MP39-11 EFFECT OF GENDER ON PATIENT SATISFACTION SCORES: A SYSTEMIC REVIEW

Abstract

You have accessJournal of UrologyCME1 Apr 2023MP39-11 EFFECT OF GENDER ON PATIENT SATISFACTION SCORES: A SYSTEMIC REVIEW Blake Harp, Sun-Hee Kim, and Werner De Riese Blake HarpBlake Harp More articles by this author , Sun-Hee KimSun-Hee Kim More articles by this author , and Werner De RieseWerner De Riese More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000003277.11AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Patient satisfaction surveys are the largest factor in determining physician reimbursement through Medicare’s Merit Based Incentive Payment System (MIPS). Many papers have demonstrated a scoring bias associated with non-modifiable patient demographics, such as gender. We performed a systemic review across multiple specialties, including Urology, to determine if patient satisfaction scores differ by gender. METHODS: A focused literature search was performed using PubMed with the inclusion criteria “patient satisfaction” AND “age” AND “insurance” AND “gender”. Initially 360 papers were identified. Studies prior to 2007 and non-English studies were removed yielding 237 papers. After reviewing these and other articles using PRISMA guidelines and according to the inclusion and exclusion criteria, 26 articles were identified. Odds Ratios were included from each paper or were calculated using the Practical Meta-Analysis Effect Size Calculator. The Forest Plot, Heterogeneity Test, and Egger’s Test for Publication Bias Test were performed using STATA. RESULTS: A total of 243,124 patients were included from these 26 studies identified in this systemic review. Two studies were in Urology, and the other representative studies were in other surgical specialties such as Otolaryngology, General Surgery, and Orthopedic Surgery. The Odds Ratio for women being more likely to have a higher patient satisfaction score than men was 0.98 (95% CI, 0.964 to 0.997; I2 = 87.2%; P < .001). Egger’s Test for publication bias gave a p-value of 0.295. CONCLUSIONS: Women had lower odds of submitting higher patient satisfaction scores than men. The Odds Ratio is barely significant for a difference being present in this systemic review, and therefore, the difference is likely not relevant. The Egger’s Test did not confirm any relevant bias. In our judgement, these results alleviate any concern that gender might affect patient satisfaction surveys, and therefore, physician reimbursement.Figures 1 and 2 Source of Funding: None. © 2023 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 209Issue Supplement 4April 2023Page: e539 Advertisement Copyright & Permissions© 2023 by American Urological Association Education and Research, Inc.MetricsAuthor Information Blake Harp More articles by this author Sun-Hee Kim More articles by this author Werner De Riese More articles by this author Expand All Advertisement PDF downloadLoading ...