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.
Abstract

Related Concept Videos

Nursing Process for Patient and Caregiver Teaching III: Evaluation and Documentation01:20

Nursing Process for Patient and Caregiver Teaching III: Evaluation and Documentation

Evaluation of the teaching process enables the nurse to determine if the patient's learning needs were met and if training was effective. If the expected outcomes are not met, the care plan is revised, and additional education or reinforcement is provided. Nurses can ask questions after the session or obtain feedback to assess the patient's understanding of the topic.
Nurses can use several methods to evaluate patient outcomes. For example, oral questions can assess cognitive learning, patient...
Nursing Process for Patient and Caregiver Teaching II: Planning and Implementation01:24

Nursing Process for Patient and Caregiver Teaching II: Planning and Implementation

Planning for learning involves the development of a teaching plan. Teaching plans are similar to nursing care plans—both follow the steps of the nursing process. Planning in the teaching process involves setting goals and outcomes. Here, goals identify what a patient needs to achieve to understand a healthcare topic better, whereas the outcomes are the action to be performed by the patient to achieve the goal within a timeframe. For example, if the goal is to educate the patient about insulin...
Nursing Process for Patient and Caregiver Teaching I: Assessment and Diagnosis01:24

Nursing Process for Patient and Caregiver Teaching I: Assessment and Diagnosis

The nursing process provides a clinical decision-making framework for patients and families to establish and implement a personalized care plan. Since part of the nurse's duties is to teach patients, the steps of the nursing process are the most effective way to approach instruction. The nursing process and the teaching-learning process are inextricably linked.
It is critical to determine the patient's learning needs during the assessment. Determination of learning needs compounds data from the...
Nursing Evaluation01:15

Nursing Evaluation

The evaluation stage signals the end of the nursing process. The nurse gathers evaluative data to assess whether or not the patient has attained the expected results. Whereas the nurse collects data in the nursing assessment to identify the patient's health concerns, the evaluation stage data determines if the indicated health issues are resolved. Evaluative data collection includes two sections: the data acquired to evaluate patient outcomes and the time criteria for data collection.
Section...
Suctioning the Oropharyngeal Airway01:25

Suctioning the Oropharyngeal Airway

In preparing for oropharyngeal airway suctioning, a nurse must gather all necessary equipment, including a suction unit with tubing, a prepackaged suction kit, sterile gloves, water or saline for irrigation, a water-soluble lubricant, and additional personal protective equipment (such as a gown, mask, and goggles) to control infections.
After assembling the equipment, the nurse should practice hand hygiene and don appropriate PPE according to infection control guidelines to avoid the...
Obedience01:08

Obedience

According to obedience research, we may harm others under the forceful pressures of an authority figure (Milgram, 1974). How about if the inappropriate orders were delivered with less force? The increasing interdependence between nurses and physicians compelled Hofling and his colleagues to explore nurses’ reactions to a potentially harmful medical request made by the perceived authority figure, the doctor (Hofling, Brotzman, Dalrymple, Graves, & Pierce, 1966). In this situation, obedience...