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Racial Differences in Patient Satisfaction With the Hospital Experience Undergoing Primary Unilateral Hip and Knee
Orett C Burke1, J Alex B Gibbons2, Huong T Do3
1Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ, USA.
Arthroplasty Today
|September 25, 2023
Summary
Black patients reported lower satisfaction with hospital experiences and care from nurses and surgeons after hip and knee surgery compared to White patients. Further research is needed to address these racial disparities in patient satisfaction.
Area of Science:
- Orthopedic Surgery
- Health Services Research
- Patient Experience
Background:
- The Press Ganey (PG) inpatient survey is a standard tool for assessing patient satisfaction.
- Racial disparities in healthcare experiences are a significant concern.
- Understanding patient satisfaction after major orthopedic procedures like hip and knee arthroplasty is crucial.
Purpose of the Study:
- To investigate racial differences in overall hospital experience.
- To examine racial variations in patient perceptions of nurses and surgeons.
- To analyze satisfaction levels following hip and knee arthroplasty using the PG survey.
Main Methods:
- Retrospective analysis of Black and White patients undergoing hip and knee arthroplasty.
- Utilized data from July 2010 to February 2012 from a single institution.
- Employed multivariable logistic regression to assess the impact of race on patient satisfaction scores.
Main Results:
- Black patients (3.9%) were less likely to be completely satisfied with their hospital experience than White patients (96.0%) in both hip (OR 0.62) and knee (OR 0.52) cohorts.
- Lower satisfaction among Black patients extended to interactions with nursing and surgical staff.
- Statistical significance was observed for both hip (P = .049) and knee (P = .005) cohorts.
Conclusions:
- The PG survey indicates Black patients report lower satisfaction with hospital care post-arthroplasty compared to White patients.
- Disparities were noted in overall experience and perceptions of care from nurses and surgeons.
- Further investigation is warranted to understand and mitigate these observed racial differences.
