Patient satisfaction in musculoskeletal medicine

Smith, Matthew J.; Choma, Theodore J.

doi:10.1007/s12178-017-9403-x

Cited by 30 publications

(33 citation statements)

References 25 publications

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“…6 A provider who is not content with his or her own patient satisfaction scores needs to question himself what measures need to be done to improve. 17 A previous study specifically demonstrates that surgeons demonstrate weakness in the ability to assess the patient understanding of the situation, discussing risks and uncertainties associated with their care. 3 Given the multiple variable that seem to affect patient satisfaction scoring, it seems that physicians will need to be actively studying the characteristics of their population to identify strategies to improve satisfaction scores.…”

Section: Discussionmentioning

confidence: 99%

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Orthopaedic Surgeon Communication Skills: Perception of Empathy and Patient Satisfaction Through the Use of Anatomic Models

Portalatín¹,

Carrazana²,

Colon³

et al. 2018

JAAOS Glob Res Rev

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Introduction:Patient satisfaction is an increasingly emphasized measure of patient-centered care and important component of reimbursement programs. Orthopaedic surgeons are regarded as low-empathy surgeons. Our goals were to understand the role of anatomic models during the orthopaedic appointment and how their use can affect patient satisfaction and perceived empathy.Methods:New patients at an outpatient clinic were asked to participate in a postencounter questionnaire to asses empathy perception (n = 304). Clinic days were randomly assigned to use anatomic models during the encounter to assist with clinical information transmission. The instrument provided contained Consultation and Relational Empathy questionnaire (ie, a person-centered process that was developed to measure empathy in the context of the therapeutic relationship during a one-on-one consultation between a clinician and a patient).Results:A total of 304 participants were included in the study. Analyses of the sociodemographic characteristics did not reveal any significant difference between the control and experimental groups. Consultation and Relational Empathy scores for the nonanatomic group (46.0 ± 9.0) and anatomic group (48.0 ± 7.7) were not statistically different (P = 0.482). The encounter time was significantly increased with the use of anatomic models (P < 0.005).Discussion:The use of anatomic models during initial orthopaedic encounter did not improve perceived empathy and satisfaction scores in our study. Longer encounter time in the orthopaedic appointment does not mean higher empathy perception.Conclusion:Orthopaedic surgeons have the duty to find new strategies to improve communication with the patient. Better communication has been associated with better patient satisfaction. Further investigation should be considered to use other strategies to provide better care for our patients.

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Section: Discussionmentioning

confidence: 99%

“…3 Given the multiple variable that seem to affect patient satisfaction scoring, it seems that physicians will need to be actively studying the characteristics of their population to identify strategies to improve satisfaction scores. 17…”

Section: Discussionmentioning

confidence: 99%

Orthopaedic Surgeon Communication Skills: Perception of Empathy and Patient Satisfaction Through the Use of Anatomic Models

Portalatín¹,

Carrazana²,

Colon³

et al. 2018

JAAOS Glob Res Rev

View full text Add to dashboard Cite

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“…Furthermore, our findings should also be analysed considering the different approaches used and the variety of analytical methods (e.g. framework analysis, grounded theory) as well which can have introduced potential differences in the study findings; moreover, the interpretation of findings both by the original authors and by the experts involved in this review, can have been influenced by their experiences [16].…”

Section: Strength and Limitationsmentioning

confidence: 99%

“…Thus, the outpatient clinic setting provides a unique opportunity to explore the concept of patient satisfaction within this context. First, O-MSK represents an increasingly requested and used service capable of responding faster to the patient's health needs [15], thus the users' experiences are essential for its development and growth [16]. Second, typically O-MSK patients are exclusively managed by a physiotherapist and, therefore, their perceptions regarding the care received can directly be attributable to the physiotherapy instead of to other healthcare [6].…”

mentioning

confidence: 99%

“…This research method has been recommended as a useful approach to understand individual's experiences of healthcare services and specifically, to explore their experiences regarding service designed to address musculoskeletal issues [17,18]. In addition, qualitative meta-summary and meta-synthesis has been established as an adequate method for the interpretation of findings across multiple studies thus enhancing the understanding of the phenomenon of interest [19,20] and elucidating the mechanisms contributing to satisfaction from the perspective of users [16]; furthermore, findings from meta-synthesis have been documented as capable of informing policies improving clinical practice [21]. In accordance with this rationale, the research question of this meta-summary and meta-synthesis was: "What are the determinants of patient satisfaction in patients with musculoskeletal pain who received physiotherapy treatment in an outpatient service?…”

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confidence: 99%

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Determinants of patient satisfaction in outpatient musculoskeletal physiotherapy: a systematic, qualitative meta-summary, and meta-synthesis

Rossettini¹,

Latini²,

Palese

et al. 2018

Disability and Rehabilitation

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Additional studies were identified by using a "berry-picking" method. Search limits were: primary studies; English language; and involving human subjects. Qualitative peer reviewed articles describing patient satisfaction in outpatient musculoskeletal physiotherapy were eligible for inclusion. Two reviewers critically appraised eligible studies independently using the Critical Appraisal of Skills Programme tool for qualitative studies. Extracted verbatim data of included studies were synthesized using the meta-summary and meta-synthesis by using a purpose-designed form. Results: 11 studies were included in the review. Factors influencing patient satisfaction were grouped into six broad themes: 1) clinical outcomes; 2) physiotherapist features; 3) patient features; 4) physiotherapist-patient relationship; 5) treatment features, and 6) healthcare setting features. Conclusions: These findings suggest that patient satisfaction in outpatient musculoskeletal physiotherapy is a multidimensional construct influenced by individual patient/provider, clinical and contextual factors. Future reviews should include a synthesis of findings from both qualitative and quantitative studies to establish a fully comprehensive understanding of this complex health phenomenon.

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Benchmarking community/primary care musculoskeletal services: A narrative review and recommendation

Burgess

Lewis

Hill

2022

Musculoskeletal Care

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Introduction: High quality data on service performance is essential in healthcare to evidence efficacy, efficiency, and value. There remains a paucity of publicly reported data in community and primary care musculoskeletal (MSK) services. There is also a lack of guidance on which metrics MSK services should be collecting and reporting, and how this data could be used to directly improve patient outcomes, experiences, and value.Method: A narrative review of the evidence around benchmarking MSK services was undertaken with a focus on how to develop routine data collection within community/primary care settings, and how to develop benchmarking capabilities for the future, looking towards a national MSK audit. This evidence was triangulated with the findings from recent MSK data studies undertaken by the authors and emerging UK policy and guidance in this area. Recommendations:To enable MSK benchmarking services need to collect consistent, standardised outcomes and, therefore, we have developed a recommendation on a minimum MSK 'core outcome set' of Patient Reported Outcome Measures (PROMs) and Patient Reported Experience Measures (PREMs) (PROMs: MSK-HQ, NPRS, WPAI; PREMs: National MSK PREM). In addition, we make recommendations on the use of a standardised evidence-based method for case-mix adjustment and outlier identification (using the following baseline demographics and clinical factors; age, sex, ethnicity, pain site, comorbidities, duration of symptoms, previous surgery, previous pain episodes), alongside considerations on how this data should be integrated and reported within NHS systems. Conclusions:Capturing high quality MSK data in a standardised, consistent, and sustainable way is a significant challenge. Policy holders, commissioners, managers, and clinicians need to be realistic with expectations, and take time to explore barriers to implementation including, funding, digital infrastructure/intra-operability, data sharing/governance, digital literacy, and local/national leadership. Next steps include developing a national MSK audit programme to provide a benchmarking model to support continuous improvements in care quality for patients living with MSK conditions.

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Patient satisfaction in musculoskeletal medicine

Cited by 30 publications

References 25 publications

Orthopaedic Surgeon Communication Skills: Perception of Empathy and Patient Satisfaction Through the Use of Anatomic Models

Orthopaedic Surgeon Communication Skills: Perception of Empathy and Patient Satisfaction Through the Use of Anatomic Models

Determinants of patient satisfaction in outpatient musculoskeletal physiotherapy: a systematic, qualitative meta-summary, and meta-synthesis

Benchmarking community/primary care musculoskeletal services: A narrative review and recommendation

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