Factors Affecting Patient Satisfaction Research Articles

IMPROVING PATIENT SATISFACTION SCORES OF RESIDENT-RUN SERVICES IN INPATIENT SETTINGS

TOPIC: Education, Research, and Quality Improvement TYPE: Original Investigations PURPOSE: Patient satisfaction has become one of the most important measures of performance in healthcare that affects value-based purchasing. Many factors affect patient satisfaction, including effective communication by the physician, materials provided by the hospital, quality of the room and food, quietness and cleanliness of the hospital, understanding of the disease process and health literacy, and interaction with nursing and ancillary staff. It is incumbent on residents to understand what contributes to patients’ satisfaction with their care - only then will they be able to have compassionate, therapeutic relationships with patients and engage them as partners, leading to better health outcomes and better compliance. METHODS: Pre-intervention data was collected with a survey that includes 13 questions related to physician’s introduction, communication and experience. The survey questionnaire used was unique and is different from the HCAHPS or Press Ganey survey. A total of 50 patients were recruited from services run by resident physicians, including Cardiology, General Medical Service, Hospitalist Service and Nephrology. The pre-intervention data was analyzed, and a plan formulated that included peer-driven education and a guest lecture that focused on introduction of the resident and providing business cards to patients; discussion of different types of patient-physician interactions, including a mutualistic patient-centered relationship; communication, barriers, and effective ways to communicate; provision of written material on how to address patient concerns, and the importance of treating patients with courtesy and respect. Business cards were produced for the residents who did not have them.After the intervention, the survey was repeated. The aim was to improve the patient satisfaction rate by 5%. RESULTS: Post-Intervention data showed improvement in in-patient satisfaction scores from a mean of 4.1 to 4.74. Post-intervention items that improved included patient recall of doctor’s names, doctors giving cards, doctors taking time to explain the medical condition, doctors listening carefully, doctors explaining new medications, and patient expectations being met (p-values 0.001-0.03). CONCLUSIONS: Patient satisfaction improved significantly after educating internal medicine residents on the importance of patient satisfaction, conducting lectures on communication skills, and providing relevant written material. CLINICAL IMPLICATIONS: Based on these results, residents should be educated routinely on the importance of patient satisfaction and should have workshops to improve their skills. DISCLOSURES: No relevant relationships by Anam Aqeel, source=Web Response no disclosure on file for Taimoor Haider; No relevant relationships by John Pamula, source=Web Response No relevant relationships by Oneeb Sanaullah, source=Web Response

Importance of achieving Scoliosis Research Society-22r minimal clinically important difference for improving patient satisfaction after adult spinal deformity surgery.

Achievement of minimal clinically important differences (MCIDs) in the Scoliosis Research Society-22r (SRS-22r) subdomains represents surgical efficacy. However, whether achievements of MCIDs in SRS-22r domains are associated with long-term satisfaction in patients with adult spinal deformity (ASD) is unclear. This study aimed to elucidate factors affecting patient satisfaction after thoracopelvic corrective fusion surgery in patients with ASD. Data obtained in 187 patients with ASD who underwent extensive corrective fusion surgery from the thoracic spine to the pelvis between 2010 and 2017 and underwent follow-up for 2 years were retrospectively reviewed. The authors investigated the likelihood of achieving MCIDs in the function, pain, self-image, mental health, and subtotal domains 2 years after surgery. The following MCID values were used: function, 0.90; pain, 0.85; self-image, 1.05; mental health, 0.70; and subtotal, 1.05. Multivariate analysis was performed to evaluate factors associated with patient satisfaction 2 years after surgery. The average satisfaction scores in the group that achieved MCID and the group that did not were as follows: 3.97 and 3.37 for function (p < 0.001), 3.66 and 3.51 for pain (p = 0.221), 3.84 and 3.06 for self-image (p < 0.001), 3.82 and 3.28 for mental health (p < 0.001), and 3.96 and 3.30 for subtotal (p < 0.001), respectively. Except for the pain domain, the group that achieved MCIDs showed greater satisfaction than the group that did not achieve MCIDs. On multivariate analysis, factors related to postoperative satisfaction were achievement of SRS-22r self-image (standardization coefficient 0.322, p < 0.001) and function (standardization coefficient 0.179, p = 0.026) MCIDs. Perioperative complications and revision surgery were not related to patient satisfaction. Multivariate analysis demonstrated that achievement of MCIDs in SRS-22r self-image and function domains was significantly associated with postoperative satisfaction. Given that patients with poor preoperative health-related quality of life are more likely to achieve MCIDs in SRS-22r domains, surgeons should carefully consider whether to operate on patients with relatively good baseline health-related quality of life when making surgical decisions.

Birinci Basamak Sağlık Hizmetlerinde Hasta Memnuniyeti: İstanbul İlinde Bir Araştırma

Sağlık çalışanlarının hastalara yönelik tutumları hasta memnuniyetini etkileyen önemli bir etmendir. Bu çalışmanın amacı; birinci basamak aile hekimliği merkezlerine başvuran hastaların memnuniyet düzeylerini ölçmektir. Çalışmanın evrenini Haziran – Temmuz 2017 tarihleri arasında İstanbul İli Avrupa Yerleşkesi’nde bulunan Gaziosmanpaşa, Eyüp, Fatih ve Anadolu Yerleşkesi’nde bulunan Beykoz, Kadıköy, Üsküdar ilçelerindeki 6 aile hekimliği merkezine başvuran ve araştırmaya katılmayı kabul eden, 18 yaş ve üstü 400 hasta oluşturmuştur. Kesitsel nitelikte olan bu çalışmada yüz yüze anket uygulanmıştır. Araştırmada kullanılan veri toplama aracı European Patients Evaluate General/Family Practice (EUROPEP) ölçeği, European Working Party on Quality in Family Practice (EQuiP) tarafından 1999 yılında geliştirilmiş ve 2002 yılında Aktürk ve arkadaşları tarafından Türkçe’ye çevrilmiştir. Çalışmada, analitik ve grafiksel yöntemler kullanılarak normal dağılıma uygunluk kontrolü yapıldıktan sonra tanımlayıcı istatistikler, bağımsız örneklem t test ve tek yönlü ANOVA kullanılmıştır. Elde edilen veriler IBM SPSS 22.0 programı ile analiz edilmiş, sonuçlar %5 anlamlılık seviyesinde yorumlanmıştır. Araştırma sonucunda memnuniyet ve memnuniyetsizlik düzeyleri ölçülerek, hastaların aile hekimlerinin iletişiminden beklentileri ve açığa çıkan sorunları saptanmıştır. Elde edilen sonuçlara göre kayıt ve bilgilerinizi gizli tutması sorusu en yüksek ortalamaya 4,14±0,85 sahip soru olarak bulunurken, en düşük ortalamaya 3,11±1,50 sahip soru doktorunuza telefonla ulaşabilmeniz olarak bulunmuştur. Birinci basamak aile hekimliği merkezlerine başvuran hastaların sosyodemografik özelliklerinden yaş, eğitim ve yerleşke ortalamalarına göre anlamlı bir farklılık olduğu bulunmuştur (p&amp;lt;0,05). Sonuç olarak; Avrupa Yerleşkesi’nde aile hekimliği hizmeti alan hastaların memnuniyet oranının, Anadolu Yerleşkesi’ndeki hasta memnuniyet oranından daha yüksek olduğu saptanmıştır.

The Majority of Complaints About Orthopedic Sports Surgeons on Yelp Are Nonclinical

PurposeTo examine and characterize extremely negative Yelp reviews of orthopedic sports surgeons in the United States.MethodsA search for reviews was performed using the keywords “Orthopedic Sports Medicine” on Yelp.com for 8 major metropolitan areas. Single-star reviews were isolated for analysis, and individual complaints were then categorized as clinical or nonclinical. The reviews were classified as surgical or nonsurgical.ResultsA total of 11,033 reviews were surveyed. Of these, 1,045 (9.5%) were identified as 1-star, and 289 were ultimately included in the study. These reviews encompassed 566 total complaints, 133 (23%) of which were clinical, and 433 (77%) of which were nonclinical in nature. The most common clinical complaints concerned complications (32 complaints; 6%), misdiagnosis (29 complaints; 5%), and uncontrolled pain (21 complaints; 4%). The most common nonclinical complaints concerned physicians’ bedside manner (120 complaints; 21%), unprofessional staff (98 complaints; 17%), and finances (78 complaints; 14%). Patients who had undergone surgery wrote 47 reviews that resulted in 114 complaints (20.5% of total complaints), whereas nonsurgical patients were responsible for 242 reviews and a total of 452 complaints (81.3% of total complaints). The difference in the number of complaints by patients after surgery and patients without surgery was statistically significant (P < 0.05) for all categories except for uncontrolled pain, delay in care, bedside manner of midlevel staff, and facilities.ConclusionOur study of extremely negative Yelp reviews found that 77% of negative complaints were nonclinical in nature. The most common clinical complaints were complications, misdiagnoses and uncontrolled pain. Only 16% of 1-star reviews were from surgical patients.Clinical RelevancePatients use online review platforms when choosing surgeons. A comprehensive understanding of factors affecting patient satisfaction and dissatisfaction is needed. The results of our study could be used to guide future quality-improvement measures and to assist surgeons in maintaining favorable online reputations.

Influencing Factors of Outpatients' Satisfaction in China a Cross-Sectional Study of 16 Public Tertiary Hospitals.

PurposeThis study aimed to analyze the status of patient satisfaction in outpatients of tertiary hospitals and the factors affecting patient satisfaction, in order to provide a scientific basis for improving patient satisfaction.MethodsA total of 6480 surveys of outpatients were conducted by a cross-sectional study in 16 tertiary hospitals in the Zhejiang province of China. The main contents of the survey were the basic characteristics of patients. Statistical description, single-factor analysis and binary logistic regression analysis were used to screen influencing factors.ResultsResults of this study showed that the total satisfaction score of outpatients was 87.13±13.47, and higher scored factors in the survey factors were nursing level, the convenience of registration and convenience of appointment diagnosis and treatment. The factors with lower scores were treatment effect, environmental sanitation and comfort and other staffs’ attitudes. Hospital managers should pay attention to the improvement of treatment level, environmental sanitation and comfort and other staffs’ attitudes.ConclusionIn the process of serving outpatients, doctors should pay more attention to patients who are male, 31–45 years old or over 60 years old, permanent residents, from public institutions, possessed postgraduate education, without medical insurance, and who visiting paediatrics and Chinese medicine hospitals.

Factors Affecting Patient Satisfaction in Breast Reduction Surgeries: A Retrospective Clinical Study.

Breast reduction surgeries increase the individual's comfort of life by eliminating the problems caused by breast hypertrophy. We aimed to evaluate the effects of patients' demographic and operational data on satisfaction by using Breast-Q Questionnaire. Breast-Q Questionnaire breast reduction module was applied to patients who had undergone breast reduction surgery by a single surgeon between 2016 and 2020 and who agreed to participate in the study. Demographic and operational data and Questionnaire results were analyzed with the help of SPSS Statistics V21.0 program by considering p < 0.05 as significant. Of the 94 patients who had undergone surgery, 52 who agreed to fill in the questionnaire were included in the study. Mean age was 39 and mean body mass index was (BMI) 28.6 kg/m2. Forty eight (92.3%) patients had undergone surgery for noncosmetic reasons. Significant differences were found between the physical well-being scores of the participants whose BMI was <25 and those whose BMI was >30. It was found that physical well-being (p= 0.001) and the amount of tissue removed increased with the increase in BMI (p = 0.018). No association was found between the tissue removed, the change in bra sizes and satisfaction. Satisfaction with outcome of surgery was found as 84.51% ± 24.28. Linear association was found between pre-information given and Breast-Q scores (p < 0.001). In our study, it was found that the tissue removed, breast size and the change in bra size had no effect on patient satisfaction. Being informed was found to be directly related to satisfaction. Providing sufficient information, understanding the expectations and obtaining the desired cosmetic results is important. Although physical complaints are at the forefront in the decision of surgery, aesthetic appearance is more effective in being satisfied with the surgery. A breast the weight of which is reduced through breast reduction and which looks aesthetically beautiful can only please the patient. Level of Evidence IV This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .

P95 Preliminary Findings on Patient Satisfaction with Telepsychiatry – A Systematic Review

IntroductionDuring the COVID-19 pandemic, mental health services have been presented with the unique challenge of providing effective and safe patient care whilst maintaining safety regulations. Telepsychiatry has emerged as a potential solution to this and is now being used across the UK to diagnose and manage mental health conditions. Evidence has shown that its effectiveness is comparable to face to face consultations, however, is much less clear regarding patient satisfaction. We therefore initiated a systematic review to establish whether patients are satisfied with tele-delivery of psychiatric care, and to identify the predictors of a positive experience with telepsychiatry.MethodsA preliminary search was performed using five databases (MEDLINE, EMBASE, Cochrane Library, CINAHL, PsycINFO), with a date restriction between 2010-2020 to reflect advances in technology over the past decade.ResultsPreliminary data shows that patient views on telepsychiatric services are largely positive. Factors that arose in literature potentially affecting this include location, cost, privacy, digital literacy and technological issues including audio/video quality.ConclusionOur study so far shows that patient views on telepsychiatry are generally positive. The review is still in process, however, we anticipate that it will only further support our preliminary findings. These findings will be used to improve patient-centred delivery and provision of telepsychiatric services. We intend to produce a checklist of factors affecting patient satisfaction and test this in a national multicentre study. We are hoping that the study results and the resulting checklist will encourage greater patient involvement in setting up and delivering telepsychiatric services.

Benefits and side effects of prisms in the management of diplopia in adults: a prospective study

To analyze the various factors affecting patient satisfaction with prism glasses in adults with diplopia. In this prospective case series, the benefits and side effects of prisms and factors affecting prism satisfaction were assessed by means of a questionnaire. A total of 134 patients were included. Overall, 58% of patients were highly satisfied, 22% were somewhat satisfied, and 20% were either neutral, somewhat dissatisfied, or very dissatisfied with prism glasses. Prior history of prism use, amplitude of prisms, comitancy of deviation, and type of lenses worn, had no influence on satisfaction rates. The extent of resolution of diplopia was highly correlated with prism satisfaction (P<0.001), improvement in depth perception (P<0.001), driving (P<0.001), and reading (P<0.008). Up to 22% of the participants noted "bothersome" side effects, including headaches, dizziness, eye strain and pulling (22%), alteration of depth perception (16%), visual distortion (13%), halos (8%), and weight of the prisms (6%). In this cohort of adults with diplopia, prisms were beneficial in treating diplopia of different etiologies, incomitance, and a wide range of deviations. The side effects experienced with prism glasses themselves accounted for patient dissatisfaction in our study.

Effective Analysis of Inpatient Satisfaction: The Random Forest Algorithm.

PurposeTo identify the factors influencing inpatient satisfaction by fitting the optimal discriminant model.Patients and MethodsA cross-sectional survey of inpatient satisfaction was conducted with 3888 patients in 16 large public hospitals in Zhejiang Province. Independent variables were screened by single-factor analysis, and the importance of all variables was comprehensively evaluated. The relationship between patients’ overall satisfaction and influencing factors was established, the relative risk was evaluated by marginal benefit, and the optimal model was fitted using the receiver operating characteristic curve.ResultsPatients’ overall satisfaction was 79.73%. The five most influential factors on inpatient satisfaction, in this order, were: patients’ right to know, timely nursing response, satisfaction with medical staff service, integrity of medical staff, and accuracy of diagnosis. The prediction accuracy of the random forest model was higher than that of the multiple logistic regression and naive Bayesian models.ConclusionInpatient satisfaction is related to healthcare quality, diagnosis, and treatment process. Rapid identification and active improvement of the factors affecting patient satisfaction can reduce public hospital operating costs and improve patient experiences and the efficiency of health resource allocation. Public hospitals should strengthen the exchange of medical information between doctors and patients, shorten waiting time, and improve the level of medical technology, service attitude, and transparency of information disclosure.

Patient satisfaction with outpatient care in China: a comparison of public secondary and tertiary hospitals.

The aims of this study were to investigate and compare patient satisfaction with outpatient care in public secondary and tertiary hospitals in China and to explore the factors affecting patient satisfaction for improving the quality of outpatient care in public hospitals. This cross-sectional study comprised a sample survey of 11 097 adults in 31 provincial cities in China from February to April 2018. A pretested structured questionnaire was used to collect outpatient experience data through a computer-assisted telephone interviewing system. Patient satisfaction was assessed using nine questions answered on a 4-point Likert scale. Multivariate regression models were employed to examine the relationships of patient satisfaction with outpatient services and healthcare provider level and to identify the factors associated with satisfaction. Patient's overall satisfaction score with outpatient care was 27.3 (SD = 3.8), with lower scores observed in tertiary hospitals than in secondary hospitals (27.3 vs. 27.6, P < 0.05). The domain with the highest satisfaction was 'consulting environment', and the domain with the lowest satisfaction was 'patient waiting time in the hospital'. Patients who went to tertiary hospitals reported lower satisfaction in 'patient waiting time in the hospital', 'medical expenses', 'patient length of treatment time' and 'attitudes of other health workers' than patients who went to secondary hospitals (P < 0.05). In secondary hospitals, no significant difference in patient satisfaction was observed between different sociodemographic categories (P > 0.05). In tertiary hospitals, female and single respondents were more likely to have higher satisfaction (P < 0.05), whereas respondents with high school or junior college degrees were more likely to have lower satisfaction (P < 0.05). The aforementioned results suggested that tertiary hospitals face larger challenges in patient satisfaction with outpatient care than secondary hospitals. Measures must be adopted to improve patient satisfaction with outpatient care in future healthcare reforms. Patient waiting time, medical expenses and treatment duration especially require improvements in tertiary hospitals.

The Effect of Femoral Nerve Block and Adductor Canal Block Methods on Patient Satisfaction in Unilateral Knee Arthroplasty: Randomized Non-Inferiority Trial.

Introduction:Femoral Nerve Block (FNB) and Adductor Canal Block (ACB) methods, which are regional analgesic techniques, are successfully used in postoperative pain control after total knee arthroplasty. This study aimed to compare adductor canal block method that was preoperatively used and femoral nerve block method in total knee arthroplasty (TKA) patients who underwent spinal anesthesia in terms of factors effecting patient satisfaction and determine whether these methods were equally effective or not.Methods:A total of 80 patients between the ages of 60 and 75 who were in the American Society of Anesthesia (ASA) physical status of I-III were prospectively included in this randomized study. Patients (n = 40) who received FNB were called Group FNB and patients (n = 40) who received Adductor Canal Block were called Group ACB.Results:Although mean postoperative VAS values were lower in FNB group only in the first hour (p = 0.02) there was no significant difference between the groups in the third, fifth, seventh, ninth, 12th and 24th hours (p≥0.05). Although Bromage scores were lower in FNB group in the first, second, third, fourth and fifth hours there was no statistically significant difference between the groups (p≥0.05). When mobilization time, patient satisfaction level, time of first analgesia, intraoperative sedation need, and recovery time of sensorial block were compared no statistically significant difference was found (p≥0.05).Discussion:When ACB and FNB that are used for postoperative analgesia in patients who undergo total knee arthroplasty are compared in terms of factors affecting patient satisfaction it is observed that they result in the same level (non-inferiority) of patient satisfaction.Conclusion:We recommend the routine use of ACB method with FNB in total knee arthroplasty. More studies focusing especially on measuring patient satisfaction are needed.

Factors Influencing Patient Satisfaction in Dermatology

Background: Patient satisfaction is a proxy for healthcare quality, with physicians evaluated and reimbursed based on patient satisfaction scores. Despite the growing influence of patient satisfaction, factors that impact patient satisfaction in dermatology remain unclear. Methods: We analyzed 225 responses to an online survey evaluating patient expectations, willingness, and satisfaction regarding dermatology appointments. Patient willingness and satisfaction were measured on a 1-5 Likert scale. Results: Respondents were most willing to discuss their condition and to be examined with a dermatoscope. Respondents were least willing to wear a patient gown without underwear and to be photographed. Highly satisfying factors included a written treatment plan, provider medication recommendations, and use of gloves during physical exams. Highly dissatisfying factors included waiting 60 minutes, taking off underwear with a patient gown, and being photographed with a cellphone.Patient willingness and satisfaction differed significantly by gender and age. Male respondents reported less satisfaction than female respondents if a nurse explained the treatment plan. Older respondents were significantly more willing to change into a patient gown, to be photographed, to be examined with a dermatoscope, and to undergo a biopsy than younger respondents. Older and female respondents preferred written plans, while younger and male respondents preferred verbal plans. Younger respondents reported higher satisfaction with an email follow-up compared to older respondents, who preferred a phone call.Conclusion: These findings may represent relatively easy ways to improve patient satisfaction scores. Further insight into factors affecting patient satisfaction may enhance patient experience and engagement, thereby improving clinical outcomes.

Peyroni cerrahisinde hasta memnuniyetine etki eden faktörler.

Özet Amaç: Penil eğriliğin en sık nedeni olan peyroni hastalığı için hala en etkili tedavi yöntemini cerrrahi müdahaleler oluşturmaktadır. Fonksiyonel ve kozmetik sonuçları olan peyroni cerrahisinde hasta memnuniyetine etki eden faktörleri araştırmayı amaçladık. Gereç ve yöntem: 2012-2019 yılları arasında peyroni hstalığı tanısı konulmuş ve peyroni cerrahisi önerilmiş hastaların kayıtları retrospektif olarak incelendi. 1. Yıl kontrollerinde hastaların erektil kapasite, rezidüel / tekrarlayan penil deformite, penil uzunluk ve potansiyel komplikasyonlar açısından preoperatif kayıtları ile birlikte değerlendirildi ve memnuniyet düzeyleri ölçülerek etki eden faktörler araştırıldı. Bulgular: Plikasyon cerrahisi (Grup 1) geçiren 27 hasta, İnsizyon safen ven greft cerrahisi (Grup 2) geçiren 21 hasta saptandı. Grup 1'de hasta memnuniyet %83,33, grup 2'de %67,14 saptandı. Grup 2’de penil kısalma miktarı (2,71±1,41 cm) grup 1’e (1,14±0,91 cm) göre daha fazla gözlendi. Hastaların memnuniyetine etki eden parametreler incelendiğinde; penis boyu kısalmasıyla ( p =0,036), cerrahi öncesi erektil disfonksiyon varlığını belirtmekle (rho-,375, p =0,009), plak varlığıyla ( p =0,002), eşlik eden komorbid hastalık varlığıyla ( p <0,001), şikayet tekrarı varlığıyla ( p =0,006) hasta memnuniyeti arasında negatif korelasyon saptandı. Sonuç: Peyroni hastalığında cerrahi yöntemler en etkili tedavi yöntemleri olarak önerilmektedir. Hastaların postoperatif penil kısalma ve kurvatür rekürrensi açısından preoperatif iyi bir bilgilendirme yapılması hasta memnuniyetlerini arttırabilir.

The most frequently cited factors (and their contribution) of patients’ satisfaction with medical care

The review contains an analysis of the most commonly associated factors with the formation of patient satisfaction with medical care according to international and Russian studies. A comparison of demographic, medical, ethnic, social and institutional factors associated with the formation of patient satisfaction with the medical care provided by the results of international and Russian studies. The sample size contained more than 15,500 scientific publications placed in three search databases, eLibrary, PubMed and Cochrane library. The procedure of content analysis among publications was carried out to assess the frequency of mention of given words. The analysis of frequency of occurrence of publications was carried out by means of search algorithms put in search engines eLibrary. PubMed and Cochrane library, after which the results were processed by parametric statistics methods (StatPlus Pro 5 was used). The data were studied over «all-time» periods and at a three-year search depth. As a result, the most common factors were identified, such as: «personnel», «mental state», «institutional factors», «expecta tions», «attention», «diagnosis», «communications», «joint decisions» and «demographics». When comparing the data obtained in the Russian-language search engine eLibrary and English-language PubMed on the factors associated with the formation of patient satisfaction with medical care, specific differences were revealed. The method of research used in this work allows us to identify not only the factors affecting patient satisfaction, as well as the level of interest of researchers to certain aspects of the problem. It seems reasonable and justified to use, in relation to the peculiarities of the model of domestic health care, the identified factors for the development of patient satisfaction management programs, and in fact, for the implementation of effective quality management of medical care.

Why are patients dissatisfied following a total knee replacement? A systematic review

BackgroundAlthough total knee replacement (TKR) is an effective intervention for end-stage arthritis of the knee, a significant number of patients remain dissatisfied following this procedure. Our aim was to identify and assess the factors affecting patient satisfaction following a TKR.Materials and methodsIn accordance with the PRISMA guidelines, two reviewers searched the online databases for literature describing factors affecting patient satisfaction following a TKR. The research question and eligibility criteria were established a priori. Any clinical outcome study that described factors relating to overall satisfaction after primary TKR was included. Quality assessment for the included studies was performed by two accredited orthopaedic surgeons experienced in clinical research.ResultsThe systematic review identified 181 relevant articles in total. A history of mental health problems was the most frequently reported factor affecting patient satisfaction (13 reportings). When the results of the quality assessment were taken into consideration, a negative history of mental health problems, use of a mobile-bearing insert, patellar resurfacing, severe pre-operative radiological degenerative change, negative history of low back pain, no/less post-operative pain, good post-operative physical function and pre-operative expectations being met were considered to be important factors leading to better patient satisfaction following a TKR.ConclusionSurgeons performing a TKR should take these factors into consideration prior to deciding whether a patient is suitable for a TKR. Secondarily, a detailed explanation of these factors should form part of the process of informed consent to achieve better patient satisfaction following TKR. There is a great need for a unified approach to assessing satisfaction following a TKR and also the time at which satisfaction is assessed.

Understanding patient satisfaction and loyalty in public and private primary health care.

Background: The quality of health centers, patient satisfaction, and loyalty are three key factors that enable health care providers to improve their services and cost-effectiveness. This study, therefore, aims to determine patient satisfaction and loyalty in public and private primary health care centers.Design and Methods: Data were obtained from a cross-sectional design of 1470 self-administered questionnaires and analyzed based on mean, standard deviation, and correlation coefficients.Results: The results showed respectively a strong and moderate correlation between patient satisfaction and loyalty in private (r=0.767) and public (r=0.54) primary health care centers, respectively. In addition, in both centers patients received adequate medical services, with social aspects as the least important factors affecting patient satisfaction.Conclusions: In conclusion, primary health care practices need to recognize the needs that influence patients’ satisfaction and loyalty, to improve the quality of their services.Significance for public healthPatient satisfaction affects all dimensions of healthcare services, including patient retention, which is the key factor that determines their return to the same center. The provision of high standard health services, staff motivation, and showing appreciation help to retain patients. It is important to determine the driving forces that influence patients’ choice to return for more services in order to implement effective strategies for maintaining their loyalty. This paper describes the correlation between patient satisfaction and loyalty in public and private primary health care.

Sağlık Hizmetlerinde Memnuniyeti Etkileyen Faktörler: Güven ve Kalite

In this study, we investigated the effect of the perceived trust and quality of health personnel providing home health services on the satisfaction of individuals receiving home health care. Individuals who receive free home health care constitute the universe of our research. The sample of the study consisted of 151 patients with health conditions who could participate in the survey. To collect data in this study, we applied the “Trust” Scale developed by Oly Ndubisi (2007), the “Satisfaction” Scale developed by Sevilmiş (2015) and the “Staff Quality” Scale developed Yıldırım (2017). The SPSS 21 Package Program was used to analyze the data obtained from the study. As a result of the regression analysis, the quality of staff (R2=0,234) and trust (R2=0,345) have a profound effect on patient satisfaction. Quality of staff and trust affect have a middle level (R2=0,420) positive effect on patient satisfaction. The research has limitations in terms of the fact that patients are not healthy enough to answer multi-item questionnaires, not all factors affecting patient satisfaction are included in the model, the results obtained from the research are about people who benefit from home health services, the size of samples and the sampling technique. The literature on home healthcare services has a very narrow scope. In the literature, no studies regarding personnel reliability and personnel quality affecting the satisfaction of patients benefiting from home health services have been encountered. In this context, our research differs from similar research in the literature.

Assessment of Patient Satisfaction with the Preoperative Anaesthetic Evaluation

Preoperative anaesthetic evaluation is important in the perioperative care. The aim of the study was to evaluate the level of satisfaction and factors affecting patient satisfaction in the preanaesthetic clinic (PAC). A total of 304 patients who attended PAC for preoperative evaluation were recruited into this study. A bilanguage validated Patient Satisfaction Survey in English and Bahasa Malaysia with total questions of 18 examining non-provider factors (NPF) (facilities and appropriateness of waiting time) and provider factors (PF) (doctor, counter services, nurses and supporting staff) were utilized. The survey form was graded in a strongly agree/ disagree five-point Likert scale format for patients’ level of satisfaction. Overall satisfaction of preoperative evaluation was reported as 98.7% with mean scores from doctor (4.49 + 0.60), counter service (4.48 + 0.61), support staff (4.47 + 0.62) and the NPF (4.40 + 0.62), respectively. All factors were found to be significantly correlated with the overall patients’ satisfaction (p<0.001) and waiting time shown to be the independent predictor affecting the level of satisfaction. Overall majority of the patients were satisfied with the preoperative evaluation provided at PAC and both non-provider and provider factors were shown to have a significant impact on patient satisfaction.

A Review of Factors Affecting Patient Satisfaction With Inflatable Penile Prosthesis.

A variety of factors that can influence patient satisfaction after inflatable penile prosthesis (IPP) surgery, including patient expectations before surgery, intraoperative complications, and perceived penile shortening and partner satisfaction after surgery. While patient satisfaction rates with IPP are high, there are several reported methods to further improve patient satisfaction with IPP. Identifying factors responsible for patient satisfaction after IPP surgery from preoperative counseling, intraoperative techniques, and postoperative care and identifying ways to improve overall patient satisfaction. A PubMed search was performed of all articles available on the database relating to penile prosthesis and patient satisfaction. The main outcome measure is patient satisfaction after IPP surgery. Patient satisfaction has been reported to be as high as 90%. Factors affecting postoperative satisfaction include preoperative counseling and expectations, patient comorbidities, partner satisfaction, and postoperative complications. One of the most common complaints is decreased penile length postoperatively. It is critical to accurately measure penile length before surgical intervention. Preoperative strategies to improve penile length with IPP include the use of penile traction therapy and vacuum erection device (VED). Several adjuvant procedures have been described and shown to safely increase penile length with concomitant IPP surgery, including ventral phalloplasty, suprapubic fat pad excision, and modified sliding technique-multiple slice technique. Postoperative penile rehabilitation program has been shown to improve penile length. The use of phosphodiesterase type 5 inhibitors in the postoperative period leads to increased glans engorgement and improved patient satisfaction. Patient satisfaction with IPP is influenced by many factors, which can be categorized into 3 distinct patient care stages: preoperative, intraoperative, and postoperative. There are several techniques described in each patient care stage to improve perceived penile length including preoperative counseling and correct penile length measuring, preoperative penile stretching, the use of adjuvant surgical procedures, and postoperative penile rehabilitation. Shah T, Wang R, A Review of Factors Affecting Patient Satisfaction With Inflatable Penile Prosthesis. Sex Med 2021;9:350-357.

Assessment of Quality of Care Using Information on Patient Satisfaction at Adult Oncology Center of Tikur Anbessa Specialized Hospital, Ethiopia: A Cross-Sectional Study.

BackgroundCancer is one of the leading causes of morbidity and mortality in the world. It results in considerable mental, physical, and emotional stress for patients. Because of the nature and impact of the disease, and its treatment, measurements of patient satisfaction are important to bring to the attention of health-care providers in order to improve care.ObjectiveTo assess patient satisfaction at the adult oncology center of Tikur Anbessa Specialized Hospital, Ethiopia using the EORTC PATSAT-C33 tool.MethodsA facility-based cross-sectional study was conducted from January 2019 to May 2019. A consecutive sampling technique was employed to recruit a total of 384 study participants. Informed consent was obtained for each participant and data were collected using an interviewer-administered questionnaire. Ethical clearance and approval of the study protocol were obtained from the institutional ethics review board of the school of pharmacy. Descriptive statistics was used to summarize the data, while multivariate linear regression analysis was employed to explore factors affecting patient satisfaction. P<0.05 was considered as statistically significant.ResultsAmong a total of 384 study participants, the majority were female (65.9%) and the median age was 49 years. In most (65.9%) participants, the health-care service cost was covered by patients themselves; the majority of them were treated for gynecological malignancy (37.2%) and most received chemotherapy + surgery (37.2%). The mean score for the EORTC-PATSAT33 scales for overall satisfaction was 44.8 out of 100. Place of residence, gender, type of cancer, duration since treatment started, age and source of health-care costs were factors associated with patient satisfaction and all together explained 83% (adjusted R square=0.830, P<0.0001) of variance. Of these, residence (where patients came from) accounted for most (78.7%) of the variance (adjusted R square=0.787, P<0.0001).ConclusionThe mean overall satisfaction of patients with the services provided at the outpatient adult oncology center of TASH was significantly lower than previously reported in the world literature, which was >70. Hence, a concerted effort must be made to understand and improve patient satisfaction in oncology health-care services in Ethiopia.