Background
Hospital patient satisfaction measurement: a brief history
Understanding patient satisfaction
Patient satisfaction and clinical outcomes
Patient satisfaction and operational cost outcomes
Discussion
Can we predict patient satisfaction hospital scores?
Modifiable factors: clinician communication skills
Author (year) | Number of participants | Study design | Questionnaire | Main factors influencing patient satisfaction |
---|---|---|---|---|
Hepner et al. (Hepner et al., 2004) (2004) | 857 | Cross-sectional | Hospital-created for pre-operative clinic | Communication and information provided during pre-operative visit |
Kahn et al. (Kahn et al., 2015) (2015) | 182 | Cross-sectional | HCAHPS | Respect from doctors, doctors listening, nurses’ listening, doctors’ explanations, and attempts to control pain |
Gebremedhn et al. (Gebremedhn & Lemma, 2017) (2014) | 269 | Cross-sectional | Questions on various perioperative experiences | Patient admission status, information about the disease and operation, and operation theater staff attention to the patients’ complaints |
Mira et al. (Mira et al., 2009) (2009) | 23,438 | Cross-sectional | SERVQUAL and additional questions on surgical experience | Information at admission, knowing what type of professional one was dealing with at any given time, informed consent, information about home care after discharge |
Schmocker et al. (Tevis et al., 2015) (2015) | 456 | Cross-sectional | S-CAHPS | Surgeon’s preoperative communication and attentiveness on the day of operation |
Capuzzo et al. (Capuzzo et al., 2005) (2005) | 219 | Cross-sectional | 23-item instrument on patient satisfaction | Kindness and regard of caregivers, feeling safe, and information given by anesthetist |
Heidegger et al. (Heidegger et al., 2002) (2002) | 2348 | Cross-sectional | Psychometric measure on anesthesia care | Information, involvement in decision-making and continuity of personal care by the anesthetist |
Information provision to patients
Author (year) | Number of participants | Study design | Questionnaire | Main factors influencing patient satisfaction |
---|---|---|---|---|
Lemos et al. (Lemos et al., 2009) (2009) | 251 | Cross-sectional | Questions on logistics, and those relating to surgery | At discharge: postoperative pain control, waiting time for surgery, patient changing room conditions 30 days post-surgery: clinical outcome, information given, and postoperative pain control |
Mira et al. (Mira et al., 2009) (2009) | 7899 inpatients, 15,539 outpatients | Cross-sectional | SERVQUAL and additional questions on surgical experience | Inpatient: information at admission, knowing what type of professional one was dealing with, and informed consent Outpatient: informed consent, information about home care after discharge |
Caljouw et al. (Caljouw et al., 2008) (2008) | 307 | Cross-sectional | Leiden Perioperative care Patient Satisfaction questionnaire | How patients were approached and the amount of information they received |
Leinonen et al. (Leinonen et al., 2001) (2001) | 874 | Cross-sectional | Modified Good Nursing Care Scale | Amount of information received and encouragement to ask more questions about unclear matters |
Fung et al. (Fung & Cohen, 2001) (2001) | 30 | Cross-sectional | Questions pre-operative, intra-operative, pre-discharge and post-discharge outpatient anesthesia care | Information received and communication with the physician and staff members |
Oswald et al. (Oswald et al., 2018) (2018) | 292 | Cross-sectional | EORTC-Info-25 | Amount of information received |
Johnson et al. (Johnson et al., 1999) (1999) | 1445 | Cross-sectional | Measures of relative satisfaction with various core aspects of care | Printed discharge information received |
Forsberg et al. (Forsberg et al., 2015) (2015) | 170 | Cross-sectional | Patient’s Perspective questionnaire (QPP) | Personalized information about the surgery and perioperative period |
Otte (Otte, 1996) (1996) | 8 | Qualitative | Semi-structured interviews on outpatient surgical experience | Amount of information received |
Patient expectations and activation
Author (year) | Number of participants | Study design | Questionnaire | Main factors influencing patient satisfaction |
---|---|---|---|---|
Bjertnaes et al. (Bjertnaes et al., 2012) (2012) | 10,912 | Cross-sectional | National patient-experience survey | Patient-reported experiences with nursing services, fulfillment of patient expectations, experiences with doctor services and perceived incorrect treatment |
Bleich et al. (Bleich et al., 2009) (2009) | 33,734 | Cross-sectional | World Health Survey | Patient expectations, health status, type of care, and immunization coverage |
Roseman et al. (Roseman et al., 2013) (2013) | – | Review | – | Patient activation and engagement in their care |
Patient’s reported symptoms
Author (year) | Number of participants | Study design | Questionnaire | Main factors influencing patient satisfaction |
---|---|---|---|---|
Lemos et al. (Lemos et al., 2009) (2009) | 251 | Cross-sectional | Questions on logistics, and those relating to surgery | Post-operative infection and/or inflammation, pain, and surgical outcome |
Capuzzo et al. (Capuzzo et al., 2005) (2005) | 219 | Cross-sectional | 23-item instrument on patient satisfaction | Pain at site of surgery, nausea, and vomiting |
Jamison et al. (Jamison et al., 1997) (1997) | 119 | Cross-sectional | 13-item measure on patient satisfaction | Post-operative pain, perception of physician and nurses concern about patient’s level of pain |
Lehmann et al. (Lehmann et al., 2010) (2010) | 12,276 | Cross-sectional | Questions on perioperative minor adverse | Minor adverse events including nausea, vomiting, sore throat, hoarseness |
Myles et al. (Myles et al., 2000) (2000) | 10,811 | Cross-sectional | Questions on postoperative outcomes | Postoperative pain, nausea and vomiting, and other complications |
Bain et al. (Bain et al., 1999) (1999) | 3408 | Cross-sectional | Questions on information, outcomes, timing, and support services | Post-operative pain |
Physicians skills and behaviors
Author (year) | Number of participants | Study design | Questionnaire | Main factors influencing patient satisfaction |
---|---|---|---|---|
Chung et al. (Chung et al., 1999) (1999) | 345 | Cross-sectional | Visit Specific Patient Satisfaction Questionnaire (VSQ) | Not predicted by technical skills of physicians |
Rhodes et al. (Rhodes et al., 2006) (2006) | – | Systemic Review | – | Maintaining patient privacy |
Operational function of the hospital
Author (year) | Number of participants | Study design | Questionnaire | Main factors influencing patient satisfaction |
---|---|---|---|---|
Bain et al. (Bain et al., 1999) (1999) | 3408 | Cross-sectional | Questions on information, outcome, and timing of events | Waiting times between admission, operation, discharge, and unexpected pain |
Otte (Otte, 1996) (1996) | 8 | Qualitative | Semi-structured interviews | Efficiency of scheduling and planning of their surgery |
Chung et al. (Chung et al., 1999) (1999) | 345 | Cross-sectional | Visit Specific Patient Satisfaction Questionnaire (VSQ) | Efficiency of clinic operation (e.g., scheduling of appointments and waiting time) |
Mazurenko et al. (Mazurenko et al., 2015) (2015) | 12 | Qualitative | Interview on patient experience and satisfaction | Staffing (e.g., nurse to patient ratio), technical infrastructure (e.g., medical records system) and interdisciplinary relationships |
Schoenfelder et al. (Schoenfelder et al., 2010) (2010) | 2699 | Cross-sectional | 23 items on perceived care, demographics, and visit characteristics | Interpersonal manner of medical practitioners and nurses, organization of operations, admittance, and discharge, and perceived length of stay |
Fregene et al. (Fregene et al., 2017) (2017) | n/a | Cross-sectional | Questions on overall satisfaction, fasting times and communication | Waiting times, communication and fasting |
Hart et al. (Hart et al., 1996) (1996) | 118 | Cross-sectional | Questions on preoperative period, attitude of the personnel, and postoperative period | Overcrowded departments and lack of a sufficient number of registered nurses during night shifts |
Interdisciplinary model of care
Author (year) | Number of participants | Study design | Questionnaire | Main factors influencing patient satisfaction |
---|---|---|---|---|
Mazurenko et al. (Mazurenko et al., 2015) (2015) | 15 | Qualitative | Focused group interview | Interdisciplinary relationships, technical infrastructure, and staffing |
Schoenfelder et al. (Schoenfelder et al., 2010) (2010) | 2699 | Cross-sectional | Questions perceived care, patient demographics, and visit characteristics | Interpersonal manner of medical practitioners and nurses, organization of operations, admittance, and discharge, and perceived length of stay |
Non-modifiable factors: demographic and health status predictors
Author (year) | Number of participants | Study type | Main factors associated with higher satisfaction (unless stated otherwise) | |||||
---|---|---|---|---|---|---|---|---|
Age | Gender | Education | Occupation | Health status | Other | |||
Hawkins et al. (Hawkins et al., 2012) (2012) | – | Systematic review | Older (age not specified) | |||||
Capuzzo et al. (Capuzzo et al., 2005) (2005) | 219 | Cross-sectional | Older (> 55 years old) | |||||
Auquier et al. (Auquier et al., 2005) (2005) | 874 | Cross-sectional | Older (> 65 years old) | |||||
Martin et al. (Martin et al., 2017) (2017) | 18,373 | Retrospective | Older (age not specified) | |||||
Maurice et al. (Maurice-Szamburski et al., 2013) (2013) | 390 | Cross-sectional | Older (> 55 years old) | Males | ||||
Teunkens et al. (Teunkens et al., 2017) (2017) | 5424 | Cross-sectional | Older (age not specified) | Males | Higher education | |||
Mira et al. (Mira et al., 2009) (2009) | 23,438 | Cross-sectional | Inpatient: older (age not specified), Outpatient: younger (age not specified) | Inpatient: males, Outpatient: no difference | Lower education | |||
Caljouw et al. (Caljouw et al., 2008) (2008) | 307 | Cross-sectional | Older (> 50 years old) | Males | Household duties or retired (compared to employed) | |||
Capuzzo et al. (Capuzzo et al., 2007) (2007) | 1290 | Cross-sectional | Older (> 70 years old) | Higher health status | ||||
Lehmann et al. (Lehmann et al., 2010) (2010) | 12,276 | Cross-sectional | Lower health status | |||||
Danforth et al. (Danforth et al., 2014) (2014) | 1340 | Retrospective | Older (age not specified) | Males | Lower health status | Taking outpatient narcotics and ED admissions were less satisfied | ||
Schoenfelder et al. (Schoenfelder et al., 2010) (2010) | 2699 | Cross-sectional | Not explained by age | Not explained by gender | ||||
Hamilton et al. (Hamilton et al., 2013) (2013) | 4709 | Cross-sectional | Not explained by age | Not explained by gender | Not explained by health status | |||
Johnson et al. (Johnson et al., 1999) (1999) | 1445 | Cross-sectional | ED admissions were less satisfied | |||||
Abtahi et al. (Abtahi et al., 2014) (2015) | 12,777 | Retrospective | Older (age not specified) | Traveled a greater distance (> 50 miles) |