Patient Satisfaction as a Possible Indicator of Quality Surgical Care | Apr 0. JAMA Surgery. Importance. В In 2. 01. 0, national payers announced they would begin using patient satisfaction scores to adjust reimbursements for surgical care.
Objective. В To determine whether patient satisfaction is independent from surgical process measures and hospital safety. Design. В We compared the performance of hospitals that participated in the Patient Satisfaction Survey, the Centers for Medicare & Medicaid Services Surgical Care Improvement Program, and the employee Safety Attitudes Questionnaire. Setting. В Thirty- one US hospitals. Participants. В Patients and hospital employees.
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Interventions. В There were no interventions for this study. Main Outcomes and Measures. В Hospital patient satisfaction scores were compared with hospital Surgical Care Improvement Program compliance and hospital employee safety attitudes (safety culture) scores during a 2- year period (2. Secondary outcomes were individual domains of the safety culture survey. Results. В Patient satisfaction was not associated with performance on process measures (antibiotic prophylaxis, RВ =В в€’0. PВ =В . 2. 4]; appropriate hair removal, RВ =В в€’0. PВ =В . 9. 5]; Foley catheter removal, RВ =В в€’0.
PВ =В . 6. 3]; deep vein thrombosis prophylaxis, RВ =В 0. PВ =В . 5. 9]). In addition, patient satisfaction was not associated with a hospital's overall safety culture score (RВ =В 0. PВ =В . 1. 1]). We found no association between patient satisfaction and the individual culture domains of job satisfaction (RВ =В 0.
PВ =В . 0. 7]), working conditions (RВ =В 0. PВ =В . 3. 0]), or perceptions of management (RВ =В 0. PВ =В . 2. 3]); however, patient satisfaction was associated with the individual culture domains of employee teamwork climate (RВ =В 0. PВ =В . 0. 1]), safety climate (RВ =В 0. PВ =В . 0. 3]), and stress recognition (RВ =В в€’0. PВ =В . 0. 08]). Conclusions and Relevance.
В Patient satisfaction was independent of hospital compliance with surgical processes of quality care and with overall hospital employee safety culture, although a few individual domains of culture were associated. Patient satisfaction may provide information about a hospital's ability to provide good service as a part of the patient experience; however, further study is needed before it is applied widely to surgeons as a quality indicator.
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