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Patient satisfaction with hospitalists: facility-level analyses.

Bradley R Fulton¹, Kathryn E Drevs, Louis J Ayala

¹Department of Research and Analytics, Press Ganey Associates, 404 Columbia Place, South Bend, IN 46601, USA. bfulton@pressganey.com

American Journal of Medical Quality : the Official Journal of the American College of Medical Quality

|March 3, 2011

Summary

Hospitalist models enhance patient satisfaction, particularly in nursing care and personal issues. Teaching and large hospitals may see greater benefits from hospitalist integration, improving overall patient experience.

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Area of Science:

Health Services Research
Hospital Management
Patient Experience

Background:

Hospitalist models are increasingly prevalent in inpatient care despite ongoing debates.
Understanding the influence of hospitalists on patient satisfaction is crucial for healthcare providers.
Diversification of hospitalist models necessitates an examination of their impact.

Purpose of the Study:

To investigate the impact of hospitalists on patient satisfaction across various hospital characteristics.
To identify specific areas of patient satisfaction that are affected by the presence of hospitalists.
To explore how hospital size and teaching status moderate the relationship between hospitalists and patient satisfaction.

Main Methods:

A cross-sectional study analyzing data from 1777 hospitals in 2008, including 2,648,275 patients.
Utilized Press Ganey's 38-item inpatient satisfaction survey with a 5-point Likert-type scale.
Aggregated patient satisfaction data to the facility level to assess hospitalist impact.

Main Results:

Hospitals with hospitalists showed potential advantages in patient satisfaction concerning nursing care and personal issues (e.g., privacy, emotional needs, complaint response).
These advantages may be linked to improved communication strategies facilitated by hospitalists.
Teaching hospitals reported higher overall satisfaction, while large hospitals saw benefits in satisfaction with admissions, nursing, and tests/treatments.

Conclusions:

Hospitalist presence appears to positively influence specific aspects of patient satisfaction, especially in nursing and personal care.
The benefits of hospitalists may be more pronounced in teaching and larger healthcare facilities.
Further research into specific hospitalist functions and their direct impact on patient satisfaction is recommended.