Factors Affecting Patient Satisfaction Research Articles

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

EXPLORING THE INFLUENCE OF SERVICE QUALITY (SQ) ON PATIENT SATISFACTION (PS): A CASE STUDY OF UNIVERSITI MALAYSIA PAHANG HEALTH CENTRE (UMPHC)

Patient satisfaction and healthcare service quality has been studied for ages. Primary care centre such as UMP Health Centre (UMPHC) is the intermediaries between patients and hospital referral. Hence, they have the most contact and influence on customers because they are convenient and strategic, and become the primary direct contact with patients on a daily basis, especially the university community. As healthcare organizations are trying to improve their return on investment, UMPHC has started to implement steps in curbing patient dissatisfaction issues with the study of service quality and patient satisfaction. In this paper, the author looks into the dimensions of service quality that influence patient satisfaction in their visits and appointments at UMPHC. The impact of various service quality dimensions on patient satisfaction is studied to understand how those factors relate to the patient’s expectations and perceptions. In this qualitative case study, semi-structured interviews were conducted with fourteen students and four staff who visited UMPHC and the results were analyzed through thematic analysis. In this research, seven themes namely responsiveness, reliability, assurance, empathy, tangible, technical quality, and elements that could improve patient satisfaction are created which further branches to a total of 21 sub-themes. The location of UMPHC or accessibility to the services, dental services, staff’s attitude and communication skills, consistency in following the standard operating procedures, waiting time, technical quality as well as health education were amongst the most important factors affecting patient satisfaction. The UMPHC health managers are recommended to focus on the above aspects and implement appropriate management decisions to improve patient satisfaction.

Evaluation of patients' satisfaction with bronchoscopy procedure.

The bronchoscopy (BS) experience provokes anxiety amongst some patients. It can have a negative impact on the course of the procedure and on the willingness of patients to undergo the next BS in the future. We aimed to identify factors influencing patients' satisfaction with BS. The prospective study had been conducted between January and June 2019. It included patients hospitalized in our Department, who underwent elective BS. Patients assessed their anxiety and satisfaction level before and after BS using the Visual Analogue Scale (VAS). Data concerning the course of the bronchoscopy was collected. The median level of anxiety prior to the procedure was moderate, higher in women (p<0.0001). The majority of patients (116/125, 93%) were satisfied with appropriate information before the procedure. Almost one-third of the interviewees (39/125, 31%) declared complete satisfaction (VAS = 0) with their procedure, 17 patients (14%) were dissatisfied (VAS >5/10). Overall 113 (90%) patients declared unconditional consent for future bronchoscopy. Multivariate linear regression analysis revealed two factors affecting patients' satisfaction with bronchoscopy: anxiety prior to BS (standardized regression coefficient β = 0.264, p = 0.003) and discomfort (β = 0.205, p = 0.018). Neither age, degree of amnesia, duration of the procedure nor its type added any significant value as factors affecting patient satisfaction. The most common factors inducing patients' discomfort during BS were local anesthesia of the throat (56/125, 45%) and cough (47/125, 38%). Low anxiety level before bronchoscopy and reduced discomfort during the procedure are associated with better patient satisfaction. Thus, it is important to reduce patient anxiety and discomfort during the procedure.

Factors affecting patient satisfaction in refugee health centers in Turkey.

Turkey hosts an estimated 3.7 million Syrian refugees. Syrian refugees have access to free primary care provided through Refugee Health Centers(RHC). We aimed to determine factors that influence patient satisfaction in refugee health centers. The study was a cross-sectional quantitative study. A patient survey was administered among 4548 patients attending services in selected 16 provinces in Turkey. A quantitative questionnaire was used to collect information on patient satisfaction and experience in the healthcare facility. Information on "overall satisfaction with health services" was collected on a 5-point Likert scale and dichotomized for analysis. Logistic regression was conducted to identify factors that influenced patient satisfaction. We found that 78.2% of the participants were satisfied with the health services they received. Factors related to service quality and communication were significant determinants of patient satisfaction. The strongest predictors of satisfaction were having a sufficient consultation time (AOR: 2.37; 95% CI: 1.76-3.21; p< 0.0001), receiving a comprehensive examination (AOR: 2.01; 95% CI: 1.49-2.70; p < 0.0001) and being treated with respect by the nurse (AOR: 2.08; 95% CI: 1.52-2.85; p< 0.0001). Providing integrated, culturally and linguistically sensitive health services is important in refugee settings. The quality of service and communication with patients influence patient satisfaction in refugee health centers. As such, improvements in aspects such as consultation time and the quality of physician-patient interaction are recommended for patient satisfaction.

Patient Satisfaction with Clinical Laboratory Services in Public Health Sector Hospitals of Azad Kashmir, Pakistan

Objectives: To determine patient satisfaction and factors affecting patient satisfaction with laboratory services in Azad Jammu &amp; Kashmir (AJK).&#x0D; Study Design: Cross-sectional study.&#x0D; Place and Duration of Study: Seven District Headquarter Hospitals, DHQ Neelum, DHQ Hattian Bala, DHQ Pallandari, DHQ Bagh, DHQ Kotli, DHQ Bhimber and DHQ Mirpur, Kashmir Pakistan from Dec 2019 to Feb 2020.&#x0D; Methodology: The patients who were referred from the Outdoor Patient Department of the hospital for undergoing investigative tests were included, and patients of age less than 18 and critically ill patients were excluded.&#x0D; Results: The total number of respondents included in the study was 400, with the median score of patient satisfaction with laboratory services being 59 (19), ranging from 32 to 100. Statistically significant disparities in client satisfaction were observed in different DHQ hospitals (p-value=0.01) with Mirpur (63) and Pallandri (40) showing the extreme variation. Residential area, age, and education level were also identified as statistically significant determinants of patient satisfaction (p-value &lt;0.05).&#x0D; Conclusion: patient satisfaction with laboratory services in public hospitals of AJK was very low, and targeted strategies are needed to improve the overall quality of these services.

Health Services and Patient Satisfaction in IRAN during the COVID-19 Pandemic: A Methodology Based on Analytic Hierarchy Process and Artificial Neural Network

The aim of this study is to identify and classify the most important factors affecting patient satisfaction in the COVID-19 pandemic crisis considering economic effects. This is an analytical study using the analytic hierarchy process (AHP) method and ANN-MLP (Artificial neural network based on multilayer perceptron model as a supervised learning algorithm) as an innovative methodology. The questionnaire was completed by 72 healthcare experts (N = 72). The inter-class correlation (ICC) coefficient value was confirmed in terms of consistency to determine sampling reliability. The findings show that interpersonal care and organizational characteristics have the greatest and least influence, respectively. Furthermore, the observations confirm that the highest and lowest effective sub-criteria, respectively, are patient safety climate and accessibility. Based on the study’s objective and general context, it can be claimed that private hospitals outperformed public hospitals in terms of patient satisfaction during the COVID-19 pandemic. Focusing on performance sensitivity analysis shows that, among the proposed criteria to achieve the study objective, the physical environment criterion had the highest difference in private and public hospitals, followed by the interpersonal care criterion. Furthermore, we used a multilayer perceptron algorithm to assess the accuracy of the model and distinguish private and public hospitals as a novelty approach. Overfitting results in finding an MLP model which is reliable, and the accuracy of the model is acceptable.

Factors affecting patient satisfaction with outpatient rheumatology phonevisits during the COVID-19 pandemic.

The aim was to evaluate patient satisfaction with virtual care, and identify factors associated with level of satisfaction. Surveys were mailed to all patients who had a phone visit at The Ottawa Hospital Rheumatology division. Patients’ satisfaction with various aspects of the phone visits was assessed on a 5-point scale and analyzed according to demographic variables using chi-square and regression analyses. Of 2423 surveys mailed, we received 742 responses (31%). Eighty-nine percent of patients were satisfied overall with the phone visit. Statistically significant less satisfaction was seen in patients who spoke to a resident compared to their rheumatologist (p < 0.001), were not called on time (p < 0.001), had difficulty using a telephone (p < 0.001), needed assistance of a second person (p < 0.01), or had new consultations (versus routine follow-up, p = 0.01), the former 3 factors being significant in a multivariate regression analysis. Rheumatology patients expressed a high level of satisfaction with virtual care; however, areas of improvement were identified. Patients’ satisfaction will be important to inform future decisions regarding the sustainability of virtual care. Further research is required to understand the impacts of virtual care on patients’ Key Points• Patients in rheumatology practice were satisfied with phone visits and preferred this method to in-person visits during the pandemic.• Speaking directly to the rheumatologist, being phoned on time, and the capability of using the telephone were the major determinants of high patient satisfaction.• Based on the identified factors, further improvement of the quality of and satisfaction with phone visits can be pursued given that virtual care may continue longer, beyond the pandemic. Supplementary InformationThe online version contains supplementary material available at 10.1007/s10067-022-06182-3.

Low-Carbon Action in Full Swing: A Study on Satisfaction with Wise Medical Development.

The development of “wise medical” is crucial to global carbon reduction. The medical sector not only has the moral obligation to reduce carbon emissions, but also has the responsibility to provide high-quality services to patients. Existing research mostly focuses on the relationship between low-carbon and wise medical, while ignoring the transformation of wise medical and patients’ opinions in the context of low-carbon transition. The paper crawls the text data of comments on the Zhihu platform (a Chinese platform similar to Quora), explores the focus of patients on wise medical through the co-occurrence analysis of high-frequency words, with a focus directly related to the role of wise medical treatment in carbon reduction, and designed a questionnaire accordingly. Using 837 valid questionnaires collected in Zhejiang Province, an XGBoost model was constructed to discuss the main factors affecting patient satisfaction, and the regional heterogeneity among the coastal area of eastern Zhejiang, the plain area of northern Zhejiang and the mountainous area of southwestern Zhejiang is discussed. The results show that patients’ focus on wise medical lies mainly in the convenience brought by digitalization and the actual medical effect, and the main factors affecting satisfaction with medical treatment are the flow of people in hospitals, optimization of the medical treatment process, the application of digital platforms, the quality of telemedicine services and the appropriate quality of treatment. In terms of regional differences in Zhejiang Province, wise medical is more developed in the plain area of northern Zhejiang, with better simplified medical treatment processes and the construction of a digital platform, while the mountainous areas of southwestern Zhejiang have better quality in telemedicine services despite the geographical environment. Eastern Zhejiang is somewhere in between.

Factors Affecting Patient Satisfaction with Complete Dentures.

Background Rehabilitation of the edentulous patients has always been a challenge. The success of conventional complete denture therapy might be affected by several factors such as patients' age, personality, previous denture wearing experience, expectations, aesthetics, residual ridge form and anatomy, denture quality, the method of its construction, dentist experience, and dentist-patient relations. Objectives The aim of this study was to compare patient satisfaction with complete dentures provided by fourth and fifth year dental students and prosthodontists with a minimum of 5 years' experience at the University of Jordan Hospital 8 weeks after insertion. Methods Questionnaires were distributed to a total of 60 completely edentulous patients who received complete maxillary and mandibular dentures. Besides demographic questions, the questionnaire included questions that probed the patient's satisfaction with his maxillary and mandibular dentures in general using two types of scales. Results Results indicated that dentist experience does not affect patients' satisfaction with their complete dentures. Our results also indicated that patients who had previous dentures could adapt more easily and were generally more satisfied with their newly inserted dentures especially with regard to their chewing ability and comfort with their mandibular dentures. Gender also influenced patient satisfaction with complete dentures especially the part related to psychological and social disability. Conclusions Results of this study will help in further understanding factors influencing patient satisfaction with their complete dentures.

Factors affecting patient satisfaction with the quality of medical examination and treatment of public hospitals in Ho Chi Minh city

The research identified the factors affecting patient satisfaction with the quality of medical examination and treatment of public hospitals in Ho Chi Minh city. Data was collected from 369 patients who used medical examination and treatment services in public hospitals through a pre-designed questionnaire using the convenient sampling method. Descriptive statistical methods, reliability testing through Cronbach’s Alpha, exploratory factor analysis (EFA), and multiple linear regression were used in this study. Research results showed that six factors affecting patient satisfaction with the quality of medical examination and treatment at public hospitals in Ho Chi Minh city are arranged in order from the highest to lowest as follows: (1) respect and caring, (2) facilities, (3) costs of medical examination and treatment, (4) medical examination and treatment procedures, (5) effectiveness of medical examination and treatment, and (6) other support services. As a result, the research raised some solutions to help improve patient satisfaction with medical examination and treatment of public hospitals in Ho Chi Minh city and provided more evidence to assist the Ministry of Health to enhance the Patient Experience Survey Toolkit more appropriately in the current context.

Factors affecting patient satisfaction related to cost and treatment effectiveness in rheumatoid arthritis: results from the multicenter observational cohort study, FRANK Registry

BackgroundTo further improve rheumatoid arthritis (RA) treatment, it is necessary to understand each RA patient’s satisfaction and to identify the factors affecting their satisfaction. Despite the rise in medical costs for RA, little is known about the factors that influence patient satisfaction with the cost of treatment in RA patients.MethodsThis is a multicenter observational study of Japanese RA patients from the FRANK Registry with data analyzed from March 2017 to August 2020. We collected data on demographic characteristics, clinical data, quality of life which was evaluated using the EuroQol 5-dimensional questionnaire (EQ5D), and patient satisfaction. The four categories of patient satisfaction were evaluated individually (i.e., cost, treatment efficacy, activities of daily living [ADL], and global treatment satisfaction). We analyzed the factors that affected each patient’s satisfaction, such as age, sex, EQ5D, disease duration, disease activity, and treatment.ResultsThis study included 2235 RA outpatients (406 males, 1829 females). In RA patients, “very satisfied” and “satisfied” were given for nearly half of each satisfaction aspect (cost 49%; efficacy 72%; ADL 58%; global treatment 66%) at the time of the initial registration. To investigate the factors influencing each satisfaction, multivariate analysis has revealed that the use of b/tsDMARDs increased satisfaction of treatment effect (odds ratio [OR] 0.66) and ADL (OR 0.78) but decreased cost satisfaction (OR 2.21). Age (50–64 years; OR 0.91; 65–74 years, 0.55: ≥ 75 years, 0.35), female (OR 0.81), and history of musculoskeletal surgery (OR 0.60) all increased cost satisfaction. Patients with lower disease activity and higher EQ5D scores had higher levels of satisfaction in all areas.ConclusionsIn this study, patient satisfaction in terms of cost, treatment effect, ADL, and overall treatment was generally higher, but some patients were dissatisfied. The cost of satisfaction increased with age and a history of musculoskeletal surgery, while it decreased with a lower EQ5D score and the use of b/tsDMARDs.

Retear bigger than preoperative tear size would lead to treatment failure after rotator cuff repair

This study aimed to (1) define treatment failure using the referred patient acceptable symptomatic state (PASS) values for pain visual analog scale (PVAS), American Shoulder and Elbow Surgeons Standardized Shoulder Assessment Form (ASES), and Single Assessment Numeric Evaluation (SANE) clinical scores and (2) identify the factors that lead to patient dissatisfaction after arthroscopic rotator cuff repair (ARCR). We analyzed the arthroscopic rotator cuff surgery registry data from January 2015 to December 2016. Patients were followed for ≥2 years and categorized as dissatisfied or satisfied based on our own definition of treatment failure at 2 years postoperatively. For defining treatment failure, the referred PASS values for the PVAS, ASES, and SANE scores were used. Patients who failed to attain the PASS value for the PVAS, ASES, or SANE score were categorized into the dissatisfied group. Pre- and postoperative imaging and basic demographic data were compared between groups. Univariable and multivariable logistic regression analyses were performed to identify the factors affecting patient satisfaction at 2 years after rotator cuff repair. Of 117 patients, 30 (25.6%) were defined as the dissatisfied group (mean follow-up period, 37.5 months). Seventeen patients (14.5%) had confirmed retear on follow-up magnetic resonance imaging. In the univariate analysis, sex significantly differed between the groups (female, satisfied vs. dissatisfied groups: 39 [44.8%] vs. 22 [73.3%]; P = .010). Retear alone did not affect patient satisfaction in the univariate analysis (P = .11). Progressed retear size featured a significantly higher risk of patient dissatisfaction (P = .024; odds ratio 6.430, 95% confidence interval 1.270-32.541) in the multivariable analysis using symptom duration, sex, preoperative ASES score, preoperative tear size, retear, and progressed retear size as variables. Moreover, female sex had an increased odds for dissatisfaction (odds ratio 4.646, 95% confidence interval 1.590-13.578; P = .005). Two years after ARCR, most patients (74.4%) reported satisfaction with their outcomes. However, satisfaction levels can be altered by female sex or progressed retear size compared with the preoperative state.

A new oncoplastic technique for removal of centrally located malignant tumors and reconstruction by a local dermo-glandular flap in conservative breast surgery.

To evaluate the local dermo-glandular flap as a new reconstructive oncoplastic technique after removal of central malignant tumors of the breast, in terms of patient satisfaction and local recurrence. This study included 60 females with centrally located breast cancer who underwent central quadrantectomy and local dermo-glandular flap with either sentinel lymph node biopsy or axillary clearance. The mean age of the patients was 49.68 ± 8.52 years. The duration of the operation ranged from 68-105 minutes, with a mean of 79.77 ± 9.41 minutes. Local recurrence was observed in three patients (5.00%) with no distant metastasis. Forty-seven patients (78.33%) reported satisfaction after the operation. Ugly scarring and the existence of tissue defects were the main factors affecting patient satisfaction. Correction of these complications increased overall satisfaction to 88.33%. For small- and medium-sized breasts, the use of a local dermo-glandular flap for the management of centrally located malignant tumors seems to be a simple and easy technique with good oncological outcomes and acceptable few minor complications. This technique offers an immediate reconstruction of a new areola with fewer scars that will be hidden later after areola tattooing. Most of the patients reported satisfaction three months after areola reconstruction.

Pengaruh Fasilitas dan Citra Terhadap Kepuasan Pasien di Rumah Sakit Umum Daerah dr. Zubir Mahmud Kabupaten Aceh Timur

Patient satisfaction is a level of patient feeling that arises as a result of the performance of health services obtained after the patient compares it with what is expected. The patient of Zubir Mahmud Hospital complains of difficulties in getting a room for his family who will perform the operation even though he already has a BPJS Health card besides that the patient is disappointed with the handling and services of Zubir Mahmud Hospital, so that it can cause a bad image of the hospital in the eyes of the patient. This type of research is a survey explanatory with a cross sectional approach. The population in this study were all patients who had used the services of the Regional General Hospital dr. Zubir Mahmud, East Aceh Regency in 2020, as many as 43,216 patients. The research sample consisted of 100 people. The data collection technique uses the documentation method, the interview method and the questionnaire method. The data analysis technique used the chi square test and multiple logistic regression tests at the 95% confidence level. The results showed that there was a significant effect between facilities (p = 0.000) and image (p = 0.001) on patient satisfaction. Facility factor with Exp value (B) of 14.489 is the most dominant factor affecting patient satisfaction of the Regional General Hospital dr. Zubir Mahmud, East Aceh Regency To the Regional General Hospital dr. Zubir Mahmud, East Aceh Regency is expected to increase the number of specialist medical services so that it can reduce cases of patient referrals to other districts so as to create a good image in the eyes of the community.

ANALISIS FAKTOR-FAKTOR YANG MEMPENGARUHI KEPUASAN PASIEN POLIKLINIK MATA PADA INSTALASI RAWAT JALAN RSUD. dr. TENGKU MANSYUR KOTA TANJUNG BALAI

Analysis of Factors Affecting Patient Satisfaction Eye Polyclinic Outpatient Hospital dr. Tengku Mansyur, Tanjungbalai City in 2020. Thesis, Department of Public Health, Faculty of Public Health, Deli Husada Deli Tua Health Institute. This study aims to analyze the relationship between patient satisfaction based on responsiveness, assurance, reliability, empathy and tangiable variables with the quality of service in the eye polyclinic, outpatient installation of dr. Tengku Mansyur, Tanjungbalai City. The population of this study were the patients of the Eye Polyclinic, Outpatient Installation of RSUD dr. Tengku Mansyur, Tanjungbalai City as many as 253 respondents. The method used in this study was analyzed by means of the Chi-Square correlation test. The results of the research on the responsiveness variable showed that the level of responsiveness of Human Resources was 99.6%. For the assurance variable obtained 98.0%. For the reliability variable obtained 98.0%. For the empathy variable, it was obtained 93.7%. For the tangiable variable, it was obtained 90.5%. Based on research conducted from all variables, the service results are very good with a satisfaction level of 88.9%. So it can be concluded that there is a relationship between the variable responsiveness, assurance, reliability, empathy and tangiability with patient satisfaction in the Eye Polyclinic Outpatient Hospital dr. Tengku Mansyur, Tanjungbalai City in 2020.

Optimal lower limb alignment and soft tissue balancing strategy for robot-assisted total knee arthroplasty

Lower limb alignment and soft tissue balance are important factors affecting patient satisfaction, clinical functional outcome, and prosthetic long-term survival rate after total knee arthroplasty (TKA). Robot-assisted TKA (rTKA) has the advantages of achieving precise osteotomy and soft tissue balance. However, rTKA under the guidance of classic mechanical alignment principles does not significantly improve the functional outcome after operation. The new TKA alignment principles, such as kinematic alignment (KA) and functional alignment (FA), can better consider the patient's own knee joint morphology and kinematic characteristics, which may help improve the clinical results of TKA. With the help of more objective and accurate soft tissue balance assessment tool such as pressure sensors, KA and FA have been proven to better achieve soft tissue balance. rTKA can achieve non-neutral alignment goals such as KA or FA more accurately and reproducibly. The use of these lower limb alignment and soft tissue balancing strategies will be expected to further increase the patients' satisfaction rate after rTKA.

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.