Affect Patient Satisfaction Research Articles

Determination of Loyalty Through Mediation of Patient Satisfaction at Indriati Boyolali Hospital

This study aims to reveal the influence between CRM, SST, customer satisfaction and loyalty variables with the mediation of patient satisfaction in outpatients of Indriati Boyolali Hospital. This research used a quantitative descriptive approach—data collection using questionnaires, observations and documentation. The research location was Indriati Boyolali Hospital which is located at Jl. Raya Boyolali-Semarang No.KM. 02, Mojosngopermai, Mojosongo, Boyolali District, Boyolali Regency, Central Java. In conducting this study, the time needed was six months, and the sample of respondents was 230 outpatients at Indriati Boyolali Hospital. Some of the following conclusions Customer relationship marketing affects patient loyalty. Customer Relationship Marketing affected Patient Satisfaction. Self Service Technology affected Patient Loyalty, Self Service Technology affected Patient Satisfaction, Patient Satisfaction affected Patient Loyalty, and Patient Trust as an Intervening Variable did not affect patient loyalty. Customer Relationship Marketing affected patient commitment with patient satisfaction mediation. Self Service Technology affected patient loyalty with patient satisfaction mediation.

Determinants of Patient Satisfaction with Health Care: A Literature Review

Abstract This research paper aims to explore the field of patient satisfaction in health care, by performing a literature review on existing healthcare articles that analyse determinants of patient’s satisfaction and theories on patient satisfaction assessment. Patient satisfaction is one of the most important factors to determine the success of health care providers. Determining the exact definition, determinants and characteristics of patients that influence satisfaction, as well as different theories on satisfaction, are highly discussed elements in the literature for a long period of time. The research instrument was a literature review by combining different view from many researchers. The literature was searched in databases such as Emerald, Medline/PubMed, Web of Science, ScienceDirect, Scopus. Patient satisfaction appears to play an important role in evaluation of service quality. From the literature review, it was observed that the main determinants of patient satisfaction were the demographic characteristics, expectations and experiences of the patients. Communication is also an extremely important element that affects patient satisfaction. Other research should be conducted to delve even more into this very important area of health care.

Levels and predictors of patient satisfaction during flexible bronchoscopy procedures.

Flexible bronchoscopy (FB) is a safe and commonly performed procedure in pulmonary medicine. Bronchoscopy literature mainly focusing on technical aspects. However, data on patients satisfaction and bronchoscopy is rare. To evaluate levels and factors affecting patient satisfaction with flexible bronchoscopy (FB). This prospective study, conducted between June 2017 and May 2019 at King Abdulaziz University Hospital (Jeddah, Saudi Arabia), included all consecutive diagnostic bronchoscopies for adult patients. Patient willingness to return for another bronchoscopy (definitely not, probably not, unsure, probably would, or definitely would) was used as the indicator of satisfaction. Patients ranked their experiences with doctors, nurses, and process of care using a 5-choice scale (poor, fair, good, very good, or excellent). A total of 351 patients participated in this study. Overall, patients were highly satisfied with their doctors, nurses, and process of care. However, only 34.1% of patients indicated that they would return for another FB if necessary. Predictors of return for FB were younger age (<65 years), university education, use of midazolam and higher doses of fentanyl >100 mcg, and inpatient setting. Logistic regression demonstrated that younger age (P = 0.005) and inpatient setting (P = 0.02) were significantly linked to willingness to return for bronchoscopy. Patient satisfaction with bronchoscopy was lower in our study compared to other studies, despite high ratings of doctors' and nurses' skills. Elderly patients and patients with outpatient bronchoscopies were less likely to return and should therefore be approached with extra care. Physicians can improve FB-related patient experiences by decreasing discomfort during bronchoscope insertion and by improving topical anesthesia.

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

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 ...

Patient Satisfaction in the Inpatient Room of the Management Board of Arifin Nu'mang General Hospital

Patient satisfaction with the health services provided is influenced by satisfaction with services (medical, nursing, nutrition, laboratory, radiology, administration), environment and facilities available. The better the health services provided by a hospital, the more satisfying the patient as a service recipient is expected, although basically client satisfaction with the services provided is a subjective value of the quality of service provided and received by the client. Although this subjective value is strongly influenced by various factors, client satisfaction will still be based on the truth and objective reality experienced by clients when receiving services at the Hospital. The purpose of this study is to determine the factors that affect patient satisfaction in the inpatient room of the Arifin Nu'mang General Hospital Management Agency.&#x0D; The type of research used is descriptive research, which explains something or some circumstances (Azwar &amp; Prihartono, 2013). This study uses a cross sectional design that reveals the relationship between the independent variable and the dependent variable (Nursalam &amp; Pariani, 2001). This study was conducted to see Analyst factors affecting patient satisfaction in the inpatient room of Arifin Nu'mang Regency General Hospital Management Agency. The result is After data collection and analysis of existing data, it can be seen that in general patients in the Inpatient Room of the Management Board of the Arifin Nu'mang General Hospital said they were satisfied with the services provided. This can be seen in the data that 90% of respondents said they were satisfied and only 10% were not satisfied. The conclusion of this study is that there is a significant relationship between hospital services and patient satisfaction in the inpatient room of Arifin Nu'mang General Hospital Management Agency.

How Back Pain Affects Patient Satisfaction After Primary Total Knee Arthroplasty

BackgroundAlthough back pain (BP) has been shown to be a predictor of dissatisfaction after total knee arthroplasty (TKA) in some reports, these studies did not use a scale to quantify the degree of pain. The purpose of this study was to quantify the effect of BP intensity on patient satisfaction reported at 1 year after TKA. MethodsA multicenter prospective cohort was taken in which 9,057 patients undergoing primary unilateral TKA were enrolled in FORCE-TJR and demographic and clinical data were collected. Back pain (BP) intensity was assessed using the Oswestry back disability index (ODI) pain intensity questionnaire. Patients were classified into 4 categories based on the severity of BP. Patient-reported outcomes (PROs) were collected preoperatively and postoperatively after 1 year including the Knee injury and Osteoarthritis Outcome Score (KOOS) (total score, pain, Activities of Daily Living (ADL), and Quality of Life (QOL), Short-Form health survey 36-item (SF-36) Physical Component Score (PCS), and Mental Component Score (MCS)). We used a validated 5-point Likert satisfaction scale. Univariate analyses of the difference between the satisfied and dissatisfied patients’ groups was performed. Multivariate logistic regression models with 95% confidence interval (CI) were used to quantify the effect of BP intensity on patient dissatisfaction at 1 year. Receiver operating characteristic (ROC) analyses were performed with measurement of area under curve (AUC). ResultsAt 1 year, a total of 1,657 TKA patients (18.3%) were dissatisfied. A total of 4,765 patients (52.6%) reported back pain at the time of surgery, including mild BP in 2,264 patients (24.9%), moderate BP in 1,844 patients (20.3%), and severe BP in 657 patients (7.2%). Severe back pain was significantly associated with patient dissatisfaction at 1 year after TKA (P = .0006). The multivariate regressions showed that patients who had severe BP were 1.6 times more likely to be dissatisfied when compared to patients who had no BP [odds ratio (OR) 1.63; 95% confidence interval (CI) (1.23-2.16), P = .0006]. While patients who had mild BP [OR 0.98; 95% CI (0.82-1.17), P = .87] or moderate BP [OR 0.97; 95% CI (0.80-1.18), P = .78] were not associated with an increased likelihood of dissatisfaction. Other predictive variables for dissatisfaction, include age [OR for younger patients <65 years versus older patients ≥65 years, 0.74; 95% CI (0.59-0.92)], educational level [OR for post high school versus less, 0.83; 95% CI (0.71, 0.97)], smoking [OR for nonsmoker versus current smoker, 0.63; 95% CI (0.45, 0.87)], and Charlson comorbidity index [OR for CCI ≥2 versus 0, 1.25; 95% CI (1.05, 1.49)]. ConclusionIncreased BP intensity was associated with increased risk of dissatisfaction 1 year after TKA. Only patients who had severe BP were 1.6 times more likely to be dissatisfied. The data presented here can help to improve shared decision-making and patient counseling before surgery. Surgeons should consider a spine evaluation in patients who have severe BP prior to TKA.

Hubungan Respon Time Perawat Dengan Kepuasan Pasien Di Instalasi Rawat Jalan RS X

Response time is the time in receiving health services when the patient registers until he arrives at the polyclinic and is checked by the nurse quickly and accurately. Response time can affect patient satisfaction based on the fulfillment of health services. This study aims to determine The Relationship between Nurse Response Time to Patients in the Outpatient Installation of Budhi Asih Hospital. The research design used a descriptive-analytic design with the cross-sectional method. The sampling technique in this study used accidental sampling with 170 respondents as a sample of patients in outpatient installations, namely internal medicine, surgery, and pulmonary polyclinics. The instruments used are questionnaires and nurse response time observation sheets and patient satisfaction questionnaires. Response Time of nurses as many as 92 respondents (54.1%) was "fast" that is ≤60 minutes and the satisfaction level of 101 respondents (59.4%) was "satisfied". The Chi-Square results obtained pValue 0.000&lt;0.05, this indicates a relationship between nurse response time and patient satisfaction in the outpatient installation of Budhi Asih Hospital. It is expected that there will be additional nurse human resources so that it can increase the nurse's response time in carrying out nursing care and patient satisfaction will be even better with the health services obtained.

Yeni Açılan Acil Laboratuvar ile ilgili Sağlık Personeli Memnuniyet Anketi

This research was conducted to examine the effects on medical personnel of the newly established emergency laboratory in the emergency service of Sakarya Training and Research Hospital. In the study, all medical personnel working in the emergency service were used as material. The survey technique was used as a quantitative research method for data collection. A question form was created for the "Medical Personnel Satisfaction Survey". The research is a survey study. The content of the survey consisted of 5 questions. The data obtained were evaluated with the SPSS 22.0 package program. A total of 78 people, 16 of whom were assistants, 2 specialists, 1 faculty member, 39 nurses and 20 other medical personnel, participated in the survey study. To the question "Did it affect patient satisfaction positively", 93% of the participants answered yes. To the question "Did it cause the test results to come out faster", 97% of the participants answered yes. To the question "Did it shorten the duration of patients' stay in the emergency room?", 69% of the participants answered yes. According to this survey, the participants were found important in terms of gender (p

A The Determinant Factors of Patient Satisfaction among Outpatient and Inpatient Services in A Type B Hospital in Indonesia

Healthcare providers have made various efforts to increase patient and community satisfaction with health services. However, large sample size studies have not been conducted to investigate the determinants of community stratification in Indonesia. This research aimed to analyze determinant factors affecting patient satisfaction in a type B hospital. A cross-sectional with an online survey was used and analyzed with path analysis. A total of 884 participants were recruited with the criteria that all respondents were patients aged 17 years and over who visited the inpatient and outpatient hospital. Overall, the value service satisfaction was very good (scored 87.44 score). Moreover, online service directly increased by age (b = 0.68; 95% CI = 0.08 to 1.27; p = 0.026), gender (b = 0.82; 95% CI = 0.15 up to 1.49; p = 0.016), and education level (b = 1.76; 95% CI = 0.86 to 2.66; p &lt;0.001). Moreover, service costs are directly affected by employment (b = 0.67; 95% CI = 0.92 to 1.26; p = 0.023); and product-specific services were directly affected by age (b = 0.74; 95% CI = 0.20 to 1.29; p = 0.008). These findings suggest that education, gender, and age directly affect online services as an indicator of satisfaction.

Analysis of the Influence of Flying Doctor Programs in Handling Stunting on Patient Satisfaction at Public Health Centre Panyabungan Jae District Mandailing Natal

This study aims to analyze the effect of the implementation of the flying doctor program in handling stunting on patient satisfaction at the Panyabungan Jae Public Health Center Mandailing Natal Regency. This research is a quantitative study with a cross-sectional study design conducted at the Panyabungan Jae Public Health Center Mandailing Natal Regency in September-October 2022. Data were analyzed using the Chi Square test and logistic regression. The results of the univariate study showed that out of 67 respondents, the majority were aged 26-35 years, namely 31 (46.3%), had high school education, namely 35 (52.2%), worked as housewives, namely 37 (55.2%). Bivariate results showed that there was an effect of flying doctor communication (p=0.000), there was an effect of flying doctor responsiveness in handling stunting (p=0.028), provision of education in stunting management (p=0.000), competency in stunting management on patient satisfaction at the Panyabungan Public Health Center Mandailing Natal Regency for 2022 (p=0.000). The multivariate results show that the variable that influences patient satisfaction at the Panyabungan Jae Public Health Center Mandailing Natal Regency in 2022, is the variable providing education. The conclusion in this study is that all research variables in this study, namely communication of flying doctors, responsiveness, provision of education and competence affect patient satisfaction at the Panyabungan Jae Health Center, Mandailing Natal Regency, and the variables of providing education are the most influential (p = 0.000 OR = 10.935).

Patient Satisfaction with Virtual Clinic Encounters: Analysis of Factors that Impact the Press Ganey Survey in the Hand Surgery Population

Our purpose was to identify patient characteristics and visit components that affect patient satisfaction with virtual new patient visits in an outpatient hand surgery clinic as measured by the Press Ganey Outpatient Medical Practice Survey (PGOMPS) total score (primary outcome) and provider subscore (secondary outcome). Adult patients evaluated through virtual new patient visits at a tertiary academic medical center between January 2020 and October 2020 who completed the PGOMPS for virtual visits were included. Data regarding demographics and visit characteristics were collected via chart review. Factors associated with satisfaction were identified using a Tobit regression model on the continuous score outcomes (Total Score and Provider Subscore) to account for substantial ceiling effects. A total of 95 patients were included: 54% were men and the mean age was 54 ± 16 years. Mean area deprivation index was 32 ± 18, and the mean driving distance to the clinic was 97 ± 188 mi. Common diagnoses include compressive neuropathy (21%), hand arthritis (19%), hand mass (12%), and fracture/dislocation (11%). Treatment recommendations included small joint injection (20%), in-person evaluation (25%), surgery (36%), and splinting (20%). Multivariable Tobit regressions showed notable differences in satisfaction by the provider on the Total Score but not on the Provider Subscore. Other factors known to affect the PGOMPS scores for in-person visits were not notably associated with the Total or Provider Sub-Scores for virtual visits (area deprivation index, age, and offer of surgery or injection) other than the body mass index. Virtual clinic visit satisfaction was affected by the provider. Wait time strongly affects satisfaction with in-person visits but is not accounted for by the PGOMPS scoring system for virtual visits, which is a limitation of their survey. Further work is required to determine how to improve the patient experience with virtual visits. Prognostic IV.

Patient satisfaction following dental implant treatment: A survey.

This aim of this cross-sectional study was to investigate the factors associated with patient satisfaction in patients with a dental implant-supported single crown or fixed prosthesis. One hundred and ninety-six patients with dental implants functioning more than 1year were provided with a 13-question questionnaire to report their satisfaction regarding the functional aspects, aesthetic outcome, cleansing ability, general satisfaction, treatment cost, and overall satisfaction. Patient satisfaction was reported using a visual analogue scale (VAS). The association of these variables and each aspect of satisfaction were investigated by multivariate linear regression analysis. One hundred forty-four of 196 patients reported high overall satisfaction (VAS > 80%). All aspects of patient satisfaction levels were very high (mean VAS > 80%), except for satisfaction in cleansing ability and treatment cost (mean VAS < 75%). The patients with a history of implant failure had significantly lower satisfaction in the functional aspects, aesthetic outcome, and general satisfaction than patients without implant failure (p≤ 0.001). The subjects who experienced mechanical complication were less satisfied with treatment cost (p= 0.002). Sinus augmentation negatively affected functional satisfaction compared with individuals without sinus augmentation (p= 0.041). The subjects with a higher income or a posterior implant had significantly higher overall satisfaction (p= 0.003 and p< 0.001, respectively). Moreover, restoration by specialists positively affected general satisfaction compared with being restored by post-graduate students (p= 0.01). Patients restored with a dental implant-supported single crown or fixed prosthesis had very high patient satisfaction. Implant failure, mechanical complication, and sinus augmentation negatively affected patient satisfaction in multiple aspects. In contrast, the factors positively affecting patient satisfaction were a posterior implant, patient's monthly income, and restoration by specialists. These results have to be interpreted with care due to the cross-sectional study design.

Comparison between passive knee kinematics during surgery and active knee kinematics during walking: A preliminary study.

Recovery of function is among a patient's main expectations when undergoing total knee arthroplasty (TKA). However, normal gait knee function is not always completely restored, which can affect patient satisfaction and quality of life. Computer-assisted surgery (CAS) allows surgeons to evaluate passive knee kinematics intra-operatively. Understanding associations between knee kinematics measured during surgery and during daily activities, such as walking, could help define criteria for success based on knee function and not only on the correct alignment of the implant or the leg. This preliminary study compared passive knee kinematics measured during surgery with active kinematics measured during walking. Eight patients underwent a treadmill gait analysis using the KneeKG™ system both before surgery and three months afterwards. Knee kinematics were measured during CAS both before and after TKA implantation. The anatomical axes of the KneeKG™ and CAS systems were homogenised using a two-level, multi-body kinematics optimisation with a kinematic chain based on the calibration measured during CAS. A Bland-Altman analysis was performed before and after TKA for adduction-abduction angle, internal-external rotation, and anterior-posterior displacement over the whole gait cycle, at the single stance phase and at the swing phase. Homogenising the anatomical axes between CAS and treadmill gait led to limited median bias and limits of agreement (post-surgery -0.6 ± 3.6 deg, -2.7 ± 3.6 deg, and -0.2 ± 2.4 mm for adduction-abduction, internal-external rotation and anterior-posterior displacement, respectively). At the individual level, correlations between the two systems were mostly weak (R2 < 0.3) over the whole gait cycle, indicating low kinematic consistency between the two measurements. However, correlations were better at the phase level, especially the swing phase. The multiple sources of differences did not enable us to conclude whether they came from anatomical and biomechanical differences or from measurement system errors.

Topical Nitroglycerin Ointment Reduces Mastectomy Flap Necrosis in Immediate Autologous Breast Reconstruction.

Mastectomy flap necrosis (MFN) is a common complication of immediate breast reconstruction that greatly affects patient satisfaction and cosmetic outcomes. Topical nitroglycerin ointment, with its low cost and negligible side effects, has been shown to significantly decrease the incidence of MFN in immediate implant-based breast reconstruction, but its utility has not been studied in immediate autologous reconstruction. With institutional review board approval, a prospective cohort study was performed of all consecutive patients undergoing immediate free-flap breast reconstruction by a single reconstructive surgeon at a single institution between February of 2017 and September of 2021. Patients were divided into two cohorts: those who received 30 mg of topical nitroglycerin ointment to each breast at the conclusion of the operation (September of 2019 to September of 2021) and those who did not (February of 2017 to August of 2019). All patients underwent intraoperative SPY angiography, and mastectomy skin flaps were débrided intraoperatively based on imaging. Independent demographic variables were analyzed, and dependent outcome variables included mastectomy skin flap necrosis, headache, and hypotension requiring removal of ointment. A total of 35 patients (49 breasts) were included in the nitroglycerin cohort and 34 patients (49 breasts) were included in the control group. There was no significant difference in patient demographics, medical comorbidities, or mastectomy weight between cohorts. The rate of MFN decreased from 51% in the control group to 26.5% in the group that received nitroglycerin ointment ( P = 0.013). There were no documented adverse events associated with nitroglycerin use. Topical nitroglycerin ointment significantly decreases the rate of MFN in patients undergoing immediate autologous breast reconstruction without significant adverse effects. Therapeutic, II.

Patient Satisfaction With Medical Care for Chronic Low Back Pain: A Pain Research Registry Study.

The process and outcomes of delivering medical care for chronic low back pain might affect patient satisfaction. We aimed to determine the associations of process and outcomes with patient satisfaction. We conducted a cross-sectional study of patient satisfaction among adult participants with chronic low back pain in a national pain research registry using self-reported measures of physician communication, physician empathy, current physician opioid prescribing for low back pain, and outcomes pertaining to pain intensity, physical function, and health-related quality of life. We used simple and multiple linear regression models to measure factors associated with patient satisfaction, including a subgroup of participants having both chronic low back pain and the same treating physician for >5 years. Among 1,352 participants, only physician empathy (standardized β, 0.638; 95% CI, 0.588-0.688; t = 25.14; P < .001) and physician communication (standardized β, 0.182; 95% CI, 0.133-0.232; t = 7.22; P < .001) were associated with patient satisfaction in the multivariable analysis that controlled for potential confounders. Similarly, in the subgroup of 355 participants, physician empathy (standardized β, 0.633; 95% CI, 0.529-0.737; t = 11.95; P < .001) and physician communication (standardized β, 0.208; 95% CI, 0.105-0.311; t = 3.96; P < .001) remained associated with patient satisfaction in the multivariable analysis. Process measures, notably physician empathy and physician communication, were strongly associated with patient satisfaction with medical care for chronic low back pain. Our findings support the view that patients with chronic pain highly value physicians who are empathic and who make efforts to more clearly communicate treatment plans and expectations.

Factors affecting patient satisfaction in the emergency department

Aim: The aim of the present study was to investigate patient satisfaction level and affecting factors in the Emergency Department of Ondokuz Mayıs University Hospital, and to contribute to improvements planned to be performed in the future in this regard. Methods: This study was carried out between 01/01/2018 and 03/30/2018 using the revised version of the questionnaire that was used in the study conducted in 2008 in the Emergency Department of Ondokuz Mayıs University Hospital. In the revised version, the questionnaire was applied to both outpatients and inpatients. Results: A total of 18,034 patients applied to the Emergency Department of Ondokuz Mayıs University Hospital during the study period and 284 of whom were followed-up as in patients in the emergency observation unit. The study was carried out with 565 randomly selected patients meeting the inclusion criteria. Of these patients, 187 (33.10%) were treated in the emergency observation unit and 378 (66, 90%) were treated in the emergency outpatient clinic. The rate of the patients who stated that they were satisfied with the service they received was 80.4% (304) in those receiving treatment in the emergency outpatient clinic while 88.2% (1165) in those receiving treatment in the emergency observation unit. Conclusion: Behaviors of nurses and physicians as well as their care and interventions were determined to be the most influential factors on patient satisfaction. In addition, it was revealed that there was a negative correlation between satisfaction and patient education level, where as a positive correlation between satisfaction and patient age and inpatient follow-up.

The Relationship Between Service Quality and Patient Satisfaction at the Neurology Polyclinic of Mohammad Natsir Hospital

Quality health services are the needs and desires of every patient. Patient satisfaction is related to the quality of service they receive. This study analyzed the relationship between service quality and patient satisfaction at the neurology polyclinic of the Mohammad Natsir Solok Regional General Hospital (RSUD). Service quality according to Zeithaml et al has five dimensions, namely: Reliability, Assurance, Tangibles (physical evidence), Empathy (empathy), and Responsiveness knew as SERVQUAL. The purpose of this study is to determine the relationship between each dimension of service quality and patient satisfaction and find out the dimensions that most affect patient satisfaction. This research is a quantitative study with a cross-sectional study approach with a total sample of 100 people. Data collection using questionnaires. Data analysis in the form of univariate analysis, bivariate analysis using chi-square, and multivariate analysis using multiple logistic regression. The univariate analysis found that general patient satisfaction with the quality of service was 86% satisfied with the service. Bivariate analysis showed a significant relationship between the dimensions of reliability (p = 0.001), assurance (p = 0.001), tangibles (p = 0.009), empathy (p = 0.001) and responsiveness (p = 0.001) with patient satisfaction. The multivariate analysis found that the dimension that most affected patient satisfaction at the neurology polyclinic of Mohammad Natsir Hospital was the responsiveness dimension (OR = 73,635).

Efficacy of Periarticular Local Infiltrative Analgesic Injection on Postoperative Pain Control and Functional Outcome in Sequential Bilateral Total Knee Replacement: A Prospective Controlled Trial in 120 Consecutive Patients.

One of the drawbacks of total knee replacements (TKR) is the early postoperative pain, which affects patient satisfaction and increases the duration of rehabilitation. The present study analyzes the potency of local infiltrative analgesia and its effect on rehabilitation in bilateral sequential TKRs. The present prospective observational study was conducted on 120 patients undergoing bilateral sequential TKR performed by a single surgeon using an anterior midline incision with a standard medial parapatellar approach. At the end of the surgery, a periarticular cocktail injection was administered to one knee, whereas the other knee served as the control. Postoperatively, patients were assessed for the pain level in each knee based on the visual analog scale (VAS) score and improvement in the range of motion (ROM). Intergroup and intragroup analyses were performed using the unpaired t test and analysis of variance, respectively. A p value of < 0.05 was considered significant. Of the 120 patients, 58% were women and 42% were men with a mean age of 62.14 ± 8.58years. The postoperative mean VAS score was significantly lower in the test knee group than in the control knee group (p < 0.05). The postoperative mean ROM was more in the test group as compared to the control group on days 3 and 7 (p < 0.05), whereas it was comparable on day 14 (p > 0.05). Periarticular injection of a drug combination in patients managed with bilateral TKRs that are done simultaneously reduces the early postoperative pain and improves rehabilitation during the first week after surgery.

Incidence and risk factors of postoperative nausea and vomiting following laparoscopic sleeve gastrectomy and its relationship with Helicobacter pylori: A propensity score matching analysis.

Postoperative nausea and vomiting (PONV) are common after laparoscopic sleeve gastrectomy (LSG), affecting patient satisfaction and postoperative recovery. The purpose of this study was to investigate the incidence and severity of PONV after LSG and the relationship between Helicobacter pylori (HP) and PONV. Patients undergoing LSG in our center from June 1, 2018, to May 31, 2022, were divided into HP-positive and HP-negative groups for retrospective analysis. The independent risk factors of PONV were determined by univariate and binary logistic regression analysis using a 1:1 propensity score matching (PSM) method. A total of 656 patients was enrolled, and 193 pairs of HP-positive and negative groups were matched after PSM. Both groups of patients had similar clinical features and surgical procedures. PONV occurred in 232 patients (60.1%) after LSG, and the incidence of PONV in HP-positive patients was 61.10%. The incidence and severity of PONV were statistically similar in both groups (P=0.815). Multivariate analysis showed that the female sex (OR=1.644, P=0.042), postoperative pain (OR=2.203, P=0.001) and use of postoperative opioid (OR=2.229, P=0.000) were independent risk factors for PONV after LSG, whereas T2DM (OR=0.510, P=0.009) and OSAS (OR=0.545, P=0.008) independently reduced the incidence rate of PONV. There was no difference either in smoking (P=0.255) or alcohol drinking (P=0.801). HP infection did not affect PONV (P=0.678). The incidence of PONV following LSG was relatively high. Female sex, postoperative pain and use of postoperative opioid predicted a higher incidence of PONV. Patients with T2DM and OSAS were less likely to have PONV. There was no clear association between HP infection and PONV after LSG.

Coronal alignment classes after robotic-assisted total knee arthroplasty are not associated with variation in patient-reported outcome measurements: A single-center cohort study

BackgroundThe aims of this study were (1) to use three-dimensional computed tomography (3DCT) measurements to determine whether patients undergoing imageless robotic-assisted total knee arthroplasty (RA-TKA) develop a variety of postoperative distal femoral mechanical angle (FMA), proximal tibial mechanical angle (TMA), and hip-knee-ankle angle (HKA) phenotypes as described by Hirschmann et al, and (2) to compare postoperative patient-reported outcome measurements (PROMs) between these phenotypes. MethodFifty patients with knee osteoarthritis underwent RA-TKA. All surgeries were performed using bicruciate-stabilized TKA. In each case, the postoperative HKA, FMA and TMA were classified into one of Hirschmann’s five FMA, five TMA, and seven HKA phenotype categories. We investigated how these phenotypes affected patient satisfaction, 2011 Knee Society Score (KSS) subscale scores, the Forgotten Joint Score-12 (FJS-12) score, and patella scores with anterior knee pain at a mean of 15.1 months after RA-TKA. ResultsCoronal alignment angles were assigned to three FMA, four TMA, and five HKA phenotypes. The most common FMA, TMA, and HKA phenotypes were valgus FMA 3° (58%), valgus TMA 3° (60%), and varus HKA 3° (38%). The FMA, TMA, and HKA phenotypes showed no significant differences in any PROMs. ConclusionsRA-TKA led to various HKA, FMA and TMA phenotypes in the coronal plane, none of which affected PROMs.