Delanois Ronald E, Gwam Chukwuweike U, Mistry Jaydev B, Chughtai Morad, Khlopas Anton, Yakubek George, Ramkumar Prem N, Piuzzi Nicolas S, Mont Michael A
1 Center for Joint Preservation and Reconstruction, Rubin Institute for Advanced Orthopaedics, Sinai Hospital of Baltimore, Baltimore, Maryland - USA.
2 Department of Orthopaedic Surgery, Cleveland Clinic, Cleveland, Ohio - USA.
Hip Int. 2018 Jan;28(1):40-43. doi: 10.5301/hipint.5000510.
Patient satisfaction, as measured by Press Ganey (PG) surveys, partially determines reimbursement rates. Knowing what influences these scores can lead to higher reimbursement for total hip arthroplasty (THA) surgeons. Currently, it is unknown whether gender biases exist in satisfaction surveys post-THA. Therefore, we asked: (i) which PG survey factors most influence hospital ratings among men and women after THA; and (ii) is there a difference in survey element responses and overall hospital ratings between men and women post-THA?
We queried the PG database for patients who underwent THA from November 2009 to January 2015, which yielded 692 patients (277 men, 415 women). Weighted means were analysed for the scores of PG domains between men and women. A multiple regression analysis was performed for each gender, with overall hospital satisfaction as the dependent variable, in order to assess the influence (β-weight) of each PG domain.
For men, pain management (β = 0.317, p = 0.021) most influenced overall hospital rating. For women, staff responsiveness (β = 0.451, p<0.001) most influenced overall hospital rating. This was followed by communication with nurses (β = 0.373, p<0.001), and doctors (β = 0.236, p = 0.002). There were no significant differences in mean overall hospital rating between groups.
It is advantageous for orthopaedic surgeons to focus on the PG domains most pertinent to each patient gender post-THA. Focusing efforts based on gender may allow for better patient satisfaction, optimised reimbursements, and improved hospital ratings.
通过Press Ganey（PG）调查衡量的患者满意度部分决定了报销率。了解哪些因素会影响这些评分有助于全髋关节置换术（THA）外科医生获得更高的报销额度。目前，尚不清楚THA术后满意度调查中是否存在性别偏见。因此，我们提出以下问题：（i）THA术后，哪些PG调查因素对男性和女性患者的医院评分影响最大；（ii）THA术后，男性和女性在调查项目的回答及总体医院评分上是否存在差异？
我们查询了PG数据库中2009年11月至2015年1月期间接受THA手术的患者信息，共得到692例患者（277例男性，415例女性）。分析了男性和女性PG各领域评分的加权均值。对每种性别进行多元回归分析，以总体医院满意度作为因变量，评估每个PG领域的影响（β权重）。
对于男性，疼痛管理（β = 0.317，p = 0.021）对总体医院评分影响最大。对于女性，工作人员的响应能力（β = 0.451，p<0.001）对总体医院评分影响最大。其次是与护士的沟通（β = 0.373，p<0.001）和与医生的沟通（β = 0.236，p = 0.002）。两组之间的总体医院评分均值无显著差异。
对于骨科医生而言，关注THA术后与每种患者性别最相关的PG领域是有益的。基于性别的努力可能会提高患者满意度、优化报销额度并提升医院评分。
