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

American Journal of Surgery
Ryan K SchmockerEmily R Winslow

Abstract

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). 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. 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. In long stay patients, having fewer inpatient consultations was the strongest predictor of patient satisfaction with physician communication. This s...Continue Reading

References

Feb 19, 2002·Social Science & Medicine·Phi Linh Nguyen ThiF Guillemin
Nov 13, 2002·The American Journal of Medicine·Ravindra L MehtaGlenn M Chertow
Jan 8, 2003·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Junya Tokunaga, Yuichi Imanaka
May 2, 2003·Annals of Allergy, Asthma & Immunology : Official Publication of the American College of Allergy, Asthma, & Immunology·Ronald W EnglandJames M Quinn
Oct 28, 2004·Annals of Family Medicine·John W Saultz, Waleed Albedaiwi
Oct 30, 2008·BMC Research Notes·Michaela R JordanWilliam A Ghali
Jul 17, 2009·Medical Care Research and Review : MCRR·Marc N ElliottLaura A Giordano
Sep 10, 2011·Clinical Medicine : Journal of the Royal College of Physicians of London·M R DouglasD J Nicholl
Jan 25, 2012·Clinical Medicine : Journal of the Royal College of Physicians of London·David E Bateman
Jul 4, 2012·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Kristine A SchulzDavid L Witsell
May 28, 2013·Journal of General Internal Medicine·Lissy HuAbrar Qureshi
Jun 6, 2013·Current Opinion in Oncology·Bruno P Granwehr, Dimitrios P Kontoyiannis
Jun 28, 2013·Annals of the American Thoracic Society·Jennifer P StevensMichael D Howell
Jan 18, 2014·Journal of General Internal Medicine·Jonathan TurnerKevin J O'Leary
Mar 13, 2014·Journal of the American Board of Family Medicine : JABFM·Joshua J FentonPeter Franks
Jun 5, 2014·Annals of Surgery·Caprice C Greenberg, Gregory D Kennedy
Aug 19, 2014·JAMA Internal Medicine·Sosena KebedeDaniel J Brotman

❮ Previous
Next ❯

Citations

Jan 5, 2019·Southern Medical Journal·Maribeth P WilliamsPeter J Carek
Aug 5, 2017·Hospital Pediatrics·Alisa KhanChristopher P Landrigan
May 10, 2019·SAGE Open Medicine·Daniel PelletierMichael Heberer
Dec 26, 2017·Journal of Patient Experience·J Gene ChenJonathan Shuster
Jan 19, 2021·Journal of Patient Experience·Jerome Gene ChenBertha Ben Khallouq
Nov 5, 2021·Hospital Pediatrics·Andrew S Kern-GoldbergerChristopher P Bonafide

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.