamberlin J, Kroenke K (2001) Predictors of patient satisfaction. Soc Sci Med 52:609–620CrossRefPubMed Jackson JL, Chamberlin J, Kroenke K (2001) Predictors of patient satisfaction. Soc Sci Med 52:609–620CrossRefPubMed
31.
Zurück zum Zitat Sofaer S, Firminger K (2005) Patient perceptions of the quality of health services. Annu Rev Public Health 26:513–559CrossRefPubMed Sofaer S, Firminger K (2005) Patient perceptions of the quality of health services. Annu Rev Public Health 26:513–559CrossRefPubMed
32.
Zurück zum Zitat Otani K, Kurz RS, Harris LE (2005) Managing primary care using patient satisfaction measures. J Healthc Manag 50:311–324PubMed Otani K, Kurz RS, Harris LE (2005) Managing primary care using patient satisfaction measures. J Healthc Manag 50:311–324PubMed
33.
Zurück zum Zitat Parish E (2015) BMJ roundtable debate: how can we get better at providing patient centred care? BMJ 350:h412CrossRefPubMed Parish E (2015) BMJ roundtable debate: how can we get better at providing patient centred care? BMJ 350:h412CrossRefPubMed
34.
Zurück zum Zitat Spertus JA, Bach R, Bethea C et al (2015) Improving the process of informed consent for percutaneous coronary intervention: patient outcomes from the Patient Risk Information Services Manager (ePRISM) study. Am Heart J 169:234–241.e1CrossRefPubMed Spertus JA, Bach R, Bethea C et al (2015) Improving the process of informed consent for percutaneous coronary intervention: patient outcomes from the Patient Risk Information Services Manager (ePRISM) study. Am Heart J 169:234–241.e1CrossRefPubMed
35.
36.
Zurück zum Zitat Morgan P, Everett CM, Hing E (2014) Time spent with patients by physicians, nurse practitioners, and physician assistants in community health centers, 2006–2010. Healthc (Amst) 2:232–237CrossRef Morgan P, Everett CM, Hing E (2014) Time spent with patients by physicians, nurse practitioners, and physician assistants in community health centers, 2006–2010. Healthc (Amst) 2:232–237CrossRef
37.
Zurück zum Zitat Lin CT, Albertson GA, Schilling LM et al (2001) Is patients’ perception of time spent with the physician a determinant of ambulatory patient satisfaction? Arch Intern Med 161:1437–1442CrossRefPubMed Lin CT, Albertson GA, Schilling LM et al (2001) Is patients’ perception of time spent with the physician a determinant of ambulatory patient satisfaction? Arch Intern Med 161:1437–1442CrossRefPubMed
38.
Zurück zum Zitat Sack C, Scherag A, Lütkes P et al (2011) Is there an association between hospital accreditation and patient satisfaction with hospital care? A survey of 37,000 patients treated by 73 hospitals. Int J Qual Health Care 23:278–283CrossRefPubMed Sack C, Scherag A, Lütkes P et al (2011) Is there an association between hospital accreditation and patient satisfaction with hospital care? A survey of 37,000 patients treated by 73 hospitals. Int J Qual Health Care 23:278–283CrossRefPubMed
39.
Zurück zum Zitat Elliott MN, Kanouse DE, Edwards CA, Hilborne LH (2009) Components of care vary in importance for overall patient-reported experience by type of hospitalization. Med Care 47:842–849CrossRefPubMed Elliott MN, Kanouse DE, Edwards CA, Hilborne LH (2009) Components of care vary in importance for overall patient-reported experience by type of hospitalization. Med Care 47:842–849CrossRefPubMed
40.
Zurück zum Zitat Horwitz LI, Moriarty JP, Chen C et al (2013) Quality of discharge practices and patient understanding at an academic medical center. JAMA Intern Med 173:1715–1722PubMed Horwitz LI, Moriarty JP, Chen C et al (2013) Quality of discharge practices and patient understanding at an academic medical center. JAMA Intern Med 173:1715–1722PubMed
41.
Zurück zum Zitat Naidu SS, Rao S V, Blankenship J et al (2012) Clinical expert consensus statement on best practices in the cardiac catheterization laboratory: society for cardiovascular angiography and interventions. Catheter Cardiovasc Interv 80:456–464CrossRefPubMed Naidu SS, Rao S V, Blankenship J et al (2012) Clinical expert consensus statement on best practices in the cardiac catheterization laboratory: society for cardiovascular angiography and interventions. Catheter Cardiovasc Interv 80:456–464CrossRefPubMed
42.
Zurück zum Zitat Beinart SC, Sales AE, Spertus JA et al (2003) Impact of angina burden and other factors on treatment satisfaction after acute coronary syndromes. Am Heart J 146:646–652CrossRefPubMed Beinart SC, Sales AE, Spertus JA et al (2003) Impact of angina burden and other factors on treatment satisfaction after acute coronary syndromes. Am Heart J 146:646–652CrossRefPubMed
43.
44.
Zurück zum Zitat Garson A, Yong CM, Yock CA, McClellan MB (2006) International differences in patient and physician perceptions of ”high quality“ healthcare: a model from pediatric cardiology. Am J Cardiol 97:1073–1075CrossRefPubMed Garson A, Yong CM, Yock CA, McClellan MB (2006) International differences in patient and physician perceptions of ”high quality“ healthcare: a model from pediatric cardiology. Am J Cardiol 97:1073–1075CrossRefPubMed
45.
Zurück zum Zitat Schoenfelder T, Schaal T, Klewer J, Kugler J (2014) Patient satisfaction in urology: effects of hospital characteristics, demographic data and patients’ perceptions of received care. Urol J 11:1834–1840PubMed Schoenfelder T, Schaal T, Klewer J, Kugler J (2014) Patient satisfaction in urology: effects of hospital characteristics, demographic data and patients’ perceptions of received care. Urol J 11:1834–1840PubMed
46.
Zurück zum Zitat Mazor KM, Clauser BE, Field T et al (2002) A demonstration of the impact of response bias on the results of patient satisfaction surveys. Health Serv Res 37:1403–1417CrossRefPubMedPubMedCentral Mazor KM, Clauser BE, Field T et al (2002) A demonstration of the impact of response bias on the results of patient satisfaction surveys. Health Serv Res 37:1403–1417CrossRefPubMedPubMedCentral
47.
Zurück zum Zitat Lasek RJ, Barkley W, Harper DL, Rosenthal GE (1997) An evaluation of the impact of nonresponse bias on patient satisfaction surveys. Med Care 35:646–652CrossRefPubMed Lasek RJ, Barkley W, Harper DL, Rosenthal GE (1997) An evaluation of the impact of nonresponse bias on patient satisfaction surveys. Med Care 35:646–652CrossRefPubMed
48.
Zurück zum Zitat Edwards PJ, Roberts I, Clarke MJ et al (2009) Methods to increase response to postal and electronic questionnaires. Cochrane Database Syst Rev 8:MR000008. doi:10.1002/14651858.MR000008.pub4 Edwards PJ, Roberts I, Clarke MJ et al (2009) Methods to increase response to postal and electronic questionnaires. Cochrane Database Syst Rev 8:MR000008. doi:10.1002/14651858.MR000008.pub4
Metadaten
Titel
Patient satisfaction in cardiology after cardiac catheterization
Effects of treatment outcome, visit characteristics, and perception of received care
verfasst von
R.R. Weidemann
T. Schönfelder
J. Klewer
J. Kugler
Publikationsdatum
06.11.2015
Verlag
Springer Medizin
Erschienen in
Herz / Ausgabe 4/2016
Print ISSN: 0340-9937
Elektronische ISSN: 1615-6692
DOI
https://doi.org/10.1007/s00059-015-4360-x

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