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Patient Mealtime Experience: Capturing Patient Perceptions Using a Novel Patient Mealtime Experience Tool.

Kate Furness1,2, Melina Harris2, Annie Lassemillante1,2

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Hospital patients reported dissatisfaction with food quality, especially flavor and presentation. Improving food is key to enhancing patient satisfaction and overall hospital experience.

Keywords:
dieteticsfood serviceshospitalsmalnutritionpatient experiencequalityrehabilitation

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Area of Science:

  • Healthcare Quality Improvement
  • Patient Experience Research
  • Foodservice Management

Background:

  • Patient mealtime experience significantly impacts oral intake and overall perception of hospital services.
  • Existing questionnaires often lack comprehensive qualitative data on the broader mealtime experience.
  • The Austin Health Patient Mealtime Experience Tool (AHPMET) was developed to address these gaps.

Purpose of the Study:

  • To describe the patient mealtime experience using the qualitative components of the AHPMET.
  • To complement existing quantitative findings of the AHPMET.
  • To validate a tool for assessing and improving patient mealtime experiences in healthcare settings.

Main Methods:

  • A multiphase, cross-sectional study conducted across Austin Health sites (March 2020 - November 2021).
  • Utilized the AHPMET to measure patient mealtime experience.
  • Employed descriptive statistics and deductive thematic analysis for qualitative data.

Main Results:

  • 149 participants completed the questionnaire.
  • Patients reported highest satisfaction with staff interactions.
  • Lowest satisfaction was with food quality (flavor, presentation, menu variety).
  • Barriers to consumption included clinical symptoms, nutrition impact symptoms, and patient positioning.

Conclusions:

  • Food quality is a primary driver of dissatisfaction in hospital foodservice.
  • Prioritizing food quality improvements is essential for enhancing patient satisfaction.
  • The validated AHPMET can be implemented across health services to improve mealtime intake, mitigate malnutrition, and enhance patient outcomes.