Patient satisfaction at and after discharge. Effect of a time lag.

OBJECTIVE Patient satisfaction is an important outcome measure for evaluating the quality of medical care. It is remarkable that consistently high satisfaction ratings have been reported over the last 30 years. There are indications that the time point of administration of a patient satisfaction questionnaire has an influence on satisfaction ratings. This study aimed at investigating whether the assessment of patient satisfaction at different time points resulted in different outcomes. METHODS Patient satisfaction was measured twice. The sample consisted of 152 orthopedic patients who filled in the questionnaire at hospital discharge and one to 12 months after discharge. RESULTS At follow-up, satisfaction ratings decreased significantly. Satisfaction with postoperative information decreased the most after discharge. CONCLUSION The results of this study indicate that the time point of administration of a patient satisfaction questionnaire does influence satisfaction ratings. PRACTICE IMPLICATIONS Patient satisfaction outcomes collected during hospitalization and after discharge may not be interpreted similarly.

[1]  Martin Stevens,et al.  The Groningen Orthopedic Exit Strategy (GOES): a home-based support program for total hip and knee arthroplasty patients after shortened hospital stay. , 2004, Patient education and counseling.

[2]  D. Holst,et al.  Validity of a questionnaire survey: response patterns in different subgroups and the effect of social desirability , 2002, Acta odontologica Scandinavica.

[3]  Chris Williams,et al.  Informed consent: patients listen and read, but what information do they retain? , 2002, The New Zealand medical journal.

[4]  Cindy Farquhar,et al.  3 The Cochrane Library , 1996 .

[5]  D. Barker,et al.  Conduct of surveys. , 1978, British medical journal.

[6]  J. Katajisto,et al.  Patient satisfaction with psychiatric inpatient care. , 2006, Journal of advanced nursing.

[7]  C. Attkisson,et al.  Artifact in client satisfaction assessment: experience in community mental health settings. , 1981, Evaluation and program planning.

[8]  C. Clancy,et al.  Outcomes Research: Measuring the End Results of Health Care , 1998, Science.

[9]  T. Peters,et al.  A comparison of methods for measuring patient satisfaction with consultations in primary care. , 1996, Family practice.

[10]  P. Bradshaw,et al.  Increasing patients' satisfaction with communications. , 1976, The British journal of social and clinical psychology.

[11]  T. Conroy,et al.  Validation of the EORTC QLQ-SAT32 cancer inpatient satisfaction questionnaire by self- versus interview-assessment comparison. , 2004, Patient education and counseling.

[12]  H. Rodgers,et al.  Randomized controlled trial of a comprehensive stroke education program for patients and caregivers. , 1999, Stroke.

[13]  J. Lebow,et al.  Research assessing consumer satisfaction with mental health treatment: a review of findings. , 1983, Evaluation and program planning.

[14]  N Wood,et al.  Response rate in patient satisfaction research: an analysis of 210 published studies. , 1998, International journal for quality in health care : journal of the International Society for Quality in Health Care.

[15]  H. Rubin Patient evaluations of hospital care. A review of the literature. , 1990, Medical care.

[16]  J. Sitzia How valid and reliable are patient satisfaction data? An analysis of 195 studies. , 1999, International journal for quality in health care : journal of the International Society for Quality in Health Care.

[17]  H. Brey A cross-national validation of the client satisfaction questionnaire: the Dutch experience. , 1983 .

[18]  B. Williams Patient satisfaction: a valid concept? , 1994, Social science & medicine.

[19]  J. Sitzia,et al.  Patient satisfaction: a review of issues and concepts. , 1997, Social science & medicine.

[20]  K Kroenke,et al.  Predictors of patient satisfaction. , 2001, Social science & medicine.

[21]  D. Jatulis,et al.  Identifying Predictors of Satisfaction with Access to Medical Care and Quality of Care , 1997, American journal of medical quality : the official journal of the American College of Medical Quality.

[22]  H. de Brey A cross-national validation of the client satisfaction questionnaire: the Dutch experience. , 1983, Evaluation and program planning.

[23]  A. House,et al.  Information provision for stroke patients and their caregivers. , 2008, The Cochrane database of systematic reviews.

[24]  Richard Savage,et al.  Effect of a general practitioner's consulting style on patients' satisfaction: a controlled study. , 1990, BMJ.

[25]  Satisfaction with medical rehabilitation in patients with orthopedic impairment. , 2003, Archives of physical medicine and rehabilitation.

[26]  P. A. Clark,et al.  Patient perceptions of quality in discharge instruction. , 2005, Patient education and counseling.

[27]  Alicia O'Cathain,et al.  The continuum of patient satisfaction--from satisfied to very satisfied. , 2003, Social science & medicine.

[28]  J. de Haes,et al.  Timing of patient satisfaction assessment: effect on questionnaire acceptability, completeness of data, reliability and variability of scores. , 2002, Patient education and counseling.

[29]  R. Kane,et al.  The relationship of patient satisfaction with care and clinical outcomes. , 1997, Medical care.