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Predictors of patient satisfaction after cardiac pacemaker implantation or ICD implantation
Katharina Bergmann1, Joachim Kugler1, Joerg Klewer2
1Department of Health Sciences/Public Health, Dresden Medical School, Technische Universität Dresden, Dresden, Germany.
Insights
Patient satisfaction after cardiac pacemaker or ICD implantation is influenced by treatment outcomes, individualized care, and clear discharge instructions. Healthcare providers can improve patient experience by focusing on these key factors.
Area of Science:
- Cardiology
- Health Services Research
- Patient Experience
Background:
- Patient satisfaction is a crucial metric in healthcare quality assessment.
- Cardiac pacemakers and implantable cardioverter-defibrillators (ICDs) are vital devices for managing cardiovascular conditions.
Purpose of the Study:
- To identify key predictors of patient satisfaction following pacemaker or ICD implantation.
- To provide actionable insights for healthcare providers to enhance patient care and hospital evaluations.
Main Methods:
- A cross-sectional study design was employed.
- Patient satisfaction was assessed using mailed questionnaires post-discharge.
- Data were collected from a random sample of patients across 30 German hospitals.
Main Results:
- Logistic regression analysis identified six significant predictors of patient satisfaction (P < .05).
- Key factors included positive treatment outcomes, individualized physician care, and the kindness of nursing staff.
- Effective organization of procedures and thorough discharge instructions also strongly correlated with higher satisfaction.
Conclusions:
- Several modifiable factors significantly predict satisfaction in pacemaker and ICD recipients.
- Healthcare professionals can improve patient satisfaction by focusing on communication, care quality, and procedural organization.
- Addressing these identified predictors offers a direct pathway to enhance patient evaluations of their hospitalization experience.
Background And Aim Of The Study:
The study aimed to identify predictors of satisfaction of patients receiving a cardiac pacemaker or an implantable cardioverter-defibrillator (ICD).
Methods:
This was a cross-sectional study measuring patient satisfaction postdischarge by using a mailed questionnaire. Study participants included a random sample of hospitalized patients who had undergone implantation of a pacemaker or ICD in 30 hospitals in Germany.
Results:
Data from 548 respondents (response rate 17.3%) were available for analyses. Logistic regression analysis revealed the following factors associated with satisfaction of inpatients (P < .05): outcome of treatment (odds ratio [OR] = 11.51, 95% confidence interval [CI] = 4.62-28.64), individualized medical care by physicians (OR = 5.04, 95% CI = 2.13-11.92), kindness of nurses (OR = 4.83, 95% CI = 1.52-15.42), and physicians (OR = 3.46, 95% CI = 1.03-11.65), organization of procedures and operations, respectively (OR = 4.45, 95% CI = 1.85-10.75) and thoroughness of the discharge instructions (OR = 2.69, 95% CI = 1.17-6.20).
Conclusions:
This study identified six predictors of satisfaction among pacemaker and ICD patients that can be addressed by healthcare providers to increase patients' evaluation of the hospitalization. Identified predictors of satisfaction are alterable by health care professionals and, thus, should be focused on to increase satisfaction ratings of patients who have undergone implantation of a pacemaker or ICD.
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