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Published on: August 14, 2019
The S-CAHPS Survey in Urology
Sara M Lenherr1, Barry DeCicco1, Anne P Cameron1
1Department of Urology and University of Michigan Health System Quality Improvement (BD, EMK), University of Michigan, Ann Arbor, Michigan.
Patient satisfaction in urology surgery is more influenced by postoperative communication and recovery information than preoperative counseling. This highlights the importance of post-surgical interactions for improving patient experience.
Area of Science:
- Urology
- Surgical Care
- Patient Experience Measurement
Background:
- The Surgical Consumer Assessment of Healthcare Providers and Systems (S-CAHPS) survey evaluates patient satisfaction with surgical care episodes.
- This study details the initial implementation and outcomes of using S-CAHPS within a urology department.
Purpose of the Study:
- To assess the utility of the S-CAHPS survey in urology.
- To identify key drivers of patient satisfaction with surgical care in urology.
Main Methods:
- A prospective, observational study was conducted at a tertiary care academic medical center.
- Adult patients undergoing elective outpatient or 23-hour observation surgery received the S-CAHPS survey.
- Survey data were analyzed using percent top box scoring and correlation with global surgeon ratings.
Main Results:
- A 33.8% response rate was achieved with 430 returned surveys.
- Patient satisfaction correlated most strongly with postoperative surgeon communication (composite 5) and recovery information (composite 4).
- Preoperative counseling (composite 1) showed a lower correlation with overall satisfaction.
Conclusions:
- Postoperative factors, particularly surgeon communication and recovery support, significantly impact patient satisfaction more than preoperative processes.
- These findings emphasize the critical role of ongoing postoperative care and patient interaction in urology.
- Further research is needed to fully establish the role of S-CAHPS in urology quality improvement initiatives.
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