Department of Radiation Oncology, University of Texas MD Anderson Cancer Center, Houston, Texas, USA.
Int J Radiat Oncol Biol Phys. 2013 Sep 1;87(1):148-52. doi: 10.1016/j.ijrobp.2013.05.020.
To evaluate the correlations and relative contributions of components of a radiation oncology-specific patient satisfaction survey to their overall satisfaction scores.
From September 2006 through August 2012, we prospectively collected data from 8069 patients receiving radiation treatments with a 26-question survey. Each question was rated on a 10-point Likert scale. We analyzed the correlation between scores for each question and the overall satisfaction question. We also dichotomized the scores to reflect satisfaction versus dissatisfaction and used logistic regression to assess the relationship between items in 4 domains (the patient-provider relationship, access and environmental issues, wait times, and educational information) and overall satisfaction.
Scores on all questions correlated with overall patient satisfaction scores (P<.0001). Satisfaction with patient-provider relationships had the greatest influence on overall satisfaction (R(2)=0.4219), followed by wait times (R(2)=0.4000), access/environment (R(2)=0.3837), and patient education (R(2)=0.3700). The specific variables with the greatest effect on patient satisfaction were the care provided by radiation therapists (odds ratio 1.91) and pain management (odds ratio 1.29).
We found that patients' judgment of provider relationships in an outpatient radiation oncology setting were the greatest contributors to their overall satisfaction ratings. Other measures typically associated with patient satisfaction (phone access, scheduling, and ease of the check-in process) correlated less strongly with overall satisfaction. These findings may be useful for other practices preparing to assess patient ratings of quality of care.
评估放射肿瘤学特定患者满意度调查的各个组成部分与其总体满意度评分之间的相关性和相对贡献。
从 2006 年 9 月到 2012 年 8 月，我们前瞻性地从 8069 名接受放射治疗的患者中收集了一份包含 26 个问题的调查数据。每个问题的评分均采用 10 分制李克特量表。我们分析了每个问题的得分与总体满意度问题之间的相关性。我们还将分数分为满意和不满意两种情况，并使用逻辑回归评估 4 个领域（医患关系、就诊和环境问题、等待时间和教育信息）中的项目与总体满意度之间的关系。
所有问题的得分与患者总体满意度评分均相关（P<.0001）。医患关系满意度对总体满意度的影响最大（R²=0.4219），其次是等待时间（R²=0.4000）、就诊和环境（R²=0.3837）以及患者教育（R²=0.3700）。对患者满意度影响最大的具体变量是放射治疗师提供的护理（优势比 1.91）和疼痛管理（优势比 1.29）。
我们发现，在门诊放射肿瘤学环境中，患者对医患关系的判断是影响其总体满意度评分的最大因素。其他通常与患者满意度相关的措施（电话访问、预约和登记流程的便利性）与总体满意度的相关性较弱。这些发现可能对其他准备评估患者护理质量评分的实践有用。
