Age and health status in a patient satisfaction survey

Cohen, Geoff

doi:10.1016/0277-9536(95)00315-0

Cited by 171 publications

(184 citation statements)

References 14 publications

Supporting

Mentioning

150

Contrasting

Unclassified

Order By: Relevance

“…(4) Satisfaction and postoperative function: Our data support recent findings 21 on the nonsignificant correlation of satisfaction with postoperative ADL functioning. In a study similar to ours, Yamashita et al 13 showed that subjective postoperative difficulty in walking and postoperative level of functioning were associated with patients' satisfaction, but were much less important compared with postoperative symptoms.…”

Section: Discussionsupporting

confidence: 89%

Decompression surgery for lumbar spinal stenosis in the elderly: preoperative expectations and postoperative satisfaction

et al. 2005

View full text Add to dashboard Cite

Study design: Retrospective cohort examination. Objectives: Data on expectations and satisfaction rates in elderly patients operated for lumbar spinal stenosis (LSS) are limited. The present study aimed to investigate these issues as well as the factors that might affect them. Setting: A university affiliated hospital. Patients and methods: A follow-up study of 367 consecutive patients aged 65 years and older (mean age 71.4 years), who underwent surgery for degenerative LSS between 1990 and 2000. Data collection included patients' preoperative expectation, demographic data, body mass index, operative risk, duration of symptoms, clinical presentation and patients' satisfaction on follow-up, pain level, activities of daily living level and walking ability. Data were recorded before operation and on follow-up. Preoperative and follow-up data were analyzed by univariate and multivariable models. Results: The response rate on follow-up was 81% (298 patients). A logistic regression analysis showed that advanced age, male gender and high education level were independently associated with positive expectations, while a great number of covariates were associated with patients' satisfaction. High patients' expectations were positively interrelated with satisfaction (r ¼ 0.332, Po0.001). Conclusions: In the elderly, preoperative expectations reasonably predict their postoperative satisfaction rate. It is suggested that a greater effort should be made to narrow the gaps between expectations and satisfaction, perhaps by providing more accurate preoperative information data regarding the outcomes of planned surgery.

show abstract

Section: Discussionsupporting

confidence: 89%

Decompression surgery for lumbar spinal stenosis in the elderly: preoperative expectations and postoperative satisfaction

et al. 2005

View full text Add to dashboard Cite

show abstract

“…As reported in previous studies (Cohen, 1996;Hargraves et al, 2001;Kim et al, 2005;Rahmqvist, 2001), the present study found significant relationships between patient characteristics and satisfaction. In the multivariate analysis, older, female, married, and less educated people were more likely to be satisfied.…”

Section: Discussionsupporting

confidence: 76%

“…Previous studies have reported that patient satisfaction is influenced by sociodemographic factors (e.g. age, sex, marital status, education, and income) and health status (Cohen, 1996;Hargraves et al, 2001;Kim, Zaslavsky, & Cleary, 2005;Rahmqvist, 2001). Adjustments for patient characteristics help minimize the influence of these factors and make patient satisfaction less biased.…”

mentioning

confidence: 99%

Trends in Patient Satisfaction from 1989-2003: Adjusted for Patient Characteristics

Cho

Kim

2007

J Korean Acad Nurs

View full text Add to dashboard Cite

Despite its subjective nature, patient satisfaction has become an important issue in health care quality, not only at the institutional level, but at the state level, as well. Individual institutions regularly monitor their patient satisfaction and develop strategies for quality improvement to achieve a better position in the market. Nurses, as major hospital personnel, play a role in meeting their patients' needs and expectations, and, as a result, nursing care is acknowledged as a key determinant of patient satisfaction. Patient Satisfaction at the State LevelWhile the significance of patient satisfaction at the institutional level never diminishes, recently, governments and policy analysts have used patient satisfaction as an approach to evaluate the performance of the national Methods. Five repeated cross-sectional surveys were used. The study sample included 290,534 household members 20 years of age and over from the five survey periods of 1989, 1992, 1995, 1999, and 2003. Satisfaction was measured using a five-point scale, ranging from "very satisfied" to "very dissatisfied." Crude satisfaction rates, representing the proportion of patients satisfied (very satisfied or satisfied), were calculated for each survey period. Satisfaction rates adjusted for age, sex, marital status, education, and selfrated health status were calculated for each of the five years.Results. Crude satisfaction rates increased from 15.4% in 1989 to 40.5% in 2003. The proportions of satisfaction and dissatisfaction were reversed after 15 years had passed. However, the satisfaction trend was not linear throughout the different years, with 1992 being the year with the lowest satisfaction rate (9.7%). These trends in crude rates did not change even after adjusting for patient characteristics. The odds of satisfaction in 1992 were 38% lower (odds ratio 0.62, 95% CI 0.60 to 0.64) than the odds in 1989. In 2003, the odds of satisfaction were 4.01 times (95% CI 3.89 to 4.13) the odds for 1989. Older, female, married, and less-educated people were more likely to be satisfied. Patients who rated their health as "very good" had the highest satisfaction rate, and those with "neutral" health ratings had the lowest. General hospitals achieved substantial improvement whereas pharmacies became the lowest-rated of all institutions.Conclusions. The Korean health system has achieved better patient satisfaction rates over the past 15 years.Increased health expenditure, resources, and quality improvement efforts may have contributed to this progress.

show abstract

“…Our training programmes, it is remarkable that no attenfindings on this accord with other research, which tion is paid to nonverbal communication. In the reveals that patient satisfaction is always high, which selected studies, investigators focused exclusively on results in limited variance in the scores [30,31]. the verbal component of communication, and negWith regard to the research methods, we see that lected the nonverbal component which also influan experimental design was used in relatively few ences the interaction between patient and nurse.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of communication training programs in nursing care: a review of the literature

Kruijver

Kerkstra

Francké

et al. 2000

Patient Education and Counseling

143

View full text Add to dashboard Cite

An important aspect of nursing care is communication with patients. Nurses' major communication tasks are not only to inform the patient about his / her disease and treatment, but also to create a therapeutically effective relationship by assessing patients' concerns, showing understanding, empathy, and providing comfort and support. In this review, 14 studies, which focus on the evaluation of the effects of communication training programs for nurses, have been evaluated. The selected studies were screened on several independent, process and outcome variables as described by Francke et al. [8]. In this way not only is the training program taken into account as a variable which may be responsible for nurses' behavioural change and for changes in patient outcomes, but also a range of other variables which can give more nuanced explanations for a training program's degree of effectiveness. On the whole, the studies reviewed showed limited or no effects on nurses' skills, on nurses' behavioural changes in practice, and on patient outcomes. Finally, the majority of the studies had a weak design. The use of experimental research designs should be pursued in future studies in order to eliminate the influence of confounding variables.

show abstract

Age and health status in a patient satisfaction survey

Cited by 171 publications

References 14 publications

Decompression surgery for lumbar spinal stenosis in the elderly: preoperative expectations and postoperative satisfaction

Decompression surgery for lumbar spinal stenosis in the elderly: preoperative expectations and postoperative satisfaction

Trends in Patient Satisfaction from 1989-2003: Adjusted for Patient Characteristics

Evaluation of communication training programs in nursing care: a review of the literature

Contact Info

Product

Resources

About