Factors Affecting Patient Satisfaction Research Articles

Exploring the dynamics of physician-patient relationships: Factors affecting patient satisfaction and complaints.

This review identifes the factors influencing the relationship between physicians and patients that can lead to patients' dissatisfaction and medical complaints. Utilizing a systemic approach 92 studies were retrieved which included quantitative, qualitative, and mixed method studies. Through a thematic analysis of the literature, we identified three interrelated main themes that can influence the relationship between physicians and patients, patients' satisfaction, and the decision to file a medico-legal complaint. The main themes include patient and physician characteristics; the interpersonal relationship between physicians and patients; and the health care system and policies, with relevant subthemes. These themes are demonstrated in a descriptive model. The review suggests areas of focus for physicians who may wish to increase their awareness around the potential sources of relational problems with their patients. Identifying these issues may assist in improvements in the therapeutic relationship with patients, can reduce their medico-legal risk, and enhance the quality of their clinical practice. The findings can also be utilized to support andragogical principles for medical learners. The article can serve as a structured framework to identify potential problems and gaps to design and test effective interventions to mitigate these potential relational problems between physician-patient.

Maximum flexion and lateral rollback revealed better patient satisfaction after total knee arthroplasty

IntroductionPatient satisfaction is an important outcome of total knee arthroplasty (TKA). However, we cannot predict how and why patients are satisfied or dissatisfied with TKA. The hypothesis of this study was that patient-reported outcomes (PROs) correlate with in vivo kinematics after TKA.Materials and methodsOne hundred knees were analyzed after TKA. The in vivo kinematics of deep knee bending motion were estimated from single-plane fluoroscopy using a two-to-three-dimensional registration technique. Active knee flexion, femoral rotation and rollback were evaluated. The PROs were obtained after surgery using the 2011 Knee Society Scoring System (KSS), and their relationship with in vivo kinematics was determined.ResultsThe average minimum and maximum flexion were −2.4 ± 7.3° and 113.2 ± 13.6°, respectively. The average femoral rotation was 7.4 ± 3.4°, and the average medial and lateral rollback were 2.4 ± 4.8 mm and 7.2 ± 5.6 mm, respectively. The multiple regression analysis revealed that the maximum flexion angle significantly contributed to symptoms and satisfaction. In addition, lateral rollback was also a significant factor affecting patient satisfaction. Lateral rollback and lateral Anterior-Posterior (AP) position at maximum flexion were correlated with the maximum flexion angle, whereas femoral rotation did not correlate with flexion angles.ConclusionsMaximum flexion and lateral rollback are important for better patient satisfaction after TKA. To obtain the maximum flexion angle, it was necessary to perform the normal kinematic pattern with a large amount of lateral rollback.

Pengaruh Mutu Pelayanan Terhadap Kepuasan Pasien Poliklinik Umum Di RSU Bethesda Gunung Sitoli

Quality is one of the important elements in every health service. Therefore, in providing health services for the community, health service providers must always maintain the quality of services provided. The purpose to be achieved in this study is to analyze the factors that affect the quality of health services on patient satisfaction of the General Polyclinic at Bethesda Gunungsitoli General Hospital. This type of research uses a descriptive analytical survey with a cross sectional design. The population in this study was all patients who came for outpatient treatment at the General Polyclinic at Bethesda General Hospital Gunungsitoli approximately 2235 visits to take smpel using the Accidental sampling method.While the sample amounted to 100 people. Data analysis was carried out by univariate, bivariate and multivariate analysis. Based on the results of  the chi-square  test, it is known that the incidence of hypotension affects  Tangible, Responsiveness, Reliability, Assurance and Empahaty  p = 0.000, meaning that there is Tangible, Responsiveness, Reliability, Assurance and Empahaty to patient satisfaction. From the results of multivariate analysis, it is known that the most influential variable in this study is the Responsiveness variable with an OR value of 15,104. The conclusion in this study is that responsiveness is the dominant factor affecting patient satisfaction at the General Polyclinic at Bethesda General Hospital Gunungsitoli. To be able to improve the quality of services that must be improved, especially security and comfort guarantees for patients such as: completing patient administration, responding quickly to patient complaints, providing drugs quickly and precisely, providing information and quick response in handling patients to be improved to create a patient satisfaction that becomes patient satisfaction at the General Polyclinic at Bethesda General Hospital Gunungsitoli.
  
  

What Factors Affecting Patient Satisfaction?

Raising patient happiness is one of the objectives for raising the bar for healthcare services. It has been demonstrated that people who are happy with the medical care they receive are more likely to heed advice, stay faithful, or stick to treatment regimens. The goal of research at RSUD Kota Padang is to ascertain how competency, interpersonal communication, and service quality affect the happiness of BPJS patients. Associative and descriptive thinking were combined in the quantitative methods employed for this investigation. A purposive sampling procedure yielded a sample size of 100 individuals, and SPSS was utilized as an analysis tool to do multiple linear regression. The results of research indicate that: (1) Patient satisfaction is impacted by competence. (2) Interpersonal communication has a major impact on patient satisfaction. (3) The standard of care greatly affects patient satisfaction.

PENGARUH FAKTOR SOSIAL EKONOMI DAN ASURANSI BPJS PASIEN TERHADAP KEPUASAN PASIEN YANG DIMODERASI KUALITAS PELAYANAN DI PUSKESMAS BITTUANG KECAMATAN BITTUANG KABUPATEN TANA TORAJA

This study aims to determine the influence of socio-economic factors and patient BPJS insurance on service quality and patient satisfaction at the Bittuang Health Center, Bittuang District, Tana Toraja Regency. This research is a type of quantitative descriptive research. The population of this study were patients at the Bittuang Health Center, Bittuang District, Tana Toraja Regency and a sample of 170 respondents. Types of data collection using questionnaires, observation and documentation. Data analysis using multiple regression method. The results of this study indicate that socio-economic factors affect the quality of service at the Bittuang Health Center, Bittuang District, Tana Toraja Regency. BPJS insurance has a positive effect on the quality of service at the Bittuang Health Center, Bittuang District, Tana Toraja Regency. Socio-economic factors affect patient satisfaction at the Bittuang Health Center, Bittuang District, Tana Toraja Regency. And BPJS Insurance has a positive effect on patient satisfaction at the Bittuang Health Center, Bittuang District, Tana Toraja Regency.

Prediction of Consultation Wait Time in Outpatient Clinic: An Approach using Neural Network with Optimized Feature Selection

Outpatient clinics globally grapple with the uncertainty of patient wait times, a critical factor affecting patient satisfaction. Extended waiting periods are often perceived as a hindrance to timely care, generating stress for both patients and healthcare providers. Accurate prediction of patient wait times can substantially improve patient satisfaction by reducing uncertainty. This study aims to predict patient Consultation Wait Time efficiently in a multispecialty hospital outpatient clinic utilizing a Multilayer Perceptron approach. Feature Selection Methods were employed to enhance the predictive efficiency of the model. The study evaluated various performance metrics, including Accuracy, Recall, Precision, F-measure, and Area Under the Receiver Operating Characteristic Curve (AUC). Temporal features, specifically Visit Time and Consultation Start Time, emerged as significant predictors in the model. Additionally, Vitals Examination was identified as a key factor in predicting Consultation Wait Time. Notably, the model incorporating variables selected through Reciprocal Ranking exhibited robust performance in predicting Consultation Wait Times.

Analysis of Factors Affecting Patient Satisfaction of Social Health Insurance Administration Body Participants Non-Beneficiaries of Contribution Assistance at Kasih Ibu Lhokseumawe Hospital Year 2022

<div><table cellspacing="0" cellpadding="0" align="left"><tbody><tr><td align="left" valign="top"><p><em>Patient satisfaction is an important and main thing that must be the attention of health facilities in providing their services. Factors that affect inpatient satisfaction are as follows: doctor services, nursing services, medical support services, administrative services, inpatient room facilities. This study aims to analyze the factors that affect patient satisfaction of Social Security Organizing Agency</em><em> </em><em>Non-</em><em> Beneficiaries of </em><em>Contribution Assistance Recipients participants at Kasih Ibu Lhokseumawe Hospital in 2022. The location of this study was conducted at Kasih Ibu Hospital which is located at Jalan Merdeka No. 17 Lhokseumawe City.The number of samples in the study was 207 hospitalized patients. This study uses multiple logistic regression test analysis with modeling at the level of meaning p < 0.05 and CI (Confidence Interval) and the variables that are model candidates have p values < 0.25. Next to find out the significant variables using a confidence interval of 95% (=0.05). Doctor services, nursing services, drug availability, inpatient room facilities, health worker competency facilities, Nurse service variables are the most dominant variables affecting patient satisfaction of </em> <em>Social Health Insurance Administration Body  participants who are non-recipients of contribution assistance at Kasih Ibu Lhokseumawe General Hospital.</em><em> </em><em></em></p></td></tr></tbody></table></div><strong><em>Keywords : External Factors, Internal Factors,  Patient Satisfication, Participants</em></strong>

Factors affecting patient satisfaction at a plastic surgery outpatient department at a tertiary centre in South Africa

BackgroundThe main purpose of a medical facility is to improve the welfare of patients, and user satisfaction is one of its primary goals. This study aimed to identify variables influencing patient satisfaction at the Plastic Surgery Outpatient Department of Chris Hani Baragwanath Academic Hospital, Gauteng, South Africa. By identifying factors affecting patient satisfaction, the services provided to patients may be improved.MethodsA questionnaire was compiled focusing on patients over 18 years of age and using a Likert scale to measure factors influencing patients’ satisfaction with the services received. Descriptive statistics were applied.ResultsA total of 142 participants, 69% of whom were under age 40 and 52.8% were male, were recruited using a systematic sampling technique. In 78% of cases, this was the patient’s first visit to the clinic. The results revealed that the patients were not satisfied with the ease of appointment scheduling and waiting times. A high level of satisfaction was reported for both nursing staff and doctors, aside from a lack of clear and prominent display of name badges. Overall satisfaction was at the “satisfied” level, and no participants reported lower than neutral feelings. The CSAT score was 79.5%, which is considered “good” for healthcare. The participant’s level of education was significant in multiple items; those with the lowest education reported higher overall satisfaction. A model produced by regression analysis was found to be strongly significant statistically.DiscussionBatho Pele principles in South Africa provide a framework for consulting with service consumers, ascertaining their happiness, and identifying methods to enhance their experience. According to this survey, people are happy with the human part of the services received, although areas such as scheduling appointments and the physical surroundings still need much work.ConclusionThese aspects of treatment are occasionally disregarded in a medical organisation with insufficient finances. Developing these areas can help turn patients into devoted patrons of a healthcare facility. An effective strategy to boost customer satisfaction has been suggested to enhance service quality and, especially in South Africa, conform to Batho Pele service standards.

Preoperative and Postoperative Factors Affecting Patient Satisfaction with Double-Door Laminoplasty for Cervical Spondylotic Myelopathy.

Few articles have investigated patient satisfaction with laminoplasty in patients with cervical spondylotic myelopathy (CSM) alone, excluding other diseases, such as ossification of the posterior longitudinal ligament. In this study, we aimed to investigate patient satisfaction after double-door laminoplasty for CSM and determine the preoperative and postoperative factors that affect patient satisfaction. We retrospectively reviewed cases of laminoplasty for CSM. We measured sagittal imaging parameters (cervical lordosis [CL], C2-C7 cervical sagittal vertical axis [cSVA], and T1 slope [T1S]), Japanese Orthopaedic Association (JOA) score, and patient-reported outcomes (PROs) such as the neck disability index (NDI) and visual analog scale (VAS) preoperatively, 3 months postoperatively, and 1 year postoperatively. In addition, a multiple regression analysis was performed to investigate factors affecting patient satisfaction. Ninety patients were included in the analysis. After surgery, CL decreased significantly (p<0.01), whereas cSVA increased significantly (p<0.01). No significant differences were observed in the preoperative and postoperative T1S values (p=0.61). The JOA, NDI, and VAS scores significantly improved postoperatively (p<0.01). The median patient satisfaction was 85 (range, 12-100) at 1 year postoperatively and 80 (range, 25-100) at 3 months postoperatively. In the multiple regression analysis, lower-extremity sensory disorder in the JOA score at 1 year postoperatively (p<0.01) and VAS scores for neck pain preoperatively and 1 year postoperatively (p=0.01 and p<0.01, respectively) were determined as factors affecting patient satisfaction. Cervical laminoplasty is a useful and satisfactory surgical procedure to restore patient function. However, patients with severe preoperative and postoperative neck pain and those with severe postoperative sensory disorders of the lower extremities may be less satisfied with the procedure. It is important to keep these things in mind when treating patients.

Factors Affecting Patient Satisfaction with Home Healthcare Services Provided by Taif Mental Health Hospital

Factors Affecting Patient Satisfaction with Home Healthcare Services Provided by Taif Mental Health Hospital

PATIENTS SATISFACTION REGARDING CARE PROVISION IN MEDICAL OPD OF A TEACHING HOSPITAL OF SIALKOT

The aim of the study is to evaluate the level of patient satisfaction about medical OPD services and accessibility of SMC Teaching Hospital and to find out the factors affecting patient satisfaction.

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.

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.

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.

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.

Factors Affecting Patient Satisfaction in the UAE’s Healthcare Sector

Factors Affecting Patient Satisfaction in the UAE’s Healthcare Sector

Botulinum toxin-A in the treatment of upper facial wrinkles: efficacy comparison of different formulations

Objective: It is suggested that different formulations of botulinum toxin-A (BoNT-A) used for the same indication might be a factor affecting patient satisfaction. This study aimed to assess patient satisfaction levels in treating upper facial wrinkles (UFW) using various BoNT-A formulations and their association with age and gender. Materials and Methods: This retrospective study included 600 UFW patients treated with different formulations of BoNT-A. The BoNT-A formulations included three different groups: onaBoNT-A (ONA, n:200), aboBoNT-A (ABO, n:200), and praBoNT-A (PRA, n:200).In the patient files or records, satisfaction levels from the BoNT-A application were scored as follows: 1: not satisfied, 2: slightly satisfied, 3: satisfied, 4: very satisfied, 5: completely satisfied. Results: The mean patient satisfaction scores were similar in the ONA and ABO groups, but higher in the PRA group (4.4±0.5 vs. 4.3±0.6 vs. 4.0±0.9, P &lt;0.001, respectively). The mean satisfaction score of the patients aged 18-30 and those aged &gt;60 were lower than the other age groups. Among all patients in the 41-50 age range, the patient satisfaction score was higher in the ONA group than the ABO and PRA group. In all female patients, the mean satisfaction score was lower in the PRA group compared to the ONA and ABO groups (P &lt;0.001), Conclusions: While various BoNT-A formulations are generally associated with high patient satisfaction in the treatment of UFW, this can vary depending on age ranges and gender. Evaluating patient-related factors such as age and gender can contribute to the treatment planning for UFW and enhancing treatment adherence.

Evaluation of bite force, quality of life, and patients' satisfaction in elderly edentulous patients using implant overdentures.

This study aimed to compare the bite force (BF) between complete dentures and implant overdentures (IODs) retained by two mandibular implants. Additionally, we evaluated the quality of life (QoL) and patient satisfaction among individuals using IODs. In addition, the effects of demographic parameters such as age and sex, and clinical parameters such as implant length, implant diameter, attachment height, attachment color, and interimplant distance on BF, QoL, and patient satisfaction were evaluated. A total of 51 edentulous patients rehabilitated with the maxillary complete dentures and mandibular IODs retained by two implants were included in this study. BF was measured using a force meter pre- and post-implant in the same patients. Oral health-related quality of life (OHRQoL) was assessed with the Oral Health Impact Profile (OHIP-14) and patient satisfaction was assessed with the Visual Analog Scale (VAS) questionnaires. It was found that BF values were statistically higher for IODs than complete dentures (P < .001). In terms of attachment height of the OHIP scores, there was a significant difference in the psychological disability and social disability domains (P < .05). When examining the change in patient satisfaction as a function of sex, it was found that mandibular retention satisfaction differed significantly by sex (P < .05), but there was no significant difference in the other domains. Within the limitations of this study, it was observed that the BF increased after the use of IODs. Several factors, including age, interimplant distance, attachment height, and attachment color, were found to impact OHRQoL. Sex and implant diameter were identified as factors affecting patient satisfaction.

Factors Affecting Patient Satisfaction in Dermatology Clinics in Saudi Arabia.

Background A methodical approach to health services called "quality of care" places an emphasis on both interpersonal and technical competence in the delivery of medical care. One of the key elements of high-quality care is the client's or patient's satisfaction, which includes treating them with respect, being aware of their needs, and meeting those needs. Dermatologists are forced to expand service availability and respond to patients' needs and desires as required through satisfaction surveys as a result of an increase in the number of insured patients and demand for services. Methods A cross-sectional study was conducted in Saudi Arabia to measure patient satisfaction with the medical care provided to patients in dermatology clinics affiliated with the government and private hospitalsby recording the responses received from a questionnaire assessing the doctor's attitude, such as whether the dermatologist was punctual and had the patient's medical records. The modified Arabic language digitally administered questionnaire with 17 closed-ended items was used to collect data from respondents. Results In total, 1002 patients, including 70.76% females and 29.24% males, participated in the study; 83.33% of patients visited a dermatology clinic of which 74.61% visited private clinics, and the disease had already developed in 64.55% of patients.A 5-point Likert scale with six statements was used to measure patient satisfaction with the visiting doctor. Overall, the mean score was very high (4.41 ± 0.92). Conclusion According to the results of this study, respect for patients' wishes, emotional support, and physical comfort appear to be the most crucial factors in determining patient happiness. Healthcare systems should strive to achieve a balance in services that not only offer clinically effective care but are also perceived by the patients as acceptable and beneficial. This is true regardless of demographic status.

Factors affecting patient satisfaction during radiology service: a university hospital experience

Factors affecting patient satisfaction during radiology service: a university hospital experience