The number of inpatient consultations is negatively correlated with patient satisfaction in patients with prolonged hospital stays.
Am J Surg
; 212(2): 282-8, 2016 Aug.
Article
in En
| MEDLINE
| ID: mdl-26792276
ABSTRACT
BACKGROUND:
Patient satisfaction is often measured using the Hospital Consumer Assessment of Healthcare Providers and Systems survey. Our aim was to examine the structural and clinical determinants of satisfaction among inpatients with prolonged lengths of stays (LOS).METHODS:
Adult patients who were admitted between 2009 and 2012, had a LOS of 21 days or more, and completed the Hospital Consumer Assessment of Healthcare Providers and Systems survey, were included. Univariate analyses assessed the relationship between satisfaction and patient/system variables. Recursive partitioning was used to examine the relative importance of the identified variables.RESULTS:
One hundred one patients met inclusion criteria. The average LOS was 35 days and 58% were admitted to a surgical service. Satisfaction with physician communication was significantly associated with fewer consultations (P < .01), nonoperative admission (P < .001), no intensive care unit stay (P < .01), nonsurgical service (P < .01), and non-emergency room admissions (P = .03). Among these, having fewer consultations had the highest relative importance.CONCLUSIONS:
In long stay patients, having fewer inpatient consultations was the strongest predictor of patient satisfaction with physician communication. This suggests that examination of patient-level data in clinically relevant subgroups may be a useful way to identify targets for quality improvement.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Physician-Patient Relations
/
Referral and Consultation
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Patient Satisfaction
/
Inpatients
/
Length of Stay
Type of study:
Observational_studies
/
Prognostic_studies
/
Qualitative_research
/
Risk_factors_studies
Limits:
Adult
/
Aged
/
Female
/
Humans
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Male
/
Middle aged
Language:
En
Journal:
Am J Surg
Year:
2016
Document type:
Article
Affiliation country:
United States