Abstract
The objective of the study was to establish how patient satisfaction with surgical treatment of Parkinson's disease (PD) has been previously measured, determine whether an ideal patient satisfaction instrument exists, and to define the dimensions of care that determine patient satisfaction with the surgical treatment of PD.A systematic search of four online databases, unpublished sources, and citations was undertaken to identify 15 studies reporting patient satisfaction with the surgical treatment of PD. Manuscripts were reviewed and instruments were categorized by content and method axes. One study was found to utilize two distinct patient satisfaction instruments, which brought the total number of satisfaction instruments assessed to 16. Major factors influencing patient satisfaction were identified and served as a structure to define the dimensions of patient satisfaction in the surgical treatment of PD.Studies used predominantly multidimensional (10/16), rather than global (6/16) satisfaction instruments. Generic (12/16) rather than disease-specific (4/16) instruments were utilized more frequently. Every study reported on satisfaction with outcome and four studies reported on satisfaction with outcome and care. Six dimensions of patient status, outcome and care experience affecting patient satisfaction were identified: motor function, patient-specific health characteristics, programming/long-term care, surgical considerations, device/hardware, and functional independence. At present, no patient satisfaction instrument exists that is disease-specific and covers all dimensions of patient satisfaction in surgery for PD. For quality improvement, such a disease-specific, comprehensive patient satisfaction instrument should be designed, and, if demonstrated to be reliable and valid, widely implemented.
Highlights
BackgroundPatient-reported outcomes are increasingly recognized as meaningful and valid measures of successful care
Manuscripts were excluded if they were review papers, if there was no measurement of patient satisfaction, or if the papers did not involve the surgical treatment of Parkinson's disease (PD)
Each patient satisfaction measurement instrument described in the 15 manuscripts were categorized using the model utilized by Hudak et al [4] for patient satisfaction instrument content and methods
Summary
Patient-reported outcomes are increasingly recognized as meaningful and valid measures of successful care. This is in contrast to traditional surgeon-centered outcome parameters that include morbidity, mortality, complications, and postoperative imaging findings. Patient satisfaction is a type of patientreported outcome distinct from reports of health, disability, and quality of life. Patient satisfaction is a measurement reflecting patients’ perception of outcome of care and has been considered for use in future reimbursement schemes. Satisfaction is not necessarily concomitant with traditional measures of surgical outcomes. There is a complex interplay between preoperative factors, the patientphysician interpersonal relationship, interactions with nurses and other hospital staff, as well as the other, more traditionally measured outcomes that determine patient satisfaction. High satisfaction leads to a high likelihood that a patient will pursue further medical care, promotes patient compliance, and has been linked to decrease the incidence of malpractice suits [1,2,3,4]
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Free) 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call
