Department of Otolaryngology-Head and Neck Surgery, Boston University School of Medicine, Boston, Massachusetts.
Boston Medical Center, Boston University School of Medicine, Boston, Massachusetts.
Laryngoscope. 2020 Aug;130(8):1902-1906. doi: 10.1002/lary.28335. Epub 2019 Oct 11.
OBJECTIVES/HYPOTHESIS: Patient satisfaction is increasingly emphasized and measured in healthcare delivery. However, patient satisfaction is multifactorial and difficult to comprehensively assess. The objective of this study was to assess for correlation between patient satisfaction measured by Press Ganey surveys (PGS) and physician demographics of gender, years in practice, academic rank, and specialty in academic otolaryngology.
Review of publicly available PGS scores in academic otolaryngology practice.
Public websites of academic otolaryngology departments were assessed for inclusion of PGS scores. Individual physician profiles were queried for years in practice, academic rank, and specialty. Gender was determined by picture or profile pronouns. Univariate and multivariate analyses compared PGS scores with studied variables.
Forty-seven of 113 (42.8%) academic practices publicly reported physician PGS score. Of 1,360 affiliated otolaryngologists, 742 (54.6%,592 male:150 female) revealed PGS scores. Average PGS score for male and female providers was equivalent (PGS = 4.73, P = .84). There was no significant difference in PGS scores by academic rank (P = .28). A weak statistically significant decrease in mean PGS scores was associated with longer duration of practice (r = -0.11, P = .018). Head and neck oncologic surgeons had higher mean PGS score in comparison to other specialties (PGS = 4.81, P < .05). General/comprehensive otolaryngologists had lower average PGS score (PGS = 4.66) in comparison to specialists (P < .05).
Physician gender and academic rank do not correlate with patient satisfaction in academic otolaryngology as measured by publicly reported PGS scores. Head and neck oncology is rated more highly than other specialties, and physicians in practice for longer demonstrate decreased PGS scores. With PGS scores tied to physician evaluation and reimbursement, investigation into the generalizability of PGS in otolaryngology is warranted.
NA Laryngoscope, 130: 1902-1906, 2020.
目的/假设：患者满意度在医疗保健服务中越来越受到重视和衡量。然而，患者满意度是多方面的，难以全面评估。本研究的目的是评估通过 Press Ganey 调查（PGS）测量的患者满意度与耳鼻喉科学术医生的性别、从业年限、学术职称和专业之间的相关性。
对耳鼻喉科学术实践中公开可用的 PGS 评分进行回顾性研究。
评估耳鼻喉科学术部门的公共网站，以确定是否包含 PGS 评分。查询每位医生的从业年限、学术职称和专业信息。通过图片或个人资料代词确定医生的性别。进行单变量和多变量分析，比较 PGS 评分与研究变量。
在 113 个学术实践中，有 47 个（42.8%）公开报告了医生的 PGS 评分。在 1360 名附属耳鼻喉科医生中，有 742 名（54.6%，592 名男性：150 名女性）显示了 PGS 评分。男性和女性医生的平均 PGS 评分相当（PGS = 4.73，P = 0.84）。学术职称对 PGS 评分没有显著影响（P = 0.28）。与较短的从业年限相比，较长的从业年限与平均 PGS 评分呈弱统计学显著下降趋势（r = -0.11，P = 0.018）。头颈部肿瘤外科医生的 PGS 评分高于其他专业（PGS = 4.81，P < 0.05）。与专家相比，普通/综合耳鼻喉科医生的平均 PGS 评分较低（PGS = 4.66）（P < 0.05）。
通过公开报告的 PGS 评分衡量，耳鼻喉科学术医生的性别和学术职称与患者满意度不相关。头颈部肿瘤学的评分高于其他专业，从业时间较长的医生的 PGS 评分下降。由于 PGS 评分与医生评估和报酬挂钩，因此有必要调查 PGS 在耳鼻喉科中的普遍性。
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