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Factors Associated With Patient Satisfaction Measured Using an Iterative Scale.
Yvonne Versluijs1, Amirreza Fatehi, Amanda I Gonzalez
1Department of Surgery and Perioperative Care, Dell Medical School, The University of Texas at Austin, Austin (Drs Versluijs, Fatehi, Gonzalez, Reichel, Laverty, and Ring); and Department of Trauma Surgery, Leiden University Medical Center, Leiden, the Netherlands (Dr Versluijs).
Quality Management in Health Care
|June 17, 2022
Summary
Iterative patient satisfaction surveys showed some data spread but did not eliminate ceiling effects. Further strategies are needed to improve patient experience measurement in healthcare settings.
Area of Science:
- Healthcare quality improvement
- Patient experience research
- Health services research
Background:
- Patient satisfaction measures often exhibit ceiling effects, limiting their utility for identifying areas for care improvement.
- This study addresses the challenge of ceiling effects in patient experience surveys within musculoskeletal specialty care.
Purpose of the Study:
- To evaluate two iterative patient satisfaction measures for their effectiveness in reducing ceiling effects.
- To assess the psychometric properties (floor and ceiling effects, skewness, kurtosis) of the iterative satisfaction scales.
- To identify patient factors associated with satisfaction scores.
Main Methods:
- A cross-sectional study involving 186 patients visiting orthopedic surgeons.
- Patients completed questionnaires on demographics, depression, catastrophic thinking, illness concerns, and satisfaction using two iterative scales.
- Bivariate and multivariable analyses were used to examine associations between patient factors and satisfaction scores.
Main Results:
- Both iterative satisfaction scales demonstrated a 45% ceiling effect and no floor effect.
- A weak correlation (r = 0.27) was found between the two satisfaction scales.
- Health anxiety showed a very small negative correlation with satisfaction (r = -0.16) on one scale.
Conclusions:
- Iterative satisfaction questionnaires provided some data spread but did not overcome ceiling effects.
- Additional methods are required to effectively mitigate ceiling effects in patient satisfaction measurement.
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