Preoperative Factors Associated with Press Ganey Patient Satisfaction Scores after Anterior Cruciate Ligament Reconstruction.
Preoperative Factors Associated with Press Ganey Patient Satisfaction Scores after Anterior Cruciate Ligament Reconstruction.
复制标题
与前十字韧带重建后 Press Ganey 患者满意度评分相关的术前因素。
DOI：
10.1055/s-0041-1741394
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发表时间：
2023
期刊：
影响因子：
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通讯作者：
Henn3rd,RFrank
中科院分区：
文献类型：
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作者：
Perraut,GregoryT;Zhang,Tina;Weir,TristanB;Schneider,MatheusB;Aneizi,Ali;Leong,NatalieL;Packer,JonathanD;Meredith,SeanJ;Henn3rd,RFrank
患者满意度越来越多地被用作评估医疗服务质量和确定医院和医生补偿的指标。本研究的目的是确定与Press Ganey门诊手术（PGAS）满意度评分相关的术前因素，并评价接受前交叉韧带重建（ACLR）的患者中每个PGAS领域评分对总PGAS评分变异性的影响。对2015年至2019年接受ACLR的患者在单中心进行了Press Ganey（PG）数据库审查。99名患者完成了PGAS调查，54名患者还完成了骨科登记研究的术前人口统计学和患者报告结局指标（PROM）。计算PGAS评分并进行双变量分析。多变量线性回归确定了6个PGAS领域中的每一个对总PGAS评分变异性的影响。在99例患者的总队列中，没有任何因素与总PGAS评分或任何领域评分显著相关。对于54例也参与骨科登记研究的患者，术前PROM与PGAS总分均无显著相关性。然而，具有大学学位（89分vs. 95分或97分;p= 0.02）和连续股神经导管（92分vs. 100分;p= 0.04）与较低的个人问题领域评分相关，而既往手术次数较多的患者的注册领域评分较差（ρ= -0.27;p= 0.049）。对于整个队列，注册和机构域对总PGAS评分的变异性贡献最大，而医生域贡献最小。很少有术前因素与PGAS评分相关，总PGAS评分与基线PROM无显著相关性。鉴于总评分的大部分变异性源于患者经历的全身方面，外科医生改善其PGAS评分的能力可能有限。
Patient satisfaction is increasingly used as a metric to evaluate the quality of healthcare services and to determine hospital and physician compensation. The aim of this study was to identify preoperative factors associated with Press Ganey Ambulatory Surgery (PGAS) satisfaction scores, and to evaluate the effect of each PGAS domain score on the total PGAS score variability in patients undergoing anterior cruciate ligament reconstruction (ACLR). A review of a Press Ganey (PG) database at a single center was performed for patients undergoing ACLR between 2015 and 2019. Ninety-nine patients completed the PGAS survey and 54 also completed preoperative demographic and patient-reported outcome measures (PROMs) for an orthopaedic registry. PGAS scores were calculated and bivariate analysis was performed. Multivariable linear regression determined the effect of each of the six PGAS domains on the total PGAS score variability. In the total cohort of 99 patients, no factors were significantly associated with the total PGAS score or any domain scores. For the 54 patients who also participated in the orthopaedic registry, none of the preoperative PROMs were significantly correlated with total PGAS score. However, having a college degree (89 vs. 95 or 97 points;p= 0.02) and continuous femoral nerve catheter (92 vs. 100 points;p= 0.04) was associated with lower personal issue domain scores, while patients with a greater number of prior surgeries had worse registration domain scores (ρ= -0.27;p= 0.049). For the entire cohort, the registration and facility domains contributed the most variability to the total PGAS score, while the physician domain contributed the least. Few preoperative factors are associated with PGAS scores, and total PGAS scores do not significantly correlate with baseline PROMs. Surgeons may have limited ability to improve their PGAS scores given most of the variability in total scores stems from systemic aspects of the patient experience.