Interpersonal Manner Research Articles

The Impact of Perceived AI Replacement on Employee Job Satisfaction: Exploring the Mediating Role of Self-Esteem

Artificial intelligence (AI) has become more prevalent in the workforce due to the quick development of technology, which has led to a generalized fear of job loss among workers. AI integration in the workplace has resulted in a decline in workers’ self-esteem, which has lowered their drive to find work and decreased their job happiness.By employing convenience sampling and doing data analysis on employee anxiety, self-esteem, and job satisfaction, it confirmed that the introduction of artificial intelligence into the workforce has a significant impact on workers.AI is an emotionless instrument that cannot interact with employees in a typical interpersonal manner. People’s concerns about their abilities and self-worth are frequently heightened by this absence of meaningful interaction. In the absence of the interpersonal dynamics that define human relationships, employees could experience feelings of isolation and ambiguity over their position in the workforce. Employers must therefore address this issue by encouraging a work environment that recognizes the advantages of AI while simultaneously valuing human abilities and innovation. Employers may lessen the detrimental effects of AI on worker morale and engagement by creating a work environment that promotes human-machine collaboration. Giving staff members opportunities for skill enhancement through training and development can also help them adjust to the changing nature of the labor market.

The Tiny Habits that Strengthen Organizational Relationships

This article discusses how seemingly small, everyday social habits and interactions can significantly impact workplace relationships and organizational effectiveness. It explores research on relationship-building behaviors like making eye contact, smiling, saying thank you, asking questions, providing feedback, listening without judgment, self-disclosure, and celebrating wins together. The article argues that while larger cultural factors are important, minor modifications to interpersonal manners, such as consciously engaging in these positive social behaviors, can quietly foster resilient bonds between colleagues. Case studies from various industries are presented to illustrate how strategically cultivated habits delivering appreciation, empathy and care into daily exchanges strengthen collaborative relationships. The article concludes that true organizational transformation starts from nurturing connections through mindfully modified social exchanges, as these small gestures collectively create the type of supportive work environment where people feel valued and initiatives can succeed.

Trust in Black and White Breast Cancer Patients: Opportunities to Enhance Trustworthiness in Cancer Care

IntroductionThis study evaluated the relationships between patient and cancer delivery factors with trust in oncology providers in a racial/ethnically diverse group of cancer patients. MethodsData were analyzed from a prospective cohort study of women with hormone receptor positive (HR+) breast cancer. A standardized survey collected validated measures of trust in providers, psychosocial factors, and cancer care delivery factors. Multivariable logistic regression models and race-stratified models were employed to calculate odds ratios and 95% confidence intervals associated with trust. ResultsOf the 567 participants, 28% identified as Black and the rest were White. Compared to White women Black women reported lower trust in providers. Four domains of cancer care delivery were significantly associated with patients’ higher trust in their providers: general satisfaction with care (P < .0001), technical quality of the provider (P < .001), interpersonal manner of the provider (P = .0008) and provider communication (P = .0010). Race-stratified models revealed 2 significant cancer care delivery domains for both groups (ie, general satisfaction and interpersonal) and 2 care domains (technical quality and communication) that were only significant among White women. ConclusionEfforts are needed to nurture trusting relationships between Black women and their oncology providers. Factors related to the organization and delivery of cancer care are modifiable targets for interventions as these were robust predictors of patient trust regardless of a woman's self-reported race. Investments in strategies that strengthen the structure and organization of care towards a structures of trust worthiness may better support providers and patients and ultimately reduce cancer care disparities.

A quantitative analysis of cosmeceuticals: business service quality and client satisfaction

PurposeThe purpose of the quantitative correlational research study was to determine the relationship, if any, between the predictor variable, cosmeceutical business service quality, and the outcome variable, cosmeceutical client satisfaction, in the southeast region of the United States of America. Cosmeceuticals were cosmetics and medications administered by estheticians.Design/methodology/approachLiterature on business service quality and client satisfaction theories was synthesized after extensive review. Quantitative research data were collected and statistically analyzed on the following subscales of consumer satisfaction: general satisfaction, technical quality, interpersonal manner, communication, financial aspects, time spent with professionals and accessibility/convenience. The hypotheses addressed the research question (RQ) of whether cosmeceutical business service quality affects client satisfaction. The Cosmeceutical Client Satisfaction Questionnaire 18 (CCSQ-18), a web-based research instrument, had strong reliability with a Cronbach’s alpha of 0.84. The target population (N = 50) included randomly selected female cosmeceutical consumers in the southeast region of the United States of America. The researcher did not digress from the detailed research protocol, instrumentation, data collection or data analyses. Through the Likelihood Ratio (LR) chi-squared statistic (18) = 65.35 and its associated probability, Prob &gt; chi-squared = 0.000, the researcher determined the predictor variable cohesively has a statistically significant effect on the outcome variable.FindingsResearch results concluded that a significant relationship exists between cosmeceutical business service quality and cosmeceutical client satisfaction in the southeast region of the United States of America.Originality/valueThe findings detailed in the results complimented the argument that, generally, business service quality is important to consider, because good business is based on client satisfaction.

A compressive assessment of patient satisfaction with ophthalmology with ophthalmology clinic services: A study at a tertiary care academic institution amidst and after the COVID-19 pandemic.

The study aims to systematically assess patient satisfaction concerning eye care services provided during and after the coronavirus disease 2019 (COVID-19) pandemic at a tertiary care academic institution. This work seeks to analyze the various dimensions influencing the holistic measure of overall patient contentment. A cohort of 2485 patients seeking physical consultation for ocular conditions at a tertiary care academic institution between April 2020 and December 2022 were recruited in a cross-sectional study. They were divided into two groups, viz. during the COVID period and post-COVID period. The primary focus was on evaluating overall satisfaction, measured through a validated patient satisfaction questionnaire (PSQ-18). The study encompassed a total of 2485 participants, with 1242 individuals in the cohort during the COVID period and 1243 in the post-COVID phase. Within the COVID period subgroup, the mean age of male and female patients was 39.46 ± 19.31 and 39.58 ± 19.07 years, respectively. In the post-COVID subgroup, the mean age of male and female patients was 45.26 ± 19.38 and 45.36 ± 19.22 years, respectively. Examining the COVID subgroup, the highest satisfaction scores were observed in the domain of time spent with the doctor (3.3453 ± 0.59), followed by financial aspects (3.0816 ± 0.47), interpersonal manner (3.0589 ± 0.37), and accessibility and convenience (3.0585 ± 0.37). Notably, technical quality received the lowest satisfaction score (2.4763 ± 0.42). A statistically significant difference ( P < 0.0001) was noted in the PSQ-18 scores between the two groups. In the post-COVID subgroup, patients expressed higher satisfaction with the technical quality of treatment, irrespective of the mode of management. However, financial satisfaction was better in the COVID group. Our study using the PSQ-18 questionnaire highlights significant variations in patient satisfaction with ophthalmology clinic services during and after the COVID era. Notably, time spent with the doctor scored the highest, emphasizing its positive impact. However, addressing concerns related to technical quality is crucial for overall improvement.

Patient Satisfaction with the Quality of Healthcare Services at Selected Major Outpatient Clinics at Sultan Ahmad Shah Medical Centre Kuantan Pahang

INTRODUCTION: Patient satisfaction is a key factor in determining any gaps or inadequacies in the healthcare provider's services. This study aimed to measure the level of patient satisfaction and its associated factors towards the healthcare service of outpatient clinics in Sultan Ahmad Shah Medical Centre (SASMEC), IIUM, Kuantan, Pahang. MATERIALS AND METHODS: A total of 1050 patients were recruited from internal medicine, paediatrics, surgery, obstetrics and gynaecology, orthopaedics, and psychiatry clinics between February 2021 and February 2022. A questionnaire was administered which consists of two parts: one that covers patients’ sociodemographic data and the other that assesses the patients’ level of satisfaction with the healthcare services using the Malay-validated Short-Form Patient Satisfaction Questionnaire (PSQ-18). RESULTS: The mean overall satisfaction level was 3.94 ± 0.46, with the highest mean scores in the interpersonal manners (4.2 ± 0.64) and communications (4.26 ± 0.56) domains. From the multivariate analysis, it was found that those patients in the lower income group (B40) were more satisfied with the quality of the healthcare services (B=0.172, 95% CI=0.08, 0.263) compared to the middle-income group. Being a student (B=- 0.202, 95% CI=- 0.296, -0.108) and having a follow-up treatment visit (B=-0.082, 95% CI=-0.156, -0.008), were significantly associated with lower satisfaction levels as compared to their counterparts. CONCLUSION: Overall, patients who attended SASMEC were satisfied with the service provided. Continuous service improvement aimed at patients’ household income, occupation and purpose of visit may help SASMEC enhance its service in the future

A Cross-Sectional Study of Patient Satisfaction Among Immigrants in the Pediatric Outpatient Clinic of Firoozabadi Hospital.

Patient satisfaction is important in healthcare as it affects the quality of care and can lower costs in hospitals. This study aimed to measure immigrant satisfaction with outpatient services at Firoozabadi Hospital's pediatric clinic. Data were collected from immigrant patients from January to July 2023. The Patient Satisfaction Questionnaire 18 and the personal information checklist were used in oral interviews with caregivers. The overall satisfaction score was 72.95 out of 90, with a standard deviation of 12.57. Financial issues received the lowest satisfaction scores, while interpersonal manner received the highest ratings. Out of the 241 respondents, 48.6% were completely satisfied, 32.7% were satisfied, 10.6% had no opinion, and 4.4% expressed dissatisfaction. Satisfaction levels were not correlated with income, education, possession of identification documents or health insurance, and length of stay in Iran. Overall, most participants were happy with the outpatient services, but many lacked health insurance. Providing easier access to health insurance for immigrants could help reduce dissatisfaction with expensive medical bills.

Satisfaction levels of patients attending the outpatient department of a tertiary care center of India

Introduction and aim. Any hospital’s outpatient department (OPD) is regarded as the storefront of the facility, and patient satisfaction is an important measure of healthcare quality. Hence, this cross-sectional study was conducted in different OPDs at a tertiary care center. Material and methods. Two hundred patients were recruited, and structured personal interviews were conducted with questions based on the Patient Satisfaction Questionnaire Short Form (PSQ-18). T-tests and analysis of variance (ANOVA) were used to compare satisfaction scores between variables. Results. Upon analysis, 86% of the patients rated their overall experience as either ‘very good’ or ‘good’. Interpersonal manners (mean score±SD; 4.60±0.55), communication (4.39±0.66), general satisfaction (4.03±0.79), and technical qualities (3.86±0.57) were the domains in which the patients were most satisfied, while time spent with the doctor (3.77±0.89), accessibility and convenience (3.77±0.67), and financial aspects (3.37±0.83) were the areas that lagged. Conclusion. Satisfaction scores were found to vary significantly with gender, age, waiting times, and the number of visits per day. Regular patient satisfaction surveys should be conducted in all hospitals for devising interventions to provide patients with the best possible care.

Nurse practitioner satisfaction with in-person versus telehealth chronic care delivery.

The widespread use of telehealth and regulatory changes that enhanced nurse practitioner (NP) practice authority because of the SARS-CoV-2 pandemic offers an opportunity to assess postpandemic NP satisfaction with telehealth care delivery and perceptions of its feasibility compared with in-person visits. Outpatient chronic care delivery satisfaction and preference were compared among NPs who provide care to adults through in-person and/or telehealth visits and examined NP demographic and clinical characteristics associated with overall satisfaction by care delivery type. Data were collected using a cross-sectional, descriptive design through online dissemination of The Care Delivery Satisfaction Survey to a nationally representative sample of 586 NPs. Compared with NPs using both visit types to deliver care, NPs delivering care in-person only had significantly lower satisfaction scores for interpersonal manner ( p = .0076) and communication ( p = .0108). NPs using telehealth only had significantly higher overall satisfaction and satisfaction subscale scores (all p < .01) compared with NPs using both visit types. Overall, 77% of NPs using both visit types preferred in-person delivery. NPs delivering telehealth care only were more satisfied with chronic care delivery than NPs using both delivery types. NPs using both types were more satisfied with interpersonal manner and communication compared with NPs delivering in-person care only. Most NPs using both types preferred in-person care delivery. Given increased telehealth use, health systems, academic institutions, and insurance companies can use these study findings to inform policy on telehealth resources and infrastructure.

App-Controlled Treatment Monitoring and Support for Patients With Head and Neck Cancer Undergoing Radiotherapy: Results From a Prospective Randomized Controlled Trial.

Head and neck cancers (HNCs) are very common malignancies, and treatment often requires multimodal approaches, including radiotherapy and chemotherapy. Patients with HNC often display a high symptom burden, both due to the disease itself and the adverse effects of the multimodal therapy. Close telemonitoring of symptoms and quality of life during the course of treatment may help to identify those patients requiring early medical support. The App-Controlled Treatment Monitoring and Support for Patients With Head and Neck Cancer (APCOT) trial aimed to investigate the feasibility of integrating electronic patient-reported outcomes (ePROs) in the treatment surveillance pathway of patients with HNC during the course of their radiotherapy. Additionally, the influence of app-based ePRO monitoring on global and disease-specific quality of life and patient satisfaction with treatment was assessed. Patients undergoing radiotherapy for histologically proven HNCs at the Department of Radiation Oncology, University Medical Center Freiburg, Germany, were enrolled in this trial and monitored by weekly physician appointments. Patients were randomized between additional ePRO monitoring on each treatment day or standard-of-care monitoring. Feasibility of ePRO monitoring was defined as ≥80% of enrolled patients answering ≥80% of their daily app-based questions. Quality of life and patient satisfaction were assessed by the European Organisation for Research and Treatment of Cancer Core Quality of Life Questionnaire (QLQ-C30), the head and neck cancer module (H&N35), and the validated Patient Satisfaction Questionnaire Short Form (PSQ-18) at the completion of treatment and compared between trial arms. A total of 100 patients were enrolled in this trial, and 93 patients were evaluable. All patients (100%) in the experimental arm answered ≥80% of the ePRO questions during treatment, reaching the predefined threshold for the feasibility of ePRO monitoring (P<.001 in the binomial test). No clinical or patient-specific factor was found to influence feasibility. Global health and most domains of the general quality of life were comparable between trial arms, but an increased HNC-specific symptom burden was reported by patients undergoing ePRO surveillance. ePRO monitoring resulted in improved patient satisfaction regarding interpersonal manners (P=.01), financial aspects (P=.01), and time spent with a doctor (P=.01). This trial demonstrated the feasibility of incorporating daily app-based ePRO surveillance for patients with HNC undergoing radiotherapy. Our data, for the first time, demonstrate that telemonitoring in this setting led to increased reporting of HNC-specific symptom burden and significantly improved several domains of patient satisfaction. Further analyses are needed to assess whether our findings hold true outside the context of a clinical trial. German Clinical Trials Register DRKS00020491; https://drks.de/search/en/trial/DRKS00020491.

Classification of Patients' Judgments of Their Physicians in Web-Based Written Reviews Using Natural Language Processing: Algorithm Development and Validation.

Patients increasingly rely on web-based physician reviews to choose a physician and share their experiences. However, the unstructured text of these written reviews presents a challenge for researchers seeking to make inferences about patients' judgments. Methods previously used to identify patient judgments within reviews, such as hand-coding and dictionary-based approaches, have posed limitations to sample size and classification accuracy. Advanced natural language processing methods can help overcome these limitations and promote further analysis of physician reviews on these popular platforms. This study aims to train, test, and validate an advanced natural language processing algorithm for classifying the presence and valence of 2 dimensions of patient judgments in web-based physician reviews: interpersonal manner and technical competence. We sampled 345,053 reviews for 167,150 physicians across the United States from Healthgrades.com, a commercial web-based physician rating and review website. We hand-coded 2000 written reviews and used those reviews to train and test a transformer classification algorithm called the Robustly Optimized BERT (Bidirectional Encoder Representations from Transformers) Pretraining Approach (RoBERTa). The 2 fine-tuned models coded the reviews for the presence and positive or negative valence of patients' interpersonal manner or technical competence judgments of their physicians. We evaluated the performance of the 2 models against 200 hand-coded reviews and validated the models using the full sample of 345,053 RoBERTa-coded reviews. The interpersonal manner model was 90% accurate with precision of 0.89, recall of 0.90, and weighted F1-score of 0.89. The technical competence model was 90% accurate with precision of 0.91, recall of 0.90, and weighted F1-score of 0.90. Positive-valence judgments were associated with higher review star ratings whereas negative-valence judgments were associated with lower star ratings. Analysis of the data by review rating and physician gender corresponded with findings in prior literature. Our 2 classification models coded interpersonal manner and technical competence judgments with high precision, recall, and accuracy. These models were validated using review star ratings and results from previous research. RoBERTa can accurately classify unstructured, web-based review text at scale. Future work could explore the use of this algorithm with other textual data, such as social media posts and electronic health records.

Using WeChat to guide preparation before transthoracic echocardiography reduces anxiety and improves satisfaction of parents of infants with congenital heart disease

ObjectiveTo explore the effect of using WeChat to guide preparation before transthoracic echocardiography (TTE) on reducing anxiety and improving the satisfaction of parents of infants with congenital heart disease (CHD).MethodsThis study was a retrospective study conducted in a children’s hospital. The clinical data of 44 patients and the anxiety and satisfaction data of their parents who received WeChat guidance were collected between December 2021 and January 2022 (the WeChat group). The corresponding data of 47 patients and their parents who received educational brochure guidance were collected between September 2021 and November 2021 (the routine group). Guidance was used to help the parents prepare for TTE performed by medical professionals. The State-Trait Anxiety Inventory scale and the Patient Satisfaction Questionnaire-18 (PSQ-18) were used. The data of the two groups were compared and analyzed.ResultsThe comparison of parental anxiety between the two groups showed that the scores of state anxiety and trait anxiety in the WeChat group were significantly lower than those in the routine group (p < 0.05). The comparison of the results of the PSQ-18 showed that the scores for general satisfaction, interpersonal manner, communication, time spent with the physician, and accessibility and convenience in the WeChat group were significantly higher than those in the routine group (p < 0.05).ConclusionUsing WeChat to guide preparation before TTE for infants with CHD can effectively reduce the anxiety of their parents and improve their parents’ satisfaction with medical treatment.

Patient Satisfaction towards Dental Services in the Faculty of Dentistry, Universiti Teknologi MARA (UiTM), Malaysia

Objectives: This study aimed to determine patients’ satisfaction in the quality of dental care provided by the Faculty of Dentistry, UiTM and to identify specific aspects in the service for improvement. Methods: A cross-sectional study was conducted between June and December 2018 in the faculty’s clinics using a validated bilingual Short-Form Patient Satisfaction Questionnaire (PSQ-18) scale. Results: A total of 384 subjects comprised of 57.9% females and 41.8% males were recruited for this study. 92.2% of the respondent were Malay. Most of the subjects had at least two visits (43.4%) in the past. There were seven subscales studied based on the questionnaires: General Satisfaction; Technical Quality; Interpersonal Manner; Communication; Financial Aspects; Time Spent with Doctor; Accessibility and Convenience. There were 51% of the respondents who were very satisfied with the service provided in general. More specifically, 60.8% and 55.8% of respondents were very satisfied with the technical quality and interpersonal manner of the clinician, respectively. Other subscales of the questionnaires were on the communication between clinicians and patients whereby 56.6% were very satisfied. Remarkably, only 50.8% of respondents were satisfied with the financial aspects, even though the majority of patients were paying at no cost when treated by students. In terms of time spent with doctor and accessibility to the clinician, 54.0% and 55.5% of respondents were satisfied, respectively. Conclusion: Generally, patients were satisfied with the dental services provided in the Faculty of Dentistry Universiti Teknologi MARA (UiTM). However, some aspects of service can be further improved.

Are Patients Satisfied with Government Health Care? A Study on Patient’s Level of Satisfaction and Their Perception of Violence Against Doctors at A Government Hospital in North Karnataka, India

Background: The level of patient satisfaction must be evaluated periodically to assess the quality of health care provided by the government and to improve health care delivery in developing nations. The purpose of the study is to determine the level of patient satisfaction and their perception of violence against doctors among in-patients attending government teaching hospital. Methodology: It was a cross-sectional study among in‑patients of government teaching hospital in North Karnataka. A predesigned structured Patient Satisfaction Questionnaire –18 (PSQ–18), along with self-framed violence questionnaire was used as study tools. Descriptive Statistics, ANOVA &amp; Kruskal - Wallis tests were done using SPSS version 16. Results: The mean score for overall satisfaction was 3.72± 0.387. The mean patient satisfaction was highest for interpersonal manner (4.00 ±0.72) &amp; the least was accessibility and convenience (3.52±0.58). Among the study subjects47.5% had heard about the violence against the doctors, 33.5% said violence against doctors is on rise. Violence against doctors was unethical according to 57.5% and 60% said it must summon punishment. Conclusions: The overall patient satisfaction was good; accessibility and convenience need to be improved. The study helps in understanding patient’s needs in various dimensions of health care.

A PATIENT / CLIENT SATISFACTION QUESTIONNAIRE FOR AN INDEPENDENT MEDICAL EXAMINATION: A PILOT STUDY

There are numerous patient satisfaction questionnaires by none specific for an Independent Medical Examination (IME). The aim of this study was to develop and evaluate a questionnaire suitable for an IME.The questionnaire (IMESQ) consisted of five process domains (“Interpersonal manner”, “Communication”, “Technical ability”, “Information exchange”, “Time allocation”) and an outcome domain (“Satisfaction”), each with a five-scale Likert response. An 11-point numerical satisfaction scale (NSS) and a 3-point scale question on the “willing to undergo another examination with the doctor if required” were alternative measures of validation. The questionnaire was tested against numerous independent variables.Statistical analysis included Spearman correlation ((rS) between the items in the questionnaire and the total score with the NSS, and “willing to undergo another examination with the doctor if required” with point-biserial correlation (rpb). Internal consistent reliability was tested using split-half correlation coefficient (rSB) and Cronbach's alpha coefficient (α). The construct was subjected to Factor Analysis.The results from 53 respondents were analysed. There was moderate to strong inter-item correlation (rs range 0.57 to 0.83, median 0.67, p &lt; 0.01) and good correlation with the NSS (rs = 0.79, p &lt; 0.01) and dichotomous question (rpb = 0.45, p &lt; 0.01). Five respondents were “neither satisfied or dissatisfied” (Item 6) and 12 recorded “maybe” to further examination. The split-half correlation was strong (rSB= 0.76, p &lt; 0.01). There was good internal consistency reliability (α = 0.92). “Interpersonal manner” (ψ = 4.3) was the only item to have an eigenvalue greater than one, accounting to 72% of the variance across the scale. Eigenvector analysis confirmed the questionnaire was unidimentional.The IMESQ is a brief questionnaire to assess satisfaction with an IME. It is validated and has good internal consistency reliability. The five process domains can identify areas of suboptimal performance: useful for a 360° audit.

Satisfaction among Adults with Diabetes Mellitus Attending Central Diabetes Clinics with the Care Provided in Primary Health Care, Kingdom of Bahrain

Background: Patient satisfaction is one of the desired outcomes of health care, as it is not only an indicator of quality of care but also plays a vital role in the management of chronic patients such as Diabetes mellitus because it promotes adherence to advice and treatment, utilization of health care services, and the establishment of the doctor-patient relationship. Aims and Objectives: This study aims to assess diabetic patients’ level of satisfaction attending the Central Diabetes Clinics in primary health care. Additionally, this study aims to determine whether patient satisfaction is related to individual characteristics such as sociodemographic parameters and disease-related factors. Materials and Methods: A cross-sectional study was conducted in the Central Diabetes Clinics of Primary Health Care from February 6th to February 17th, 2022. The data was collected via a self-administered questionnaire. It was divided into two sections: the first part contained the patient's characteristics, and the second included 16 items obtained from the short form of the Patient Satisfaction Questionnaire (PSQ-18). Results: The study included 369 diabetes patients in total. Most participants (85.9%) were Bahrainis between the ages of 51 and 70 (70.5%). The overall satisfaction mean score was 69.4 (86.75%, SD = 8.9). Patients were most satisfied with the interpersonal manners, while they were dissatisfied with the waiting time for emergency services. A significant association was found between overall satisfaction and education level, as well as with the duration of treatment. Lower educational levels and a duration of Diabetes of 5–10 years were associated with higher satisfaction. No significant association was found between overall satisfaction and other factors such as sex, age, nationality, marital status, employment status, monthly income, the presence of other chronic conditions, the presence of diabetes-related complications, or the treatment type. Conclusion: This study concluded that most diabetic patients who visit Central Diabetes Clinics are generally satisfied with the quality of healthcare services.

Association Between Patient Satisfaction With Their Patient-Physician Relationship and Completion of Bariatric Surgery by Race and Ethnicity Among US Adults

Metabolic and bariatric surgery (MBS) is an effective and safe treatment for obesity and its comorbidities, but less than 50% of those who are eligible and referred for MBS complete the procedure. The patient-physician relationship could be a decisive factor in the decision to complete MBS; however, this relationship has not been explored, particularly among racially and ethnically diverse populations. To examine the association between patient-reported satisfaction with their patient-physician relationship and MBS completion by self-reported racial and ethnic group. This prospective cohort study included 408 patients who were referred to a bariatric surgeon or obesity medicine program between July 24, 2019, and May 19, 2022. Patient satisfaction with their physician was measured by 7 dimensions (general satisfaction, technical quality, interpersonal manner, communication, financial aspects, time spent with physician, and accessibility and convenience) using the Patient Satisfaction Questionnaire Short Form. Completion status for MBS (yes or no). A total of 408 patients (mean [SD] age, 47.3 [11.6] years; among 366 with data available, 317 [86.6%] women and 49 [13.4%] men) were included in the study. Of 363 patients with data available on race and ethnicity, 66 were Hispanic/Latinx (18.2%), 136 (37.5%) were non-Hispanic Black, 146 (40.2%) were non-Hispanic White, and 15 (4.1%) were other race or ethnicity. A total of 124 patients (30.4%) completed MBS. Overall, the mean (SD) patient satisfaction score was significantly greater in MBS completers vs noncompleters (3.86 [0.56] vs 3.61 [0.64]; P < .001). Multivariable logistic regression analysis showed technical quality was the most significant factor for MBS completion (adjusted odds ratio [aOR], 1.99 [95% CI, 1.24-3.19]), followed by communication (aOR, 1.78 [95% CI, 1.16-2.72]) and accessibility and convenience (aOR, 1.61 [95% CI, 1.03-2.53]). The interaction between racial and ethnic groups and patient satisfaction was not significant (eg, mean [SD] score for Hispanic/Latinx completers, 3.95 [0.55] vs 3.77 [0.60] for non-Hispanic White completers; P = .46 for interaction). These findings suggest that there is an association between patient satisfaction with the patient-physician relationship and the decision to complete MBS regardless of race and ethnicity. These findings have important implications for strategies to improve the proportion of qualified patients who complete MBS to achieve improved health outcomes.

Patient satisfaction with telephone consultations at a community mental health service: a descriptive survey

Background/Aims Research has demonstrated that there are several models of teleconsultation, and that these can be effective and acceptable to patients. At the start of the COVID-19 pandemic, there was a sudden shift to phone consultations in community mental health services. This study assessed the impact of this change from the patient perspective and thus determined how this mode of delivery can be optimised going forwards. Method Data were collected using a semi-structured, self-reporting patient satisfaction questionnaire with 17 items, which was sent to 200 patients who had received both an in-person and telephone consultation from a community mental health team in Wales. The themes covered in the questionnaire were communication, interpersonal manner, technical quality, convenience and general satisfaction. A total of 114 respondents rated their agreement with the items on a 5-point Likert scale, and free-text boxes were provided for suggestions and comments. Quantitative data were summarised using descriptive statistics and free-text comments were analysed thematically. Results The majority of the patients gave positive responses, with 70–94% either agreeing or strongly agreeing with the positive statements regarding the communication, interpersonal manner, technical quality and length of consultation that they experienced. Overall, 74% agreed or strongly agreed that they were generally satisfied. However, only 52% believed that telephone consultations were more convenient than in-person hospital appointments, and nearly one-quarter (24%) did not want to continue with telephone consultations in the future. Suggested improvements included the use of video consultations, provision of extra time for consultations and a general increase in the services available. Conclusions Telephone consultations were generally perceived as acceptable, useful and effective, helping patients to access ongoing mental health care. This suggests that telephone consultations could be an effective method of care delivery in the future. However, there is a need for further research and development in the remote delivery of mental health services.

Satisfaction and its determinants of rural upper gastrointestinal cancer screening in China: a preliminary cross-sectional study

ObjectivesTo assess participants’ satisfaction with and predictors of upper gastrointestinal cancer screening in rural areas.DesignCross-sectional study.SettingTen screening centres in seven cities across five provinces in China.ParticipantsOf the 452 participants screened...

948-P: Patient Satisfaction with Virtual Diabetes Care during the COVID-Pandemic

The COVID-pandemic has required changes to healthcare delivery and has been a stressful time for people with diabetes mellitus (DM) . Previous literature suggests that virtual health appointments for diabetes care can be effective and result in high patient satisfaction. However, it is unclear if patients with DM are satisfied with the widespread adoption of virtual care during the pandemic. The aim of this study was to evaluate the impact of virtual care during the pandemic on patient satisfaction in patients with type 1 and type 2 DM. The validated Patient Satisfaction Questionnaire (PSQ-III) was completed by 197 patients who had an in-person appointment in the six months before March 18, 2020 (pre-COVID) and a subsequent virtual appointment within six months after that date. For each form of healthcare delivery (i.e. in-person and virtual) , the satisfaction in six aspects of care was measured: general satisfaction, technical quality, interpersonal manner, communication, time spent with doctor, and accessibility of care. Both type 2 DM and age &amp;gt;55 years were associated with decreased general satisfaction with virtual care compared to in-person care. Both type 2 DM and female sex were associated with decreased technical quality of care. Accessibility of care decreased significantly in the overall study group. No significant differences in patient satisfaction were observed in the type 1 DM group. Despite our findings, 74% of respondents answered they would consider virtual health appointments in the future. Our data suggests that many patients welcome virtual health as an addition to their medical care. However, virtual health does not seem to deliver the same level of patient satisfaction as in-person appointments over the longer term. Future research on how fatigue with pandemic restrictions has affected patient satisfaction is needed to evaluate whether virtual health appointments are a viable option for long term diabetes care. Disclosure C.Chang: None. A.Dissanayake: None. M.Pawlowska: Advisory Panel; Novo Nordisk, Other Relationship; Medtronic. B.Schroeder: Advisory Panel; Novartis Canada, Novartis Canada, Novartis Canada, Novo Nordisk Canada Inc., Novo Nordisk Canada Inc., Novo Nordisk Canada Inc. J.Mackenzie-feder: Advisory Panel; Recordati S.p.A. A.White: Advisory Panel; AstraZeneca, Bayer AG, Boehringer Ingelheim International GmbH, Eli Lilly and Company, HLS Therapeutics Inc., Janssen Pharmaceuticals, Inc., Novo Nordisk Canada Inc.