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影响白内障手术患者满意度评分的患者特征。

Characteristics of cataract surgery patients influencing patient satisfaction scores.

机构信息

Byers Eye Institute, Stanford University School of Medicine, Palo Alto, California, USA; Department of Ophthalmology, University of California San Francisco, California, USA.

Department of Epidemiology, Stanford University, Stanford, California, USA.

出版信息

J Cataract Refract Surg. 2019 Apr;45(4):437-442. doi: 10.1016/j.jcrs.2018.11.031. Epub 2019 Feb 27.

DOI:10.1016/j.jcrs.2018.11.031
PMID:30824352
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10243645/
Abstract

PURPOSE

To determine factors that influence patient satisfaction scores in individuals who have recently had cataract surgery.

SETTING

Byers Eye Institute, Palo Alto, California, USA.

DESIGN

Prospective case series.

METHODS

Selected questions from the Press Ganey survey and the National Eye Institute Visual Function Questionnaire-25 were administered to each patient immediately after completion of a clinic visit. The correlation between patient-specific variables and the answer to the survey question "likelihood of recommending our practice to others," a surrogate for overall patient satisfaction, was assessed using the Student t test. A logistical regression model was used to adjust for potentially confounding variables.

RESULTS

One hundred forty-three patients were recruited from 4 providers; 57 (39.8%) were men, and the mean age was 70.0 years ± 11.6 (SD). The main outcome was the proportion of scores less than 5, or "very good," for the likelihood of recommending the practice to others. There was a statistically significant association between a non-5 patient satisfaction score and self-reported ethnicity of Asian or Pacific Islander compared with other ethnicities (odds ratio [OR], 2.3; 95% confidence interval [CI], 1.0-5.1; P = .049); other possible correlates were not statistically significant. The relationship persisted after adjustment for potential confounding variables (OR, 2.6; 95% CI, 1.1-6.3; P = .027).

CONCLUSION

In postoperative cataract patients, Asian or Pacific Islander ethnicity, a factor out of the control of the provider and clinic staff, was associated with a lower overall Press Ganey patient satisfaction score compared with patients of all other ethnicities.

摘要

目的

确定影响近期接受白内障手术患者满意度评分的因素。

地点

美国加利福尼亚州帕洛阿尔托市拜尔斯眼科研究所。

设计

前瞻性病例系列。

方法

在每次就诊结束后,立即向每位患者发放 Press Ganey 调查和国家眼科研究所视觉功能问卷-25 的选定问题。使用学生 t 检验评估患者特定变量与调查问题“向他人推荐我们诊所的可能性”之间的相关性,该问题是患者总体满意度的替代指标。使用逻辑回归模型调整潜在混杂变量。

结果

从 4 位医生中招募了 143 名患者;其中 57 名(39.8%)为男性,平均年龄为 70.0±11.6(SD)岁。主要结果是对向他人推荐该诊所的可能性评分小于 5(非常好)的比例。与其他族裔相比,自评亚裔或太平洋岛民种族的患者对评分低于 5 分的患者满意度评分(优势比 [OR],2.3;95%置信区间 [CI],1.0-5.1;P=0.049)有统计学显著关联;其他可能的相关因素则无统计学显著关联。在调整潜在混杂变量后,这种关系仍然存在(OR,2.6;95% CI,1.1-6.3;P=0.027)。

结论

在术后白内障患者中,亚裔或太平洋岛民种族是一个超出医生和诊所工作人员控制范围的因素,与所有其他族裔的患者相比,其总体 Press Ganey 患者满意度评分较低。