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Patient experience in the pediatric otolaryngology clinic: does the teaching setting influence parent satisfaction?
Emily F Boss1, Richard E Thompson
1Department of Otolaryngology - Head and Neck Surgery, Johns Hopkins University School of Medicine, United States. erudnic2@jhmi.edu
Insights
Pediatric otolaryngology patient satisfaction is lower in teaching settings, particularly for access to care. Improving access in academic practices can enhance the overall patient experience for children and families.
Area of Science:
- Healthcare Quality
- Patient Experience
- Pediatric Otolaryngology
Background:
- Patient experience scores are key indicators of healthcare quality.
- This study compares patient satisfaction in pediatric otolaryngology between teaching and non-teaching settings.
Purpose of the Study:
- To compare outpatient pediatric otolaryngology patient satisfaction in teaching versus non-teaching settings.
- To identify specific domains of care that influence patient satisfaction.
Main Methods:
- A cross-sectional analysis of 4704 patient satisfaction surveys (Press Ganey™ Medical Practice©) from FY2010.
- Surveys were stratified by teaching/non-teaching affiliation and analyzed using Kruskal-Wallis and logistic regression.
Main Results:
- Teaching settings had lower overall patient satisfaction scores (88.1 vs. 89.0; p<0.001).
- Lower scores were observed in access (86.7 vs. 89.4; p<0.001) and personal issues (87.0 vs. 88.5; p<0.001) domains.
- Children in teaching settings were less likely to receive highest scores for overall care and access.
Conclusions:
- Parents reported lower satisfaction with access in teaching settings, but similar satisfaction with providers and practice loyalty.
- Academic otolaryngology practices should prioritize improving access to enhance the pediatric patient care experience.
Objectives:
Patient experience scores are now recognized as a chief indicator of healthcare quality. This report compares outpatient pediatric otolaryngology patient satisfaction in the teaching and non-teaching settings.
Study Design:
Cross-sectional, multi-site, patient-level analysis of satisfaction surveys (Press Ganey™ Medical Practice©) completed by parents of pediatric otolaryngology patients in FY2010.
Methods:
Surveys were stratified by teaching/non-teaching affiliation. The survey has 29 Likert-scaled questions which comprise an overall score and subscores in 6 domains: access, visit, nursing, provider, personal issues, and assessment. The item likelihood-to-recommend was measured to indicate practice loyalty. Mean scores were compared by Kruskal-Wallis rank test. Multivariate logistic regression was performed to evaluate the association of teaching status with receipt of highest scores (HI-SCORES).
Results:
4704 pediatric surveys were analyzed, with 1984 (42%) from the teaching setting. For the teaching setting, mean scores were lower overall (88.1 vs. 89.0; p<0.001) and in domains of access (includes scheduling ease, promptness in returning calls; 86.7 vs. 89.4; p<0.001) and personal issues (includes office hour convenience, sensitivity to needs; 87.0 vs. 88.5; p<0.001). Differences in access scores were largest for young children (0-<6 years; 86.0 vs. 89.5; p<0.001). Children in the teaching setting were less likely to have HI-SCORES overall (OR 0.78; 95%CI 0.65-0.95; p=0.011) and for access (OR 0.8; 95%CI 0.67-0.95; p=0.012); probability of HI-SCORES was similar for the two settings for all other domains.
Conclusions:
Parents of pediatric otolaryngology patients evaluated in the teaching setting report lower satisfaction related to access, but similar scores for care providers and practice loyalty. Academic otolaryngology practices might focus on access issues to improve the overall care experience for children and families.
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