Department of Orthopaedics, University of Utah, 590 Wakara Way.
University of Utah, School of Medicine, 30N 1900E.
Medicine (Baltimore). 2021 Mar 26;100(12):e25211. doi: 10.1097/MD.0000000000025211.
Measuring patient satisfaction scores and interpreting factors that impact their variation is of importance as scores influence various aspects of health care administration. Our objective was to evaluate if Press Ganey scores differ between medical specialties.New patient visits between January 2014 and December 2016 at a single tertiary academic center were included in this study. Press Ganey scores were compared between specialties using a multivariable logistic mixed effects model. Secondary outcomes included a comparison between surgical versus non-surgical specialties, and pediatric versus adult specialties. Due to the survey's high ceiling effect, satisfaction was defined as a perfect total score.Forty four thousand four hundred ninety six patients met inclusion criteria. Compared to internal medicine, plastic surgery, general surgery, dermatology, and family medicine were more likely to achieve a perfect overall score, as, with odds ratios of 1.46 (P = .02), 1.29 (P = .002), 1.22 (P = .004), and 1.16 (P = .02) respectively. Orthopaedics, pediatric medicine, pediatric neurology, neurology, and pain management were less likely to achieve satisfaction with odds ratios of 0.85 (P = .047), 0.71 (P < .001), 0.63 (P = .005), 0.57 (P < .001), and 0.51 (P = .006), respectively. Compared to pediatric specialties, adult specialties were more likely to achieve satisfaction (OR 1.73; P < .001). There were no significant differences between surgical versus non-surgical specialties.Press Ganey scores systematically differ between specialties within the studied institution. These differences should be considered by healthcare systems that use patient satisfaction data to modify provider reimbursement.
测量患者满意度评分并解释影响其变化的因素很重要，因为评分会影响医疗保健管理的各个方面。我们的目的是评估盖恩斯民意调查（Press Ganey）评分是否因医学专业的不同而有所差异。这项研究纳入了 2014 年 1 月至 2016 年 12 月在一家三级学术中心就诊的新患者。使用多变量逻辑混合效应模型比较各专业之间的盖恩斯民意调查评分。次要结果包括外科与非外科专业以及儿科与成人专业之间的比较。由于调查的高分效，满意度被定义为完美的总评分。共有 4496 名患者符合纳入标准。与内科相比，整形外科、普通外科、皮肤科和家庭医学更有可能获得完美的总体评分，优势比分别为 1.46（P =.02）、1.29（P =.002）、1.22（P =.004）和 1.16（P =.02）。骨科、儿科医学、儿科神经病学、神经病学和疼痛管理更不可能获得满意度，优势比分别为 0.85（P =.047）、0.71（P ＜.001）、0.63（P =.005）、0.57（P ＜.001）和 0.51（P ＝.006）。与儿科专业相比，成人专业更有可能获得满意度（OR 1.73；P ＜.001）。外科与非外科专业之间没有显著差异。在研究机构内，盖恩斯民意调查评分在专业之间存在系统差异。使用患者满意度数据来修改提供者报酬的医疗保健系统应考虑这些差异。
