Who presents satisfied? Non-modifiable factors associated with patient satisfaction among gynecologic oncology clinic patients
Who presents satisfied? Non-modifiable factors associated with patient satisfaction among gynecologic oncology clinic patients
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DOI：
10.1016/j.ygyno.2016.06.009
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发表时间：
2016-08-01
影响因子：
4.7
通讯作者：
Doll, Kemi M.
中科院分区：
文献类型：
--
作者：
Barber, Emma L.;Bensen, Jeannette T.;Doll, Kemi M.
客观的。旨在检查前往妇科肿瘤诊所就诊的女性中不可改变的患者因素与患者满意度 (PS) 之间的关联。方法。这是对由三级护理学术医疗中心的妇科肿瘤科医生进行手术治疗的患者的横断面分析。患者满意度调查问卷 (PSQ-18) 测量了七个医疗保健领域的 PS。分数转换为“满意”与“不满意/模棱两可”。从病历中获得人口统计和医疗因素。使用卡方、t 检验和多变量逻辑回归。结果。 208 名患者完成了基线患者满意度调查问卷，PSQ-18 得分中位数为 70.5（范围：42-90）。中位年龄为 58 岁（范围：22-93 岁）。一些不可改变的因素与 PS 相关。白人患者的人际 PS 高于少数族裔（86% vs 65%，p = 0.002）。未参保者的人际关系（60% vs 86%，p = 0.003）和可达性 PS（33% vs 67%，p = 0.03）较低。教育程度的提高和就医时间的减少都与较高的人际关系（p = 0.03，p = 0.05）和可及性 PS（p = 0.01，p = 0.01）相关。临床因素（BMI、合并症、癌症）与 PS 之间不存在关联。在多变量分析中，人际 PS 的最强预测因素是白人种族，而可及性 PS 的最强预测因素是到达护理和保险状态的时间。结论。到妇科肿瘤诊所就诊的患者的患者满意度评分与不可改变的人口、经济和地理因素相关。使用患者满意度总分来衡量绩效的薪酬可能会因患者组合驱动的差异而对医院造成惩罚。 (C) 2016 Elsevier Inc. 保留所有权利。
Objective. To examine associations between non-modifiable patient factors and patient satisfaction (PS) among women presenting to a gynecologic oncology clinic.Methods. This is a cross sectional analysis of patients presenting for surgical management by a gynecologic oncologist at a tertiary care academic medical center. The Patient Satisfaction Questionnaire (PSQ-18) that measures PS in seven domains of health care was administered. Scores were converted to "satisfied" versus "unsatisfied/equivocal". Demographic and medical factors were obtained from the medical record. Chi-square, t-tests, and multivariable logistic regression were used.Results. 208 patients completed the baseline patient satisfaction questionnaire and the median PSQ-18 score was 70.5 (range: 42-90). Median age was 58 years (range: 22-93). Several non-modifiable factors were associated with PS. White patients had higher interpersonal PS than minorities (86% v 65%, p = 0.002). The uninsured had lower interpersonal (60% v 86%, p = 0.003) and accessibility PS (33% v 67%,p = 0.03). Increasing education and less time travelled to care were both associated with higher interpersonal (p = 0.03, p = 0.05) and accessibility PS (p = 0.01, p = 0.01). There was no association between clinical factors (BMI, comorbidities, cancer) and PS. In multivariable analysis, the strongest predictor of interpersonal PS was white race while the strongest predictors of accessibility PS were time travelled to care and insurance status.Conclusions. Patient satisfaction scores among patients presenting to a gynecologic oncology clinic are associated with non-modifiable demographic, financial and geographic factors. Pay for performance measures that use summed patient satisfaction scores may penalize hospitals for patient-mix driven differences. (C) 2016 Elsevier Inc. All rights reserved.