Is There a Relationship Between Patient Satisfaction and Favorable Surgical Outcomes?

Tevis, Sarah E.; Kennedy, Gregory D.; Kent, K. Craig

doi:10.1016/j.yasu.2015.03.006

Cited by 71 publications

(46 citation statements)

References 28 publications

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“…This finding is supported by the significantly higher patient satisfaction in hospitals excluded from the study, which received less than 75 patient satisfaction surveys and therefore tend to be smaller hospitals. However, Tevis et al . explored the relationship between patient satisfaction and favourable surgical outcomes and noted that patients in larger hospitals were more satisfied.…”

Section: Discussionmentioning

confidence: 99%

Associations between hospital characteristics and patient satisfaction in Germany

Kraska

Weigand²,

Geraedts

2016

Health Expectations

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BackgroundThe patient perspective is increasingly recognized as a central pillar of quality in hospital care. International evidence suggests that an array of interacting factors may influence patient satisfaction with hospital care, whereas only a few studies have examined the impact of hospital characteristics.ObjectiveTo explore which hospital characteristics exert an influence on patient satisfaction with inpatient care.DesignCross‐sectional study using secondary data.Setting and participantsA total of 999 hospitals in Germany with 300 200 patient surveys from 2013 formed the study population. Patient satisfaction was surveyed using the Patients’ Experience Questionnaire, and hospital characteristics were extracted from mandatory quality reports. Only hospitals with at least 75 surveys were included in the analysis.Main variables studied and main outcome measuresFour dimensions of patient satisfaction (medical care, nursing care, organization and overall impression) were studied as the outcome measures. Region, profit orientation, size, staffing per bed and quality scores were considered possible influencing hospital characteristics. We performed risk‐adjusted multivariate analyses.ResultsAll of the characteristics had a significant influence on the patient satisfaction dimensions (P<.05), and patients in East Germany, in small hospitals or in not‐for‐profit hospitals, were more satisfied. Additionally, more staffing per bed as well as a better process and outcome quality were associated with more satisfied patients.ConclusionStructural and quality characteristics of hospitals have a significant impact on patient satisfaction. This association confirms that patients are sensitive to important hospital quality measures and reinforces the consideration of patient satisfaction as an indicator of the quality of care.

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Section: Discussionmentioning

confidence: 99%

Associations between hospital characteristics and patient satisfaction in Germany

Kraska

Weigand²,

Geraedts

2016

Health Expectations

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“…Patients' satisfaction at the time point out of PACU and 24 h after the operation was signi cantly improved after intravesical dexmedetomidine instillation because there were reductions in CRBD and catheter-induced urethral pain and patient satisfaction is closely related to the postoperative outcomes [37]. The improvement in the patients' satisfaction might reduce their CRBD and urethral pain.…”

Section: Discussionmentioning

confidence: 98%

Intravesical dexmedetomidine instillation reduces postoperative catheter-related bladder discomfort in male patients under general anesthesia: a randomized controlled study

Chen

Wang

et al. 2020

Preprint

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Background: The catheter-related bladder discomfort (CRBD) of male patients is a common clinical problem, albeit lacking effective solutions. The present study aimed to investigate whether intravesical dexmedetomidine instillation alleviates the postoperative urinary discomfort in male patients with catheter under general anesthesia. Methods: This single-blinded, prospective, randomized study included a total of 167 male patients American Society of Anesthesiologists (ASA) physical status I-II scheduled for surgery under general anesthesia were allocated to two groups: 84 in the dexmedetomidine group and 83 in the control group. Dexmedetomidine group patients received intravesical instillation of the drug 0.5 μg/kg and normal saline 20 mL, while the control group received intravesical instillation of 20 mL normal saline. The catheter was clamped for 30 min after intravesical instillation for all patients. Bladder stimulation scales and urethra pain numerical rating scale (NRS) scores were measured at admittance to post-anesthesia care unit (PACU) (T0), intravesical instillation (T1), 30 min (T2), 60 min (T3), 2 h (T4) after intravesical instillation, discharged from PACU (T5), and 6 h (T6) and 24 h (T7) after the operation. Patient satisfaction at discharge from PACU and 24 h post-operation were compared between the two groups. Results: Bladder stimulation scales and urethra pain NRS scores after 30 min of intravesical dexmedetomidine instillation to 24 h post-operation were significantly lower than the control group (p<0.001), and patient satisfaction was higher at discharge from PACU and 24 h post-operation (p<0.001). No diﬀerences were detected in Steward score out of PACU (p=0.213) and from the time of the end of operation to fully awake (p=0.417). Conclusion: Intravesical dexmedetomidine instillation reduces postoperative urinary discomfort and urethra pain and improves satisfaction in male patients under general anesthesia.

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“…Although patient experience is categorically linked to CMS reimbursement via HCAHPS, there is no clear relationship between patient satisfaction/experience and clinical outcomes. Though some studies have shown a correlation between HCAHPS [4] or alternate patient satisfaction surveys [5,6] and clinical outcomes, a growing body of data demonstrates the absence of such a correlation [7], particularly in surgical specialties [8][9][10][11][12]. In fact, one study reported that increased mortality and complication rates were associated with higher patient satisfaction scores [13].…”

Section: Patient Experience and Reimbursementmentioning

confidence: 99%

Using Quality Improvement Methods to Improve Patient Experience

Jensen

Allen²,

Blaško³

et al. 2016

Journal of the American College of Radiology

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Patient experience is an important component of the overall medical encounter. This paper explores how patient experience is measured and its role in radiology, including its impact on clinical outcomes and reimbursement. Although typically applied to safety and clinical outcomes, quality improvement methodology can also be used to drive improvement efforts centered on patient experience. Applying an established framework for patient-centered care to radiology, this paper provides a number of examples of projects that are likely to yield significant improvement in patient satisfaction measures.

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Is There a Relationship Between Patient Satisfaction and Favorable Surgical Outcomes?

Cited by 71 publications

References 28 publications

Associations between hospital characteristics and patient satisfaction in Germany

Associations between hospital characteristics and patient satisfaction in Germany

Intravesical dexmedetomidine instillation reduces postoperative catheter-related bladder discomfort in male patients under general anesthesia: a randomized controlled study

Using Quality Improvement Methods to Improve Patient Experience

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