Abstract

ObjectiveThe purpose of this study was to assess the association between the psychological well-being and satisfaction of patients with physicians during their hospitalization.MethodsThis cross-sectional study was conducted at a local hospital using the following surveys: Brief Inventory of Thriving (BIT), tool to assess inpatient satisfaction with care from hospitalists (TAISCH) survey, and Erlanger Internal Patient satisfaction survey addressing demographic questions and questions on physicians’ quality of care and etiquette. Mixed linear regression models were created to examine the effect of psychological well-being on patient satisfaction. Models were adjusted for age, race, and gender, and all analyses were performed in R 3.1.1 using the ‘lme4’ package with statistical significance set at p<0.05.ResultsA total of 360 patients were enrolled in this analysis and the mean age of the cohort was 54.5 years. In the unadjusted analysis, each unit increase in BIT score was associated with a 0.3% (95% CI:0.19-0.4, p<0.001) increase in mean satisfaction score using the five-domain questionnaire and a 0.25% (95%CI:0.16-0.34, p<0.01) increase in mean satisfaction score using the TAISCH questionnaire. Multivariable models, after adjusting confounding variables, also showed the direct and statistically significant relationship between patients’ level of psychological well-being and patient satisfaction. Each unit increase in BIT score was associated with a 0.31% (95% CI:0.20-0.43, p<0.001) and 0.26% (95% CI:0.17-0.36, p<0.001) increase in mean satisfaction scores across the five-domain questionnaire and TAISCH questionnaire.ConclusionsThere is a positive correlation between the level of patients’ psychological well-being and satisfaction with his/her physician with a statistical significance. With patient-specific strategies, we can further improve patient rapport with their physicians, resulting in positive patient outcomes.

Highlights

  • Each unit increase in Brief Inventory of Thriving (BIT) score was associated with a 0.3% increase in mean satisfaction score using the five-domain questionnaire and a 0.25% (95%CI:0.16-0.34, p

  • Each unit increase in BIT score was associated with a 0.31% and 0.26% increase in mean satisfaction scores across the five-domain questionnaire and TAISCH questionnaire

  • Several financial gains are possible with high patient satisfaction, such as increased reimbursement, decreased malpractice claims, and so on, the most important aspect of patient satisfaction is better patient outcomes [1]

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Summary

Introduction

Several financial gains are possible with high patient satisfaction, such as increased reimbursement, decreased malpractice claims, and so on, the most important aspect of patient satisfaction is better patient outcomes [1]. Patient satisfaction is mainly attributable to the kindness of physicians and nursing staff in comparison to other aspects of hospitalization such as facility accommodations or quality of food [1]. Several studies have examined physician-related factors that determine patient satisfaction and different interventions based on these studies have been suggested to improve patient satisfaction with their hospitalization [2]. Patient-related factors that determine patient satisfaction have not been examined. Psychological well-being is a multi-dimensional construct composed of: (1) Hedonic elements (experiencing pleasant events) and Eudaimonic elements (feeling good about self and achieving goals); (2) Emotional aspects (positive and negative emotions, happiness, and life satisfaction); and (3) Purposeful aspects addressing autonomy, environmental mastery, personal growth, positive relationship with others, purpose in life, and self-acceptance [3,4]. The study conducted tested all these elements of psychological well-being

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