The number of inpatient consultations is negatively correlated with patient satisfaction in patients with prolonged hospital stays

Ryan K. Schmocker, Sara E. Holden, Xia Vang, Stephanie T. Lumpkin, Linda M. Cherney Stafford, Glen E. Leverson, Emily R. Winslow

Research output: Contribution to journalArticle

3 Scopus citations

Abstract

Background Patient satisfaction is often measured using the Hospital Consumer Assessment of Healthcare Providers and Systems survey. Our aim was to examine the structural and clinical determinants of satisfaction among inpatients with prolonged lengths of stays (LOS). Methods Adult patients who were admitted between 2009 and 2012, had a LOS of 21 days or more, and completed the Hospital Consumer Assessment of Healthcare Providers and Systems survey, were included. Univariate analyses assessed the relationship between satisfaction and patient/system variables. Recursive partitioning was used to examine the relative importance of the identified variables. Results One hundred one patients met inclusion criteria. The average LOS was 35 days and 58% were admitted to a surgical service. Satisfaction with physician communication was significantly associated with fewer consultations (P <.01), nonoperative admission (P <.001), no intensive care unit stay (P <.01), nonsurgical service (P <.01), and non-emergency room admissions (P =.03). Among these, having fewer consultations had the highest relative importance. Conclusions In long stay patients, having fewer inpatient consultations was the strongest predictor of patient satisfaction with physician communication. This suggests that examination of patient-level data in clinically relevant subgroups may be a useful way to identify targets for quality improvement.

Original languageEnglish
Pages (from-to)282-288
Number of pages7
JournalAmerican journal of surgery
Volume212
Issue number2
DOIs
StatePublished - Aug 1 2016
Externally publishedYes

Keywords

  • HCAHPS
  • Patient satisfaction
  • Physician communication
  • Surgery service

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