Predictors of patient satisfaction in surgery

Surgery. 2009 May;145(5):536-41. doi: 10.1016/j.surg.2009.01.012.

Abstract

Background: We sought to evaluate the satisfaction of surgical patients in order to identify predictors of patient satisfaction, using a cross-sectional surgery patients' survey in 24 public hospitals in Spain and a total of 15,539 inpatients and 7,899 outpatients.

Results: Seventy-seven percent of inpatients and 88.3% of outpatients were satisfied (chi(2) = 509.31; P < .0001). Case-mix and hospital size were associated with satisfaction in inpatients (chi(2) = 19.31; P = .013). Older inpatients tended to be more satisfied (chi(2) = 80.54; P = .001), whereas; younger outpatients showed higher satisfaction levels (chi(2) = 51.73; P = .004). The most influential factors on inpatient satisfaction were information at admission (odds ratio [OR], 4.05; 95% confidence interval [CI], 2.91-5.63), knowing what type of professional one was dealing with at any given time (OR, 4.01; 95% CI, 3.01-5.34), and informed consent (OR, 3.37; 95% CI, 2.41-4.71). For outpatients, the most influential factors were informed consent (OR, 7.62; 95% CI, 3.68-15.80) and information about home care after discharge (OR, 7.010; 95% CI, 3.06-15.96).

Conclusion: We should consider the importance of patient information before and after treatment in the design of clinical pathways to offer better and more comprehensive care to surgical patients.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Age Factors
  • Aged
  • Ambulatory Care
  • Cross-Sectional Studies
  • Educational Status
  • Female
  • Health Care Surveys
  • Health Facility Size
  • Humans
  • Length of Stay
  • Male
  • Middle Aged
  • Patient Satisfaction*
  • Sex Factors
  • Spain
  • Surgical Procedures, Operative*
  • Treatment Outcome