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Seasonal Variation in Parental Satisfaction With Pediatric Orthopaedics
Samuel K Van de Velde1, Kristin Cola2, Viviana Bompadre3
1Columbia Orthopedics/New York-Presbyterian Hospital, New York, NY.
Journal of Pediatric Orthopedics
|January 8, 2021
Summary
Parental satisfaction with pediatric spine care dips in winter. This seasonal variation in patient experience highlights potential biases in healthcare satisfaction metrics.
Area of Science:
- Pediatric Orthopaedics
- Healthcare Quality Improvement
- Patient Satisfaction Studies
Background:
- Parental satisfaction with healthcare is influenced by family dynamics and expectations.
- Seasonal rhythms affect human physiology and behavior, potentially impacting patient experiences.
- Understanding seasonal influences on satisfaction is crucial for accurate healthcare assessment.
Purpose of the Study:
- To investigate seasonal variations in parental satisfaction scores within a pediatric orthopaedic outpatient setting.
- To determine if specific pediatric orthopaedic subspecialties exhibit different seasonal satisfaction trends.
- To identify potential biases in healthcare satisfaction measurements due to seasonal factors.
Main Methods:
- Retrospective analysis of 22,951 parental satisfaction scores from pediatric orthopaedic encounters (October 2015 - April 2019).
- Utilized the provider subdomain of the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) for satisfaction measurement.
- Stratified patient data by pediatric orthopaedic subspecialty services for detailed analysis.
Main Results:
- Overall parental satisfaction scores across all pediatric orthopaedic encounters showed no significant seasonal variation (P=0.8745).
- No statistically significant seasonal variation in satisfaction was found for elective surgery, sports medicine, trauma/fracture care, and hand/upper extremity services.
- Parental satisfaction with pediatric spine services was significantly lower during winter months compared to summer and fall (P=0.0147).
Conclusions:
- Pediatric spine care in regions with distinct seasons experiences lower parental satisfaction during winter.
- Seasonal variations introduce a quantifiable bias in measuring healthcare satisfaction.
- Addressing seasonal influences is important for a more accurate assessment of patient-reported outcomes in pediatric orthopaedics.
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