Factors Affecting Patient Satisfaction Research Articles

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.

Classification of service quality attributes using Kano’s model: the case at the outpatient department of Trung Vuong hospital

The quality of hospitals in Vietnam is the concern of not only patients, the healthcare industry, but also the society as a whole. As Vietnam’s economy achieves high growth, and the living standard is improved, healthcare becomes an even greater concern of Vietnamese, and hospitals need to improve their quality to better satisfy their patients. However, few hospitals in Vietnam aware of the importance of factors affecting patient satisfaction. This paper aims to determine and classify the service quality attributes. In addition, it also identifies the factors that influence patient satisfaction at the Outpatient Department of Trung Vuong hospital. The research framework is developed from the study of Harijith &amp; Haris (2017). The results from the qualitative survey show that there are 33 characteristics affecting the patient satisfaction, of which the "Short wait time" receives the highest score (0,76), and the “Physician competency” receives the lowest score (-0,91). Based on the results, some recommendations are proposed to improve service quality so as to better meet the current and potential needs of patients.

Factors Affecting Satisfaction with the Process of Orthodontic Treatment in Young Adults: A Questionnaire Study

Introduction: Recently, there has been an increase in adults undergoing orthodontic treatment in both the public and the private sector. Satisfaction during and after the orthodontic treatment process has not been widely discussed so far, however, and few research studies have emphasized patient satisfaction with treatment outcome and the factors affecting patient satisfaction.Aim: To investigate factors affecting patient satisfaction with the process of orthodontic treatment in young adults.Material and methods: Fifty-eight patients (33 girls and 25 boys with a mean age of 25.05 years, SD 2.83) were included in the survey. All patients were young adults who had completed their orthodontic treatment with fixed appliances and were taken from two centers (a teaching hospital and a private practice). Data was collected using online survey forms and was analyzed using content thematic analysis. Five main factors were identified related to patient satisfaction with the process of orthodontic treatment: communication, faculty (orthodontist), physical surroundings, consultation/appointments, and impact of appliance treatment.Results: Effective communication was the most prominent factor among all five factors considered, especially detailed explanation given during treatment and making patients feel comfortable under their care. Median values were generally high for satisfaction with treatment results. There was a clear correlation ( p &lt; 0.001) between patient satisfaction and treatment outcome. Age, sex and treatment time did not have any correlation with treatment satisfaction.Conclusion: In general, young adults were observed to be satisfied with the treatment process, and good communication played a dominant role in this. Though there were many differences in working models between public and private sectors, many similarities were observed when comparing the factors between the two centers.

Predictors of Patient Satisfaction After Refractive Lens Exchange With an Extended Depth of Focus IOL.

To identify independent factors associated with postoperative satisfaction after refractive lens exchange with an extended depth of focus intraocular lens (EDOF IOL). Patients who underwent a refractive lens exchange with bilateral implantation of the AT LARA 829MP IOL (Carl Zeiss Meditec, Jena, Germany) and attended the 3-month follow-up visit were included in the analysis (N = 351 patients). Demographics, preoperative and postoperative clinical parameters, and patient-reported outcomes were used in a regression model to determine predictors of 3-month postoperative satisfaction. The mean age of the study group was 58.2 ± 7.0 years (range: 45 to 79 years) and the mean preoperative sphere ranged between -12.50 and +6.75 diopters (D). At 3 months postoperatively, 86.6% of patients were very satisfied or satisfied with outcomes and 93.2% would recommend the procedure to their family or friends. Of all patients, 90.6% achieved binocular uncorrected distance visual acuity of 20/20 or better, 92.0% achieved binocular near vision of 20/50 or better, and 85.5% of eyes were within ±0.50 D of emmetropia. Logistic regression identified postoperative dry eye symptoms, binocular near and distance visual acuity, and glare symptoms as significant independent factors affecting patient satisfaction. Several factors were independently predictive of postoperative satisfaction after EDOF IOL implantation and addressing these may further improve patient satisfaction with the procedure, specifically, proper management of early symptoms of dry eye, ensuring good refractive predictability to maximize unaided vision, and counseling patients about the possibility of visual phenomena in the early postoperative period. [J Refract Surg. 2020;36(3):175-184.].

Factors affecting patient satisfaction among patients undergone removable prosthodontic rehabilitation.

Background:Patient's satisfaction is of utmost importance to the dental professionals among all those who have undergone prosthodontic rehabilitation. The success of every dental prosthesis lies in the patient wearing those removable prostheses thereby restoring masticatory function and Phonatics, hence the aim of the present study is to determine various factors affecting the patient satisfaction among patients undergone removable Prosthodontic rehabilitation.Materials and Methods:The present study is a cross-sectional questionnaire descriptive study. The study is conducted among 183 patients undergone removable Prosthodontic rehabilitation and visiting private dental clinics for follow-up. The study was conducted in October to December 2019. The study was conducted among patients age between 21 and 60 years of age wearing removable prosthesis.Results:Among all study participants, majority of study participants were moderately satisfied with the Retention {79 (43.16%)}, Esthetics {87 (47.54%)}, Mastication {68 (37.15%)}, Finish of the denture {89 (48.63%)}, and Overall satisfaction for maxillary and mandibular dentures {93 (50.81%)}. Patient's behavior was significantly associated with overall patient satisfaction (P = 0.00*).Conclusion:Factors affecting any parameter of patient satisfaction was age, Gender, Smoking habits, duration of wearing prosthesis, no. of removal prosthesis used, number of times denture was repaired, patient behavior was significantly associated with overall patient satisfaction.

The Results of a Long-Term Follow-up of Bilateral Single Port Sympathicotomy in Primary Hyperhidrosis: Should We Perform This Surgery?

Background: Hyperhidrosis (HH), is the excessive sweating of the body in response to temperature or emotional stimuli rather than physiological stimuli, has brought on a search for permanent treatment. In this prospective study of this disease which adversely affects the quality of life, we researched for long term effects on complication development and patient satisfaction. Patients and Methods: Thirty-one patients who underwent bilateral single-port endoscopic thoracic sympathectomy (ETS) for HH between January 2010 and November 2014 were enrolled in this study. Patients were followed up until July 2017. Patient satisfaction was recorded with complications such as compensatory hyperhidrosis (CH) and primer complaints (PC) during short and long term follow up periods. Results: The mean follow-up period was 60.6 ± 12.8 (min: 40, max: 89) months postoperatively. ETS satisfaction was found as 81%. When both short and long term results were evaluated together, there was no effect of CH on patient satisfaction in both short and long term follow up periods, but it was found that the continuation of PC was in both short term (p = 0.020) and long term (p = 0.001) follow up periods was found to be significantly effective on satisfaction. Conclusions: The most important factor affecting patient satisfaction in this study was the continuation of PC, which led to the conclusion that further studies should be performed to enlighten this complication even though it may remit with time. Whether or not the ETS is a permanent treatment which cannot successfully treat PC, possible complications and the ability to cope with them will seem to be open to debate as the most important issues that surgeons will have to face in near future. Keywords: Complication; hyperhidrosis; surgery; sympathicotomy

Evaluation of Factors Affecting Patient Satisfaction with Health Care Services: A Cross-sectional Study in an Endourology Clinic

Evaluation of Factors Affecting Patient Satisfaction with Health Care Services: A Cross-sectional Study in an Endourology Clinic

Factors Affecting Patient Satisfaction With Their Anesthesiologist: An Analysis of 51,676 Surveys From a Large Multihospital Practice.

An increasing focus of health care quality is the assessment of patient-reported outcomes, including satisfaction. Because anesthesia care occurs in the context of perioperative surgical care, direct associations between anesthetic management and patient experience may be difficult to identify. We analyzed anesthesia-specific patient satisfaction survey data from a large private practice group to identify patient, procedure, and anesthetic-specific predictors of patient satisfaction with their anesthesiologist, measured via responses to a validated patient satisfaction survey instrument. We hypothesized that some factors governing satisfaction with an anesthesia provider are beyond their ability to control. We retrospectively reviewed responses to the Anesthesia Patient Satisfaction Questionnaire (APSQ), administered online to patients cared for by US Anesthesia Partners, a multistate anesthesia group practice. The APSQ focuses on patient satisfaction with their anesthesiologist and patient-reported outcomes and is administered after discharge. Responses from May to November 2016 were aggregated, and relationships between responses and patient, procedural, and clinician-related factors were assessed using multivariable logistic regression. Out of 629,220 adult patients cared for during the study period, 51,676 responded to the survey request for a 9.3% overall response rate for patients. Nonresponders were slightly older and more likely to be male than responders. After multivariable regression, no patient or procedural factor was associated with patient rating of their anesthesiologist. However, ≥55 years of age, inpatient (versus outpatient) setting, and nighttime surgery (between 6 PM and 6 AM) were associated with lower scores on other satisfaction questions. Our data suggest that some factors governing satisfaction with an anesthesia provider are beyond their ability to control. Further work is needed to identify elements of patient satisfaction with their anesthesiologist and to optimize these aspects of perioperative care.

Perioperative pain management of total hip arthroplasty

To review and summarize the multimodal analgesia regimen in total hip arthroplasty (THA), and to provide basis for individual analgesia in clinic. The literature of multimodal analgesia regimen in THA in recent years was systematically searched and summarized. The perioperative pain management regimens of THA in authors' center were introduced at the same time. Postoperative pain of THA is an important factor affecting patient satisfaction, so pain management is one of the key points in perioperative management of THA. At present, multimodal analgesia regimen is used in THA, which works by blocking pain conduction pathway at different levels, including wound ice compress, non-steroidal anti-inflammatory drugs, local infiltration anesthesia, peripheral nerve block, intraspinal anesthesia, central analgesics, and so on. Multimodal analgesia regimen is the perioperative pain management of THA, which includes many analgesic methods. The safe and effective analgesic methods should be chosen according to the specific conditions of patients in order to achieve individualized analgesia.

HUBUNGAN KUALITAS PELAYANAN KESEHATAN TERHADAP TINGKAT KEPUASAN PASIEN PESERTA BPJS MANDIRI DI PUSKESMAS DELITUA KABUPATEN DELI SERDANG TAHUN 2018

Health is a prosperous state of the body, soul, and social which is very possible for every individual to live productively in a social and economic way. Tests of research are to identify the relationship between the quality of health services to the level of satisfaction of BPJS Mandiri in Public Health Center Deli Tua Kab Deli Serdang. The research method uses an analytical survey type with a sample of 95 people. The results of the study are that there is a significant relationship between Tangible, reliability, responsiveness, assurance, empathy for the satisfaction of BPJS Mandiri in Public Health Center Deli Tua Kab Deli Serdang wit p-value(0.00). The conclusion in this study is that the most dominant factors affecting patient satisfaction are direct evidence of this indicated by the highest Exp (B) of 6,374

Satisfaction analysis of patients with single implant treatments based on a questionnaire survey.

Background: The factors influencing satisfaction of the patients with implant treatments are still unclear. This study aims to evaluate the patients’ satisfaction and to identify influencing factors, which will improve the medical quality of oral implantology.Materials and methods: Patients who lost single teeth and received implant treatments were enrolled in Nanjing Stomatological Hospital between February 2016 and March 2018. A questionnaire survey was performed to assess patient satisfaction and data were collected at four time points. Information included gender, age, educational level, application of bone augmentation, type of prosthetic restoration, period of teeth loss, dentist qualification, and tooth position. Meanwhile, the satisfaction of the patients was evaluated by visual analog scale.Results: A total of 373 patients completed the questionnaires. The mean of overall satisfaction score was 69.05±7.10. Lower overall satisfaction score was found in patients who received bone augmentation (P<0.001) and those with a longer period of teeth loss (P<0.05). In the bone augmentation group, the elements of pain and complication were significantly associated with a decrease in the median satisfaction score (P<0.001), and a similar result was obtained form the duration of operative time and healing response (P<0.001). On the other hand, the satisfaction scores for elements including the duration of operative time and healing response (P<0.05), aesthetics and psychology (P<0.05), and chewing function (P<0.05) decreased with an extended period of teeth loss. Meanwhile, over half of respondents were more concerned about the survival time (40.70%) and success rate (20.49%) of implants.Conclusion: Bone augmentation and the period of teeth loss are negative factors affecting patient satisfaction, and the success rate and survival time of implants are considerable aspects for patients. It is essential to raise general awareness of oral hygiene and optimize the dental implant therapeutic process.

HUBUNGAN KUALITAS PELAYANAN KESEHATAN TERHADAP TINGKAT KEPUASAN PASIEN PESERTA BPJS MANDIRI DI PUSKESMAS DELITUA KABUPATEN DELI SERDANG TAHUN 2018

Health is a prosperous state of the body, soul, and social which is very possible for every individual to live productively in a social and economic way. Tests of research are to identify the relationship between the quality of health services to the level of satisfaction of BPJS Mandiri in Public Health Center Deli Tua Kab Deli Serdang. The research method uses an analytical survey type with a sample of 95 people. The results of the study are that there is a significant relationship between Tangible, reliability, responsiveness, assurance, empathy for the satisfaction of BPJS Mandiri in Public Health Center Deli Tua Kab Deli Serdang wit p-value(0.00). The conclusion in this study is that the most dominant factors affecting patient satisfaction are direct evidence of this indicated by the highest Exp (B) of 6,374

The impact of communication style on patient satisfaction.

Communication between patients and health providers influences patient satisfaction, but it is unknown whether similarity in communication styles results in higher patient satisfaction. This study was conducted in the Smilow Cancer Hospital Breast Center. During routine follow-up visits, patients completed a Communication Styles Assessment (CSA), health survey (SF-12), Princess Margaret Hospital Satisfaction with Doctor Questionnaire, and brief demographic form. Physicians and Advanced Practice Providers were also asked to complete the CSA. Patients and providers were blinded to each other's responses. A communication styles concordance score was calculated as the Pearson correlation between 80 binary CSA items for each provider/patient pair. Factors affecting patient satisfaction scores were assessed in mixed-effects models. In total, 330 patients were invited to participate; of these 289 enrolled and 245 returned surveys. One hundred seventy-four completed all survey components, and 18 providers completed the CSA. Among the factors considered, physical health score (effect size = 0.0058, 95% CI 0.00051 to 0.0011, p = 0.032) and employment status (0.12, 95% CI - 0.0094 to 0.25, p = 0.069) had the greatest impact on patient satisfaction. However, patients who were not employed and less physically healthy had significantly elevated satisfaction scores when their communication style was more similar to their provider's (1.52, 95% CI 0.66 to 2.38, p = 0.0016). Patients who were physically healthy and employed were generally more satisfied with their care. The similarity in communication styles of patients and providers had a greater impact on patient satisfaction for patients who were less physically healthy and not employed.

What is the most important factor affecting patient satisfaction - a study based on gamma coefficient.

Objective: To analyze the influencing factors of patients satisfaction and find out the key factors, so as to provide suggestions for improving health policy.Methods: A questionnaire survey was conducted in Wuhan China. A total of 2,719 questionnaires were collected and 2,626 valid answer sheets were obtained. Through statistical description, chi-square test. Gamma coefficient analysis and binary logistic regression, the key factors affecting patient satisfaction were obtained.Results: It was found that the “Medical staff’s service attitude” was the most important factor affecting patient satisfaction, followed by “Medical staff services technology” and “Hospital convenience”. The demographic characteristics of patients had no significant effect on satisfaction, and “Medical services utilization” of patients had a certain impact on satisfaction. Patients had a higher degree of satisfaction with the “Hospital convenience”, “Hospital facilities and environment”, “Medical staff services technology”, “Medical staff service attitude”, but had a lower degree of satisfaction with “Medical expense” and “Reimbursement ratio for medical expenses”.Conclusion: “Medical staff’s service attitude”, “Medical staff services technology” and “Hospital convenience” was the most three important factors. The health managers should focus on the above three aspects and implement appropriate management decisions to improve patient satisfaction.

What Factors Affect Patient Satisfaction in Public Sector Hospitals: Evidence from an Emerging Economy.

Patient satisfaction can identify specific areas of improvement in public sector hospitals. However, the Pakistani healthcare system, and quality of service delivery is rarely assessed through the perspective of patient satisfaction. Our study demonstrated the performance of public healthcare systems in Pakistan by interacting with physical services (tangible and environmental), doctor–patient communication, and pharmacy and laboratory services based on patient satisfaction. Primary data were collected from the patients by using a random sampling method. Patients who participated in the study were visitors of public hospitals’ outpatient departments. A total of 554 questionnaires were circulated, and 445 were received. The confirmatory factor and multiple regression analyses were employed to analyze the collected data. The results revealed that laboratory, as well pharmacy services, had positive significant effects (p = 0.000) on patient satisfaction, while doctor–patient communication (p = 0.189) and physical facilities (p = 0.85) had an insignificant relationship with patient satisfaction. Therefore, it is suggested that a significant communication gap exists in the doctor–patient setting, and that Pakistan’s healthcare system is deprived of physical facilities. Consequently, such services need further improvements.

A Quantitative Analysis of Online Plastic Surgeon Reviews for Abdominoplasty.

Online reviews increasingly influence patients' decision-making. This is the first systematic, quantitative analysis of online reviews for abdominoplasty. Reviews for abdominoplasty were sampled from RealSelf, Yelp, and Google for six major metropolitan areas. A standard social sciences framework known as grounded theory was used to evaluate factors affecting satisfaction. The relative importance of factors was quantified using odds ratios. Seven hundred ninety-four reviews met inclusion criteria. There was significant geographic variation with respect to number of reviews (p < 0.01) and average rating (p = 0.014). The authors identified 10 statistically significant themes affecting satisfaction. Of these, aesthetic outcome was the most mentioned theme [n = 368 (46.3 percent)] and the most dominant driver of satisfaction. Interactions with staff had the second highest odds ratio, driven by the fact that all negative staff interactions led to negative reviews. Postoperative care had the next highest odds ratio, and was demonstrated to counteract the negative effects of poor surgical outcomes on satisfaction. The occurrence of a surgical complication and the cost of surgery were least associated with satisfaction. This analysis is the first to use quantitative methods to identify dominant and nondominant factors affecting patient satisfaction in cosmetic surgery. The authors found that aesthetic outcome, staff interactions, and postoperative diligence were the most critical factors affecting satisfaction in abdominoplasty, whereas postoperative complications and cost were least important. Understanding the relative importance of factors may help to improve and protect one's online reputation.

Factors affecting patient satisfaction in open wedge high tibial osteotomy

Factors affecting patient satisfaction in open wedge high tibial osteotomy

Accreditation Status and Other Factors Affecting Patient Satisfaction in Hospital

Background: Hospital accreditation is a systemic assessment to measure service quality according to standards. Hospital services focus on meeting patient needs and satisfaction. This study aimed to determine the status of accreditation and other factors that influence the satisfaction of hos­pitalized patients in the hospital. Subjects and Method: This was a cross sectional study conducted in four hospitals in Sleman, Yogyakarta, from March to April 2019. A sample 200 inpatients were selected for this study by proportional random sampling. The dependent variable was patient satisfaction. The independent variables were accreditation status, service quality, length of care, source of funds, employment, age, and gender. The data were collected by questionnaire and analyzed by path analysis. Results: Patient satisfaction was directly and positively affected by age >18 years old (b = 2.34; 95% CI= 0.33 to 2.50; p= 0.023), gender (b = 1.02; 95% CI = 0.08 to 1.96; p = 0.034), length of care> 3 days (b= 0.99; 95% CI= 0.043 to 1.95; p= 0.041), independent funding sources (b= 1.50; 95% CI= 0.47 to 2.53; p= 0.004), good service quality (b = 3.42; 95% CI = 2.31 to 4.53; p 18 years thro­ugh service quality (b = 1.50; 95% CI = 0.49 to 2.50; p = 0.036). Conclusion: Patient satisfaction was influenced directly and positively by age> 18 years, male sex, length of care >3 days, independent fund sources, good service quality and good accreditation status. Patient satisfaction is influenced directly and negatively by work. Patient satisfaction was in­directly affected by age >18 years and good accreditation status. Keywords : Patient satisfaction, accreditation status, path analysis Correspondence : Siwi Anggraini Sulistyo, Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36 A, Surakarta 57126, Jawa Tengah. Email: siwianggraini@ymail.com. Mobile: 082­330049892 Journal of Health Policy and Management (2019), 4(3): 139-149 https://doi.org/10.26911/thejhpm.2019.04.03.01

Emergency Department Patient Satisfaction Assessment using Modified Servqual Model; a Cross-sectional Study.

Introduction:The quality of medical services and attention paid to patients in medical centers have been concerning for healthcare providers. Objective:The present study was designed to identify factors affecting patient satisfaction with medical service in the emergency department (ED). Method:This was a cross-sectional study conducted in spring 2016 in Imam Khomeini Hospital, Jiroft, Iran. Patients aged more than 18 years presenting to the ED with a minimum stay of 24 hours were included. Unwillingness to take part, incomplete questionnaires, or unavailability for an interview were considered the exclusion criteria. Data were collected using a 24-item researcher-made questionnaire based on Servqual quality measuring tool with five components of tangibles, reliability, responsiveness, assurance, and empathy.Results: The present study recruited 373 patients with the mean age of 41.7±21.8 years (minimum 18 and maximum 79 years), of whom, 67.1% were men. Mean scores indicate the level of patient satisfaction with the hospital service ranging from relatively satisfied to totally satisfied. The components ranking in improving patient satisfaction were as follows: tangibles 4.59, assurance 2.77, reliability 2.74, responsiveness 2.57, and empathy 2.33.Conclusion:Of the components assessing the patient satisfaction, tangibles were the most effective component and empathy was the least effective one.

Does skin thickness affect satisfaction post rhinoplasty? Middle Eastern population as an example.

Objectives:To determine the mean nasal skin thickness in the Middle Eastern population and to assess the effect of skin thickness on patients’ satisfaction following rhinoplasty surgeries.Methods:Radiological measurements of skin thickness at the 3 vertical thirds of the nasal dorsum were taken. A total of 154 patients (80 females and 74 males) who were scheduled for computed tomography scan for the paranasal sinuses were included in the study. The patients were then categorized into 3 groups: thick, medium, and thin nasal skin. A scale from 10% to 100% was used to assess patient satisfaction following rhinoplasty. Satisfaction and skin thickness were analyzed using the Kruskal-Wallis test.Results:Nasal skin thickness for males was 6.13, 2.76 millimeter (mm) from the upper and 3.70 mm to the lower third. For females, it was 5.34, 2.13 mm from the upper and 3.21 mm to the lower third. There was no statistically significant difference in patient satisfaction among the 3 skin thickness groups (p=0.089).Conclusion:This study provides baseline results of nasal skin thickness in the Middle Eastern population. The results also show that nasal skin thickness may not be a strong factor affecting patient satisfaction.