What Influences How Patients Rate their Hospital After Total Hip Arthroplasty?

• Published in: The Journal of arthroplasty Vol. 31; no. 11; pp. 2422 - 2425
• Main Authors: Mistry, Jaydev B., M.D, Chughtai, Morad, M.D, Elmallah, Randa K., M.D, Le, Sidney, M.D, Bonutti, Peter M., M.D, Delanois, Ronald, M.D, Mont, Michael A., M.D
• Format: Journal Article
• Language: English
• Published: United States Elsevier Inc 01.11.2016
• Subjects: Adolescent; Adult; Age Factors; Aged; Aged, 80 and over; Arthroplasty, Replacement, Hip - psychology; Body Mass Index; Female; Health Personnel; Hospitals - manpower; Hospitals - standards; Humans; Length of Stay; Male; Middle Aged; Multivariate Analysis; Orthopedics; Pain Management - psychology; patient perception; Patient Satisfaction; Perception; Physicians; Press Ganey; Surveys and Questionnaires; THA; total hip arthroplasty; Young Adult; patient satisfaction; total hip arthroplasty; press ganey; THA; Press Ganey; patient perception
• ISSN: 0883-5403; 1532-8406
• DOI: 10.1016/j.arth.2016.03.060

Introduction Centers for Medicare and Medicaid Services are now using results from patient satisfaction surveys, such as Press Ganey, for reimbursement. It is unknown what factors influence scores on satisfaction surveys in post-total hip arthroplasty (THA) patients. The purpose of this study was to evaluate what influences these scores in THA patients. Specifically, we aimed to evaluate 1) how pain control affects the patients’ perception of their orthopaedist, nursing staff, and overall hospital satisfaction, 2) the individual impact of these factors on overall hospital satisfaction following THA and 3) the impact of lengths of stay, age, BMI and American Society of Anesthesiology scores (ASA) on overall satisfaction. Methods To assess if pain management influences patients’ perception of the orthopaedist, a correlation analysis was performed between pain control and perception of their doctor. Similar analyses were performed to determine the relationship between pain management and patients’ perception of their treating nurse, as well as overall satisfaction. A multiple regression analysis was performed to determine which of the aforementioned factors have the greatest impact on overall satisfaction. To determine the impact of length of stay on overall hospital satisfaction, a correlation analysis was performed between these two variables. Similar analyses were performed for age, BMI and ASA scores. Results Patients’ perception of pain control was significantly positively correlated with the perception of their orthopaedist, nurse, and overall hospital satisfaction. Multiple regression analysis demonstrated that patients’ perception of nurses and orthopaedists wielded a significantly positive influence on overall hospital satisfaction. A significant negative correlation existed between lengths of stay and hospital satisfaction. There were no significant correlations between age, BMI and ASA scores and overall hospital rating. Conclusions Post-THA patients associate pain management with hospital satisfaction, as well as their perception of their treating nurses and orthopaedists. Overall satisfaction was most impacted by patients’ perception of their nurse, followed by their orthopaedist. Additionally, there was an association between shorter length of stay and higher overall satisfaction. These results are of paramount importance, as by recognizing factors that affect scores on satisfaction surveys, orthopaedic surgeons can direct efforts to improve post-THA satisfaction, and optimize reimbursements.