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评估改善矫形外科门诊满意度的机会:对 Press Ganey®门诊医疗实践调查回复的分析。

Evaluating opportunities for improved orthopedics outpatient satisfaction: an analysis of Press Ganey® Outpatient Medical Practice Survey responses.

机构信息

University of Utah, School of Medicine, 30 N 1900 E, Salt Lake City, UT, 84132, USA.

Department of Orthopaedics, University of Utah, 590 Wakara Way, Salt Lake City, UT, 84108, USA.

出版信息

J Orthop Surg Res. 2020 Jan 28;15(1):28. doi: 10.1186/s13018-020-1567-1.

DOI:10.1186/s13018-020-1567-1
PMID:31992339
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6986136/
Abstract

INTRODUCTION

The Press Ganey® Outpatient Medical Practice Survey (PGOMPS) is composed of 10 provider-specific and 15 non-provider-specific questions. Some healthcare systems link PGOMS overall scores to physician reimbursements. The aim of this study was to determine the frequency of patient satisfaction across individual PGOMPS question, the null hypothesis being that there was no variability between the frequency of satisfaction and similar questions.

METHODS

We reviewed all new patient orthopedic PGOMPS scores between January 2014 and December 2017. Due to the large ceiling effect, satisfaction was defined as a perfect total score. The frequency of perfect scores for each question was calculated.

RESULTS

Five thousand one hundred sixty-three patients met the inclusion criteria. Two thousand two hundred sixty-six (43.89%) provider-specific questions received perfect satisfaction versus 986 (19.10%) with perfect satisfaction for non-provider-specific questions (p <  0.001). The five questions most likely to receive perfect satisfaction were MD friendliness/courtesy (80.36), MD spoke using clear language (80.35%), likelihood to recommend practice (79.11%), likelihood to recommend MD (78.8%), and MD confidence (78.74%). The five least likely were convenience of office hours (60.44%), ease of getting on phone (59.72%), ability to get desired appointment (59.50%), wait time (54.63%), and information about delays (53.80%).

CONCLUSIONS

Our results suggest that the majority of orthopedic patients are satisfied with their provider, demonstrating that room for improvement is limited with provider-specific areas. Leaders of health care teams should consider these results when seeking to improve patient satisfaction scores and determining how and if scores should be linked to reimbursements.

摘要

简介

盖恩斯医疗保健公司门诊医疗实践调查(PGOMPS)由 10 个医生特定问题和 15 个非医生特定问题组成。一些医疗保健系统将 PGOMS 整体评分与医生的薪酬挂钩。本研究的目的是确定患者对 PGOMPS 各个问题的满意度频率,零假设是满意度与相似问题之间没有差异。

方法

我们回顾了 2014 年 1 月至 2017 年 12 月期间所有新患者的骨科 PGOMPS 评分。由于天花板效应较大,满意度被定义为完美的总分数。计算每个问题的完美分数的频率。

结果

符合纳入标准的患者有 5163 名。2266 个(43.89%)医生特定问题的满意度达到完美,而非医生特定问题的满意度为 986 个(19.10%)(p < 0.001)。最有可能获得完美满意度的五个问题是医生的友好/礼貌程度(80.36%)、医生使用清晰的语言(80.35%)、推荐实践的可能性(79.11%)、推荐医生的可能性(78.8%)和医生的信心(78.74%)。最不可能获得完美满意度的五个问题是办公时间的便利性(60.44%)、易于接听电话(59.72%)、获得所需预约的能力(59.50%)、等待时间(54.63%)和有关延迟的信息(53.80%)。

结论

我们的结果表明,大多数骨科患者对他们的医生感到满意,这表明在医生特定领域还有改进的空间。医疗保健团队的领导者在寻求提高患者满意度评分并确定如何以及是否将评分与薪酬挂钩时,应考虑这些结果。