Browsing by Subject "Patient Satisfaction"

Now showing 1 - 7 of 7
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    Are Pain Management Questions in Patient Satisfaction Surveys Driving the Opioid Epidemic?
    (American Public Health Association, 2016-06) Adams, Jerome; Bledsoe, Gregory H.; Armstrong, John H.; Anesthesia, School of Medicine
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    Comparison of Patient Satisfaction Between Virtual Visits During the COVID-19 Pandemic and In-person Visits Pre-pandemic
    (SAGE Publishing, 2020-11-30) Itamura, Kyohei; Tang, Dennis M.; Higgins, Thomas S.; Rimell, Franklin L.; Illing, Elisa A.; Ting, Jonathan Y.; Lee, Matthew K.; Wu, Arthur; Otolaryngology -- Head and Neck Surgery, School of Medicine
    Objective: To compare the patient experience of a virtual otolaryngology clinic visit to an in-person visit, especially with its significantly increased implementation during the COVID-19 pandemic. Methods: Patient satisfaction (PS) metrics from the Clinician and Group Consumer Assessment of Healthcare Providers and Systems survey were queried from March 1, 2020 to May 1, 2020 for telehealth visits and January 1, 2020 to March 1, 2020 for in-person visits. Overlapping and comparable questions were analyzed using Mann-Whitney U test, Chi-square test for independence, and Student's t-test. Results: There were 1284 partial or complete PS surveys from in-person visits and 221 partial or complete virtual PS surveys. There were statistically significantly worse virtual visit evaluations of provider listening, conveyance of information, likelihood to recommend, and overall provider ratings compared to in-person visits. Conclusion: Telehealth has become the new norm for most healthcare providers in the United States. This study demonstrates some of the initial shortcomings of telehealth in an otolaryngology practice and identifies challenges with interpersonal communication that may need to be addressed as telehealth becomes increasingly prevalent.
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    Effect of an Educational Intervention on Medical Student Scripting and Patient Satisfaction: A Randomized Trial
    (eScholarship, 2018-05) Pettit, Katie E.; Turner, Joseph S.; Pollard, Katherine A.; Buente, Bryce B.; Humbert, Aloysius J.; Perkins, Anthony J.; Hobgood, Cherri D.; Kline, Jeffrey A.; Emergency Medicine, School of Medicine
    Introduction: Effective communication between clinicians and patients has been shown to improve patient outcomes, reduce malpractice liability, and is now being tied to reimbursement. Use of a communication strategy known as "scripting" has been suggested to improve patient satisfaction in multiple hospital settings, but the frequency with which medical students use this strategy and whether this affects patient perception of medical student care is unknown. Our objective was to measure the use of targeted communication skills after an educational intervention as well as to further clarify the relationship between communication element usage and patient satisfaction. Methods: Medical students were block randomized into the control or intervention group. Those in the intervention group received refresher training in scripted communication. Those in the control group received no instruction or other intervention related to communication. Use of six explicit communication behaviors were recorded by trained study observers: 1) acknowledging the patient by name, 2) introducing themselves as medical students, 3) explaining their role in the patient's care, 4) explaining the care plan, 5) providing an estimated duration of time to be spent in the emergency department (ED), and 6) notifying the patient that another provider would also be seeing them. Patients then completed a survey regarding their satisfaction with the medical student encounter. Results: We observed 474 medical student-patient encounters in the ED (231 in the control group and 243 in the intervention group). We were unable to detect a statistically significant difference in communication element use between the intervention and control groups. One of the communication elements, explaining steps in the care plan, was positively associated with patient perception of the medical student's overall communication skills. Otherwise, there was no statistically significant association between element use and patient satisfaction. Conclusion: We were unable to demonstrate any improvement in student use of communication elements or in patient satisfaction after refresher training in scripted communication. Furthermore, there was little variation in patient satisfaction based on the use of scripted communication elements. Effective communication with patients in the ED is complicated and requires further investigation on how to provide this skill set.
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    Effects of Client-Centered Home Modification and Caregiver Education on Activity Performance and Satisfaction of Persons With Mild Dementia: A Case Study
    (2016-03-16) Lee, Chang Dae; Jung, Min Ye; Kim, Jae Nam
    Objective: The purpose of this study was to investigate the effects of client-centered home modification and caregiver education on the changes in activity performance and satisfaction level of persons with mild dementia in a home environment. Moreover, the role of an occupational therapist as a service provider in Korea for persons with dementia was discussed Methods: The participant of this study was an 84 year-old woman with Alzheimer’s disease. The independence, difficulty, and safety of the participant regarding her activity performance were assessed through an AHA. COPM was used to determine the meaningful activities for the participant. Based on the results, the target intervention activities were selected. Moreover, home modifications and caregiver education were determined as intervention methods according to the cognitive level of the participant, which was assessed through her ACLS. The outcome measures were collected post intervention and during a 6-month follow-up assessment. Results: The performance level of the activities, which showed a decline owing to cognitive impairment, increased after the intervention. The increase in independence, difficulty, and safety was maintained after 6 months. Activity satisfaction also improved throughout the intervention. Conclusion: Client-center home modifications and caregiver education improved the activity performance and satisfaction of the participant. Furthermore, occupational therapists are required to offer services to clients with dementia as a case manager.
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    Evaluating patient-centered care: feasibility of electronic data collection in hospitalized older adults
    (Ovid Technologies (Wolters Kluwer) - Lippincott Williams & Wilkins, 2012-10) Duffy, Joanne R.; Kooken, Wendy Carter; Wolverton, Cheryl L.; Weaver, Michael T.; IU School of Nursing
    Evaluating patient-centered care (PCC) is crucial to its improvement. This pilot study tested the feasibility of an electronic format to assess PCC during hospitalization. Using a validated indicator of PCC embedded on a mobile device, 86 older adults evaluated its delivery by registered nurses. Patients older than 85 years rated PCC poorer than those who were younger (r = -0.22; P = .04). The electronic format was appraised as feasible; it performed well and took on average 30 minutes to complete.
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    Patient-Reported Outcomes and Factors Associated With Patient Satisfaction After Surgical Treatment of Facial Nonmelanoma Skin Cancer
    (American Medical Association, 2019-02-01) Sasor, Sarah E.; Cook, Julia A.; Loewenstein, Scott N.; Wooden, William A.; Cohen, Adam C.; Chu, Michael W.; Tholpady, Sunil S.; Surgery, School of Medicine
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    Ten-year results from the Natrelle 410 anatomical form-stable silicone breast implant core study
    (Oxford University Press, 2015-02) Maxwell, G. Patrick; Van Natta, Bruce W.; Bengtson, Bradley P.; Murphy, Diane K.; Department of Surgery, IU School of Medicine
    BACKGROUND: Silicone breast implants have long been used for breast augmentation and reconstruction. During this time, these medical devices have gone through a number of modifications to improve their safety, quality, and clinical outcome performance. OBJECTIVES: The authors conducted a 10-year study to determine the safety and effectiveness of Natrelle 410 silicone breast implants. METHODS: This prospective, multicenter study enrolled 941 subjects who were undergoing either augmentation, augmentation revision, reconstruction, or reconstruction revision. Data on complications, reoperations, explantations, and subject satisfaction were collected at annual clinic visits, and one-third of subjects underwent biennial magnetic resonance imaging (MRI) to screen for implant rupture. The authors used the Kaplan-Meier estimator to calculate risk rates for local complications, reoperations, and explantations. RESULTS: Capsular contracture rates increased approximately 1% per year from the previously reported 6-year rates. The rates were significantly lower than those from the Natrelle round gel core study. The overall rate of confirmed ruptured implants in subjects who underwent MRI was 5.7%. Eleven late seromas were reported. The most common reason for explantation was a subject requesting a size or style change. Satisfaction rates remained high through 10 years, with most subjects saying they were somewhat or definitely satisfied with their implants. CONCLUSIONS: This 10-year prospective trial demonstrated the long-term safety and effectiveness of Natrelle 410 anatomical form-stable implants. The complication rates were low and the satisfaction rates were high. LEVEL OF EVIDENCE 1: Therapeutic.