Critical Role of Trauma and Emergency Surgery Physicians in Patient Satisfaction: An Analysis of Consumer Assessment of Healthcare Providers and Systems, Hospital Version Data from 186,779 Patients and 168 Hospitals in a National Healthcare System
- 29 January 2021
- journal article
- research article
- Published by Ovid Technologies (Wolters Kluwer Health) in Journal of the American College of Surgeons
- Vol. 232 (4), 656-663
- https://doi.org/10.1016/j.jamcollsurg.2020.12.017
Abstract
Background Trauma and emergency surgery patients are unique with regard to the sudden and unexpected nature of their hospitalization and this can adversely affect patient satisfaction, but, to our knowledge, no large study exists examining this issue. The purpose of this study was to investigate the major factors that affect satisfaction scores in trauma and emergency surgery patients. Study Design Consumer Assessment of Healthcare Providers and Systems, Hospital Version survey data from patients discharged in 2018-2019 from facilities in a national hospital system were obtained. Patients were categorized as trauma, emergency surgery, or direct admit surgery (elective surgery). Individual Consumer Assessment of Healthcare Providers and Systems, Hospital Version question scores were regressed on the score for “overall rating” to determine the primary, secondary, and tertiary satisfaction drivers. Results There were 186,779 patients from 168 hospitals included. As expected, the primary determinant of patient satisfaction was nursing communication for all groups. However, trauma and emergency surgery patients differed from elective surgery patients in that physician communication was the second most important factor in patient satisfaction, accounting for 12.0% (trauma) and 8.6% (emergency surgery) of the total variability in the overall rating beyond the variability explained by the primary driver. If physician communication received low ratings, it was unlikely that high scores in other metrics could compensate to bring the overall score above the 50th percentile. Conclusions Acute care surgeons appear to play a uniquely important role in support of Consumer Assessment of Healthcare Providers and Systems, Hospital Version scores. These data emphasize the importance of physician communication, particularly when a prehospital physician-patient relationship does not exist. Future research should explore specific mechanisms by which physicians effectively communicate with patients.Keywords
This publication has 9 references indexed in Scilit:
- Trauma patient discharge and care transition experiences: Identifying opportunities for quality improvement in trauma centresInjury, 2018
- Emergency Department Patient ExperienceJournal of Patient Experience, 2017
- Trauma patients: I can't get no (patient) satisfaction?The American Journal of Surgery, 2016
- Discharge from the acute hospital: trauma patients’ perceptions of careAustralian Health Review, 2016
- Getting satisfaction: drivers of surgical Hospital Consumer Assessment of Health care Providers and Systems survey scoresJournal of Surgical Research, 2015
- Setting Value-Based Payment Goals — HHS Efforts to Improve U.S. Health CareThe New England Journal of Medicine, 2015
- A systematic review of evidence on the links between patient experience and clinical safety and effectivenessBMJ Open, 2013
- Nursing: A Key To Patient SatisfactionHealth Affairs, 2009
- Quality Monitoring of Physicians: Linking Patients’ Experiences of Care to Clinical Quality and OutcomesJournal of General Internal Medicine, 2008