Alibrandi, Angela and Gitto, Lara and Limosani, Michele and Mustica, Paolo (2020): Improving health performances: To what extent patient satisfaction may influence quality?
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Abstract
Patient satisfaction constitutes an objective to achieve in the provision of qualitatively adequate health services; it relies on patient involvement, that is obtained through surveys aimed at letting patient to express their opinion on the health care received. Patients may provide the best source of accurate information, primarily on issues such as clarity of explanations given by physicians or barriers to care, accessibility and cleanliness of health structures. This analysis summarises the experience of a sample of patient interviewed at the University Polyclinic in Messina (Sicily, Italy) and provides a detailed assessment of the satisfaction of patients who experienced health services at different Departments. Information collected through a specific survey is used to build a dataset with more than 350 observations. Regressors are carefully selected and compared through a radar chart. A rigorous empirical methodology, based on the estimation of a logistic model, is then applied. Results outlines how factors relevant for patient satisfaction are related both to the ambulatory where the health care is provided and its characteristics, together with the judgement about the quality of care received by physicians and nurses. Other crucial factors in determining a higher satisfaction were the availability of parking lots, the cleaning of structures and the judgment on physicians, the latter endorsing the high probability of being highly satisfied when expectations on physicians’ competences and professionalism are confirmed. The “Contact details”, i.e. the indications of the people to contact in case of need, strengthen the overall positive experience of patients. This study enriches the existing literature on patient satisfaction and is aimed at rethinking the organization of the health assistance offered at University Polyclinics, with the primary objective to guarantee the highest patient satisfaction.
Item Type: | MPRA Paper |
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Original Title: | Improving health performances: To what extent patient satisfaction may influence quality? |
Language: | English |
Keywords: | Patient satisfaction; University polyclinic; logistic model; patient involvement. |
Subjects: | C - Mathematical and Quantitative Methods > C3 - Multiple or Simultaneous Equation Models ; Multiple Variables > C35 - Discrete Regression and Qualitative Choice Models ; Discrete Regressors ; Proportions I - Health, Education, and Welfare > I1 - Health > I12 - Health Behavior I - Health, Education, and Welfare > I1 - Health > I18 - Government Policy ; Regulation ; Public Health L - Industrial Organization > L2 - Firm Objectives, Organization, and Behavior > L25 - Firm Performance: Size, Diversification, and Scope |
Item ID: | 105393 |
Depositing User: | Professor Lara Gitto |
Date Deposited: | 02 Feb 2021 04:45 |
Last Modified: | 02 Feb 2021 04:45 |
References: | Abramowitz, S., Coté, A.A. and Berry, E. (1987). Analyzing patient satisfaction: a multianalytic approach. Quality Review Bulletin, 13(4):122-130. DOI: 10.1016/s0097-5990(16)30118-x. Ahmadian, L., Ghasemi, E. and Khajouei, R. (2014). Evaluating the Process of Requesting and Collecting Laboratory Test Results from Nurses’ Viewpoints before and after HIS Implementation. Hakim Research Journal, 17 (1): 15-21. AHRQ, https://www.ahrq.gov/cahps/about-cahps/patient-experience/index.html [last accessed 17.02.2020]. Aiken, L., Sermeus, W., Van den Heede, K., Sloane, D.M., Busse, R., Mckee, M., Bruyneel, L., Rafferty, A.M., Griffiths, P., Moreno-Casbas, M. T., Tishelman, C., Scott, A., Brzostek, T., Kinnunen, J., Schwendimann, R., Heinen, M., Zikos, D., Strømseng Sjetne, I., Smith, H.L. and Kutney-Lee, A. (2012). Patient Safety, Satisfaction, and Quality Of Hospital Care: Cross Sectional Surveys of Nurses and Patients in 12 Countries in Europe and the United States. BMJ, 344. DOI: 10.1136/bmj.e1717. Akinode, J.L. and Oloruntoba, S.A. (2017). Design and Implementation of a Patient Appointment and Scheduling System. International Advanced Research Journal in Science, Engineering and Technology, 4 (12): 16-23. DOI: 10.17148/IARJSET.2017.41203. Alibrandi, A., Gitto, L. and Limosani, M. (2020). Il medico universitario: bilanciamento tra attività accademiche e assistenziali. L’esperienza del Policlinico universitario di Messina, Politiche Sanitarie, 21 (4): 145-154. DOI: doi 10.1706/3496.34803 Andrzejewski, N. and Lagua, R.T. (1997). Use of a customer satisfaction survey by health care regulators: a tool for total quality management. Public Health Reports, 112(3): 206–210. Battaglia, T.C., Giammanco, M.D. and Gitto, L. (2015). La rilevazione della qualità percepita dagli utenti dei servizi dei dipartimenti delle dipendenze patologiche. Un caso studio. Politiche Sanitarie, 16(4): 230-243. DOI: 0.1706/2150.23246 ISSN: 1590-069X. Biemer, P.P. and Lyberg, L.E. (2003). Introduction to Survey Quality. John Wiley & Sons: 124. Bowling, A. (2005). Mode of questionnaire administration can have serious effects on data quality. Journal of Public Health, 27(3): 281-291. DOI: https://doi.org/10.1093/pubmed/fdi031. Brody, D.S., Miller, S.M., Lerman, C.E., Smith, D.G., Lazaro, C.G. and Blum, M.J. (1989). The Relationship between Patients’ Satisfaction with Their Physicians and Perceptions about Interventions They Desired and Received. Medical Care, 27(11): 1027-35. DOI: 10.1097/00005650-198911000-00004. Church, R.L. and Marston, J.R. (2003). Measuring accessibility for people with a disability. Geography Analytics, 35:83–96. doi: 10.1353/geo.2002.0029. Dent, M. and Pahor, M. (2015). Patient involvement in Europe – a comparative framework. Journal of Health Organization and Management, 29(5): 546-555. De Paula Amorim, L., Barreiros Senna, M.I., Pereira Alencar, G., Rodrigues, L.G., Simpson de Paula, J. and Conceição Ferreira, R. (2019). User satisfaction with public oral health services in the Brazilian Unified Health System. BMC Oral Health, 19: 126. Deshwal, P., Ranjan, V. and Mittal, G. (2014). College clinic service quality and patient satisfaction. International Journal of Health Care Quality Assurance, 27 (6): 519-530. DOI: 10.1108/IJHCQA-06-2013-0070. Discacciati, A., Crippa, A. and Orsini, N. (2017) Goodness of fit tools for dose–response meta‐analysis of binary outcomes. Research Synthesis Methods, 8(2): 149–160. Djambazov, S.N., Giammanco, M.D. and Gitto, L. (2019). Factors That Predict Overall Patient Satisfaction With Oncology Hospital Care in Bulgaria. Value in Health Regional Issues, 19:26-33. DOI: 10.1016/j.vhri.2018.11.006. Epstein, K.R., Laine, C., Farber, N.J., Nelson, E.C. and Davidoff F. (1996). Patients’ Perceptions of Office Medical Practice: Judging Quality through the Patients’ Eyes. American Journal of Medical Quality, 11(2): 73-80. Esposito, L., https://health.usnews.com/health-news/patient-advice/articles/2014/06/05/how-to-get-access-to-your-hospital-records. [last accessed: 17.02.20]. EUPAN. http://www.eupan.eu/. [last accessed: 17.02.20]. Farley, H., Enguidanos, E.R., Coletti, C.M., Honigman, L., Mazzeo, A., Pinson, T.B., Reed, K. And Wiler, J.L. (2014). Patient Satisfaction Surveys and Quality of Care: An Information Paper. Annals of Emergency Medicine, 64(4): 351–357. Ford, R.C., Bach, S.A. and Fottler, M.D. (1997). Methods of measuring patient satisfaction in health care organizations. Health Care Management Review, 22 (2):74–89. Freedman, D.B. (2006). Involvement of patients in Clinical Governance. Clinical Chemistry and Laboratory Medicine, 44 (6): 699-703. Ganasegeran, K., Perianayagam, W., Manaf, R.A., Jadoo, S.A. and Al-Dubai, S.A. (2015). Patient satisfaction in Malaysia’s busiest outpatient medical care. Scientific World Journal, 2015: 714754. doi:10.1155/2015/714754. Gasquet, I., Villeminot, S., Estaquio, C., Durieux, P., Ravaud, P. and Falissard, B. (2004). Construction of a questionnaire measuring outpatients’ opinion of quality of hospital consultation departments. Health and quality of life outcomes, 2: 43. DOI :10.1186/1477-7525-2-43. George, A.K. and Sanda, M.G. (2006). Measuring Patient Satisfaction. In: Penson, D.F., Wei, J.T. (eds). Clinical Research Methods for Surgeons. New Jersey: Humana Press: 253-265. Groene, O. (2011). Patient centredness and quality improvement efforts in hospitals: rationale, measurement, implementation. International Journal for quality in health care, 23 (5): 531–537. Harpole, L.H., Orav, E.J., Hickey, M., Posther, K.E. and Brennan, T.A. (1996). Patient satisfaction in the ambulatory setting. Influence of data collection methods and sociodemographic factors. Journal of general internal medicine, 11(7): 431-434. Heidegger, T., Saal, D. and Nuebling, M. (2006). Patient satisfaction with anaesthesia 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 (2):331-346. Helbig, M., Helbig, S., Kahla-Witzsch, H.A. and May, A. (2009). Quality management: reduction of waiting time and efficiency enhancement in an ENT-university outpatients’ department. BMC health services research, 9: 21. https://doi.org/10.1186/1472-6963-9-21. Henriksen, K.M., Heller, N., Finucane, A.M. and Oxenham, D. (2014). Is the patient satisfaction questionnaire an acceptable tool for use in a hospice inpatient setting? A pilot study. BMC palliative care, 13:27. DOI:10.1186/1472-684X-13-27- Hudak, P.L. and Wright, J.G. (2000) The characteristics of patient Satisfaction Measures. Spine, 25(4): 3167-3177. Japsen, B. (2018). More Doctor Pay Tied To Patient Satisfaction And Outcomes. Available at: https://www.forbes.com/sites/brucejapsen/2018/06/18/more-doctor-pay-tied-to-patient-satisfaction-and-outcomes/#3b05b101504a [last accessed: 17.02.20]. Joseph, N.P. and Rajiv, J. (2015). Aspects of handling a telephone interview. International Journal of Applied Engineering Research, 10 (33): 26891-26898. Kitching, J.B. (1990). Patient information leaflets – the state of the art. Journal of the Royal Society of Medicine, 83(5): 298-300. Kleinbaum, D.G., Kupper, L.L., Nizam, A. and Rosenberg, E.S. (2013). Applied Regression Analysis and Other Multivariable Methods. Cengage Learning. Lamar University (2017). How Can Nurses Improve Patient Outcomes?, published on: September 20, 2017 https://degree.lamar.edu/articles/nursing/improve-patient-outcomes/). [last accessed: 17.02.2020]. Lescher, M. and Sirven, N. (2019). Healthcare quality, patients’ satisfaction, and hospital incentives in France. Revue d’économie politique, 129(4): 525-551. Ley, P. (1992). Communicating with patients: Improving communication, satisfaction and compliance. London: Chapman and Hall. Lin, B. and Kelly, E. (1995). Methodological issues in patient satisfaction surveys. International journal of health care quality assurance, 8(6): 32–37. Little, P., Everitt, H., Williamson, I., Warner, G., Moore, M., Gould, C., Ferrier, K. and Payne, S. (2001). Preferences of patients for patient centred approach to consultation in primary care: observational study. BMJ, 322(7284): 468-472. Liu, J. and Mao, Y. (2019) Patient Satisfaction with Rural Medical Services: A Cross-Sectional Survey in 11 Western Provinces in China. International journal of environmental research and public health, 16(20): 3968. DOI: 10.3390/ijerph16203968. Manary, M.P., Boulding, W., Staelin, R. and Glickman, S.W. (2013). The patient experience and health outcomes. New England Journal of Medicine, 368(3): 201-203. Manzoor, F., Wei, L., Hussain, A., Asif, M. and Sha, S.I.A. (2019). Patient satisfaction with health care services; an application of physician’s behavior as a moderator. International journal of environmental research and public health 16(18): 3318. DOI:10.3390/ijerph16183318. Meng, R., Li, J., Zhang, Y., Yu, Y., Luo, Y., Liu, X., Zhao, Y., Hao, Y., Hu, Y. and Yu, C. (2018). Evaluation of patient and medical staff satisfaction regarding healthcare services in Wuhan public hospitals, International journal of environmental research and public health, 15(4): 769. DOI: 10.3390/ijerph15040769. Mes, M.A., Chan, A.H.Y., Wileman, V., Katzer, C.B., Goodbourn, M., Towndrow, S., Taylor, S.J.C. and Horne, R. (2019). Patient involvement in questionnaire design: tackling response error and burden. Journal of pharmaceutical policy and practice, 12(17). https://doi.org/10.1186/s40545-019-0175-0. Murolo, G., Favitta, S., Adragna, S., De Luca, G., Drago, A., Raineri, R. and Sciandra, M. (2019). Valutazione della qualità percepita nelle strutture del servizio sanitario della Regione Siciliana. Available at: https://www.qualitasiciliassr.it/?q=umanizzazione-del-paziente-ricoveri-ambulatori [last accessed 17.02.20]. Osterweis, M. and Howell, J.R. (1979). Administering satisfaction questionnaires at diverse ambulatory care sites. Journal of ambulatory care management, 2 (3): 67-88. Otani, K., Harris, L.E. and Tierney, W.M. (2003) A paradigm shift in patient satisfaction assessment. Medical Care Research Review, 60(3):347-365. Otani, K., Kim, B.J., Waterman, B., Boslaugh, S., Klinkenberg, W.D. and Dunagan, W.C. (2012). Patient satisfaction and organizational impact: a hierarchical linear modeling approach. Health Marketing Quarterly, 29(3):256-269. Parsons T. (1975). The Sick Role and the Role of the Physician Reconsidered. Milbank Memorial Fund Quarterly, 53 (3): 257-278. DOI: 10.2307/3349493. Rahimi, H., Khammar-nia, M., Kavosi, Z. and Eslahi, M. (2014). Indicators of hospital performance evaluation: a literature review. International Journal of Hospital Research, 3(4):199-208. Rolstad, S., Adler, J. and Rydén, A. (2011). Response burden and questionnaire length: is shorter better? A review and meta-analysis. Value in Health, 14 (8): 1101–1108. https://blog.scottlogic.com/2011/09/23/a-critique-of-radar-charts.html Settineri, S., Vitetta, A., Mento, C., Fanara, G., Silvestri, R., Tatì, F., Grugno, R., Cordici, F., Conte, F., Polimeni, G., Gitto, L. and Bramanti, P. (2010). Construction of a telephone interview to assess the relationship between mood and sleep in adolescence. Neurological Science 31(4): 459–465. Shabbir, A., Malik, S.A. and Malik, S.A. (2016). Measuring patients’ healthcare service quality perceptions, satisfaction, and loyalty in public and private sector hospitals in Pakistan. International Journal of Quality and Reliability Management, 33(5): 538–557. Shan, L., Li, Y., Ding, D., Wu, Q., Liu, C., Jiao, M., Hao, Y., Han, Y., Gao, L., Hao, J., Wang, L., Xu, W. and Ren, J. (2016). Patient satisfaction with hospital inpatient care: effects of trust, medical insurance and perceived quality of care, PLoS One, 11(10): e0164366. https://doi.org/10.1371/journal.pone.0164366. Sheard, L., Peacock, R., Marsh, C. and Lawton, R. (2019). What’s the problem with patient experience feedback? A macro and micro understanding, based on findings from a three-site UK qualitative study. Health Expectations, 22(1):46–53. DOI:10.1111/hex.12829. Sitzia, J. and Wood, N. (1997). Patient satisfaction: a review of issues and concepts. Social Science and Medicine, 45(12): 1829–1843. Stepurko, T., Pavlova, M. and Groot, W. (2016). Overall satisfaction of health care users with the quality of and access to health care services: a cross-sectional study in six Central and Eastern European countries. BMC Health Service Research, 16(a): 342. DOI: 10.1186/s12913-016-1585-1 Stewart, M., Brown, J.B., Donner, A., McWhinney, I.R., Oates, J., Weston, W.W. and Jordan, J. (2000). The impact of patient centered care on outcomes. Journal of family practice 49 (9):796-804. The Beryl Institute (2013). Understanding the Gap Between Patient Expectations and Reality, posted by Barbara Lewis, June 21, 2013. https://www.theberylinstitute.org/blogpost/947424/165942/Understanding-the-Gap-Between-Patient-Expectations-and-Reality. The UK Parliament (1983). https://api.parliament.uk/historic-hansard/lords/1983/oct/25/nhs-management-inquiry [last accessed 17.02.20]. Viberg, N., Forsberg, B.C., Borowitz, M. and Molin. R. (2013). International comparisons of waiting times in health care – Limitations and prospects. Health Policy, 112(1-2): 53-61. https://doi.org/10.1016/j.healthpol.2013.06.013. Weiss, G.L. (2017). The Sociology of Health, Healing, and Illness. Taylor & Francis: 341. Williams, B. (1994). Patient satisfaction: a valid concept? Social Science and Medicine, 38(4):509-516. Zarei, E., Daneshkohan, A., Pouragha, B., Marzban, S. and Arab, M. (2015). An empirical study of the impact of service quality on patient satisfaction in private hospitals, Iran. Global Journal of Health Science, 7(1):1-9. DOI: 10.5539/gjhs.v7n1p1. |
URI: | https://mpra.ub.uni-muenchen.de/id/eprint/105393 |