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Patient Satisfaction in Emergency General Surgery: A Prospective Cross‐Sectional Study

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Název: Patient Satisfaction in Emergency General Surgery: A Prospective Cross‐Sectional Study
Autoři: Matheesha Herath, Derek Hennessey, J. Han, Samantha Jolly, Christopher Dobbins, Minh Tran, Tarik Sammour, Michael O'Callaghan, Ned Kinnear, James Moore, Dominic Parker
Zdroj: World Journal of Surgery. 44:2950-2958
Informace o vydavateli: Wiley, 2020.
Rok vydání: 2020
Témata: Adult, Aged, 80 and over, Male, Adolescent, 80 and over Cross-Sectional Studies *Emergency Service, Middle Aged, Hospital Female Humans Male Middle Aged Patient Reported Outcome Measures *Patient Satisfaction Prospective Studies *Surgical Procedures, Operative Young Adult, 3. Good health, Young Adult, 03 medical and health sciences, Cross-Sectional Studies, 0302 clinical medicine, Patient Satisfaction, Surgical Procedures, Operative, Humans, Female, Patient Reported Outcome Measures, Prospective Studies, Emergency Service, Hospital, Adolescent Adult Aged Aged, Aged
Popis: BackgroundThe importance of the patient experience is increasingly being recognised. However, there is a dearth of studies regarding factors affecting patient‐reported outcomes in emergency general surgery (EGS), including none from the Southern Hemisphere. We aim to prospectively assess factors associated with patient satisfaction in this setting.MethodsIn this prospective cross‐sectional study, all consecutive adult patients admitted to an acute surgical unit over four weeks were invited to complete a validated Patient‐Reported Experience Measures questionnaire. These were completed either in person when discharge was imminent or by telephone ResultsFrom 146 eligible patients, 100 (68%) completed the questionnaire, with a mean overall satisfaction score of 8.3/10. On multivariate analyses, eight factors were significantly associated with increased overall satisfaction. Five of these were similar to those previously prescribed by other like studies, being patient age >50 years, sufficient analgesia, satisfaction with the level of senior medical staff, important questions answered by nurses and confidence in decisions made about treatment. Three identified factors were new: sufficient privacy in the emergency department, sufficient notice prior to discharge and feeling well looked after in hospital.ConclusionsFactors associated with patient satisfaction were identified at multiple points of the patient journey. While some of these have been reported in similar studies, most differed. Hospitals should assess factors valued by their EGS population prior to implementing initiatives to improve patient satisfaction.
Druh dokumentu: Article
Jazyk: English
ISSN: 1432-2323
0364-2313
DOI: 10.1007/s00268-020-05561-8
Přístupová URL adresa: https://pubmed.ncbi.nlm.nih.gov/32399656
https://link.springer.com/article/10.1007/s00268-020-05561-8
https://www.ncbi.nlm.nih.gov/pubmed/32399656
https://pubmed.ncbi.nlm.nih.gov/32399656/
Rights: Springer TDM
Přístupové číslo: edsair.doi.dedup.....d25a00c38578953a51232508e1f6f61f
Databáze: OpenAIRE
Popis
Abstrakt:BackgroundThe importance of the patient experience is increasingly being recognised. However, there is a dearth of studies regarding factors affecting patient‐reported outcomes in emergency general surgery (EGS), including none from the Southern Hemisphere. We aim to prospectively assess factors associated with patient satisfaction in this setting.MethodsIn this prospective cross‐sectional study, all consecutive adult patients admitted to an acute surgical unit over four weeks were invited to complete a validated Patient‐Reported Experience Measures questionnaire. These were completed either in person when discharge was imminent or by telephone ResultsFrom 146 eligible patients, 100 (68%) completed the questionnaire, with a mean overall satisfaction score of 8.3/10. On multivariate analyses, eight factors were significantly associated with increased overall satisfaction. Five of these were similar to those previously prescribed by other like studies, being patient age >50 years, sufficient analgesia, satisfaction with the level of senior medical staff, important questions answered by nurses and confidence in decisions made about treatment. Three identified factors were new: sufficient privacy in the emergency department, sufficient notice prior to discharge and feeling well looked after in hospital.ConclusionsFactors associated with patient satisfaction were identified at multiple points of the patient journey. While some of these have been reported in similar studies, most differed. Hospitals should assess factors valued by their EGS population prior to implementing initiatives to improve patient satisfaction.
ISSN:14322323
03642313
DOI:10.1007/s00268-020-05561-8