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To what extent does patient experience account for variation in patient satisfaction with a healthcare system?

Emmanuel Kumah

Abstract


Background: Patient experience and patient satisfaction, the two recognized indicators for assessing the quality of healthcare, are related, but distinct concepts. While there is existing evidence concerning a statistically significant association between these two concepts, research on the extent to which patient experience accounts for variation in patients’ overall satisfaction with health services has produced contradictory results.  

Objectives: The primary aim of this paper was to determine the extent to which satisfaction with a healthcare system is explained by patient experience. A secondary objective was to identify the aspects of patient experience that relate most strongly to satisfaction with health services.

Methods: The study was a secondary analysis of quantitative data from the 2006 Consumer Assessment of Healthcare Providers and Systems (CAHPS) Survey. Multivariate regression analysis was used to assess the association between global satisfaction and CAHPS domains of patient-reported experience with healthcare. Pearson product moment correlation coefficients were computed to ascertain the aspects of patients’ experiences that have strong association with their overall satisfaction. 

Findings: Much (67.4%) of the variation in overall patient satisfaction was accounted for by patient experience. Factors related to patient-professional relationship related strongly with patients’ overall satisfaction with health services

Conclusion: Patient experience of care is a major determinant of patients’ overall satisfaction with a healthcare system and the two concepts are not marginally related.


Keywords


patient experience, patient satisfaction, health services, quality improvement

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References


Bilkish, P., Sangita, S., Prakash, A. & Manjunath, K. (2012). A cross-sectional study of patients’ satisfaction towards services received at a tertiary care hospital on OPD basis. National Journal of Community Medicine 3 (2) 232-237.

Groene, O. (2011). Patient centredness and quality improvement efforts in hospitals: rationale, measurement, implementation. International Journal for Quality in Health Care 23, 531537.

Bjertnaes, O.A., Sjetne, I.S. & Iversen, H.H. (2012). Overall patient satisfaction with hospitals: effects of patient-reported experiences and fulfilment of expectations. BMJ Quality and Safety 21, 39-46.

Browne, K., Roseman, D., Shaller, D. & Edgman-Levitan, S. (2010). Analysis & commentary. Measuring patient experience as a strategy for improving primary care. Health Affairs 29, 921-925.

Heidegger, T., Saal, D. & Nubling, M. (2006). Patient satisfaction with anaesthesis care: what is patient satisfaction, how should it be measured, and what is the evidence for assuring high patient satisfaction? Best Practice & Research Clinical Anaesthesiology 20, 331-346.

Fitzpatrick, R. (2002). Capturing what matters to patients when they evaluate their hospital care. Quality & Safety in Health Care 11 (4) 306.

Danielsen, K., Bjertnaes, O.A., Garratt, A., Forland, O., Iversen, H.H. & Hunskaar, S. (2010). The association between demographic factors, user reported experiences and user satisfaction: results from three casualty clinics in Norway. BMC Family Practice 11,73.

Cleary, P., Edgman-Levitan, S., McMullen, W. & Debanco, T.L. (1992). The relationship between reported problems and summary evaluations of hospital care. QRB Quality Review Bulletin 18 (2) 53-59.

Grol, R., Wensing, M., Mainz, J., Ferreira, P., Hearnshaw, H., Hjortdal, P., Olesen, F., Ribacke, M., Spenser, T & Szécsényi, J. (1999). Patients’ priorities with respect to general practice care: an international comparison. European Task Force on Patient Evaluations of General Practice (EUROPEP). Family Practice 16, 4-11.

Hamilton, D.F., Lane, J.V., Gaston, P., Patton, J.T., Macdonld, D., Simpson, A.H. & Howie, C.R. (2013). What determines patient satisfaction with surgery: a prospective cohort study of 4709 patients following total joint replacement. BMJ Open 9 (3) pii: e002525.

Naseer, M., Zahidie, A. & Shaikh, B.T. (2012). Determinants of patient's satisfaction with healthcare system in Pakistan: a critical review. Pakistan Journal of Public Health 2 (2) 52-61.

Blendon, R.J., Benson, J., Donelan, K., Leitman, R., Taylor, H., Koeck, C. & Gitterman, D. (1995). Who has the best health care system? A second look. Health Affairs 14, 220-230.

Robertson, R., Dixon, A. & Le Grand, J. (2008). Patient choice in general practice: the implications of patient satisfaction surveys. Journal of Health Services Research and Policy 13 (2) 67-72.

Donelan, K., Blendon, R.J., Schoen, C., Davis, K. & Binns, K. (1999). The cost of health system change: public discontent in five nations. Health Affairs 18, 206-216.

Jenkinson, C., Coulter, A., Bruster, S., Richards, N. & Chandola, T. (2002). Patients’ experiences and satisfaction with health care: results of a questionnaire study of specific aspects of care. Quality & Safety in Health Care 11, 335-339.

Bleich, S.N., Ozaltin, E. & Murray, C.J. (2009). How does satisfaction with the health-care system relate to patient experience? Bulletin of the World Health Organization 87 (4) 271-278.

Goldstein, L., Crofton, C., Garfinke, S. & Darby, C. (2005). Why Another Patient Survey of Hospital Care? Health Services Research 40 (6) 2057-2077.

Hargraves, J.L., Wilson, I.B., Zaslavasky, A., James, C., Walker, J.D., Rogers, G. & Cleary, P.D. (2001). Adjusting for patient characteristics when analyzing reports from patients about hospital care. Medical Care 39 (6) 635-641.

Eliott, M.N., Zaslavsky, A.M., Goldstein, E., Lehrman, W., Hambarsoomians, K., Beckett, M.K. & Giordano, L. (2009). Effects of survey mode, patient mix, and nonresponse on CAHPS Hospital survey scores. Health Services Research 44 (2 Pt 1) 501-518.

Hays, R.D., Martino, S., Brown, J.A., Cui, M., Cleary, P., Gaillot, S. & Elliott, M. (2013). Evaluation of a Care Coordination Measure for the Consumer Assessment of Healthcare Providers and Systems (CAHPS(R)) Medicare Survey. Medical Care Research and Review 71 (2) 192-202.

Martino, S.C., Elliott, M.N., Cleary, P.D., Kanouse, D.E., Brown, J.A., Spritzer, K.L., Heller, A. & Hays, R.D. (2009). Psychometric properties of an instrument to assess Medicare beneficiaries' prescription drug plan experiences. Health Care Financing Review 30 (3) 41-53.

Weech-Maldonado, R., Carle, A., Weidmer, B., Hurtado, M., Ngo-Metzger, Q. & Hays, R.D. (2012). The Consumer Assessment of Healthcare Providers and Systems (CAHPS®) Cultural Competence (CC) Item Set. Medical Care 50 (9 Supplement 2) S22-S31.

Garratt, A.M., Danielsen, K. & Hunskaar, S. (2010). The Patient Experiences Questionnaire for Out-of-Hours- Care (PEQ-OHC): data quality, reliability and validity. Scandinavian Journal of Primary Health Care 28, 95-101.

Hair, J.F., Anderson, R.E., Tatham, R.L. & Black, W.C. (1995). Multivariate Data Analysis 3rd edn. New York: Macmillan.

Kennedy, P. (1992). A Guide to Econometrics. Oxford: Blackwell.

Linder-Pelz, S. (1982). Toward a theory of patient satisfaction. Social Science & Medicine 16, 577.

Judge, K. & Solomons, M. (1993). Public opinion and the national health service: patterns and perspectives in consumer satisfaction. Journal of Social Policy 22, 299-327.

Burroughs, T.E., Waterman, B.M., Gilin, D., Adams, D., McCollegan, J. & Cira, J. (2005). Do on-site patient satisfaction surveys bias results? Joint Commission Journal on Quality and Patient Safety 31 (3) 158-166.

Kemp, K., McCormack, B., Chan, N., Santana, M.J. & Quan, H. (2015). Correlation of inpatient experience survey items and domains with overall hospital rating. Journal of Patient Experience 2 (2) 29-36.

Boulding, W., Glickman, S.W., Manary, M.P., Schulman, K.A. & Staelin, R. (2011). Relationship between patient satisfaction with inpatient care and hospital readmission within 30 days. American Journal of Managed Care 17,41-48.

Paddison, C.A.M., Abel, G.A., Roland, M.O., Elliott, M.N., Lyratzopoulos, G. & Campbell, J.L. (2013). Drivers of overall satisfaction with primary care: evidence from the English General Practice Patient Survey. Health Expectations 18 (5) 1081-1092.

Tonio, S., Joerg, K. & Joachim, K. (2011). Determinants of patient satisfaction: a study among 39 hospitals in an in-patient setting in Germany. International Journal for Quality in Health Care 23 (5) 503-509.

Bowling, A. (2005). Mode of questionnaire administration can have serious effects on data quality. Journal of Public Health 27 (3) 281-291.




DOI: http://dx.doi.org/10.5750/ejpch.v5i2.1281

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