Chest
Clinical Investigations: SURGERYThe Place of Patient Satisfaction in Quality Assessment of Lung Cancer Thoracic Surgery
Section snippets
Patients
This prospective study was conducted at a university hospital over a period of 24 months starting in May 2002. Patients > 18 years old and undergoing standard thoracic surgery as the sole treatment for a primary NSCLC were eligible to participate in the study. The study protocol was approved by institutional ethics review. All patients provided written informed consent.
Patient Satisfaction
Patient satisfaction was measured using the validated Questionnaire of Satisfaction of Hospitalized Patients (QSH) [Appendix].4
Patients
A total of 70 inpatients participated in this prospective study. Major sociodemographic characteristics are summarized inTable 1. Mean age of patients was 63.7 years (range, 31 to 80 years). Twenty-one patients (30%) were active smokers (median, 39 pack-years; range, 5 to 120 pack-years). Forty-nine patients (74%) were married or coupled. Twenty patients (31%) had completed high school or higher. Overall, 52 patients (78%) were not working: 44 patients (66%) were retired, and 8 patients (12%)
DISCUSSION
Health-care state agencies and professionals wish to improve the quality of health care. However, assessing quality of care integrates several dimensions, making global and indisputable evaluation really difficult to accomplish. Then, considering the legitimate place currently given to the patients' point of view, a shortcut has been insidiously introduced to assimilate quality of care and patient satisfaction. Conversely, the present study does not support such a link between quality of care
The QSH
Answer each question on a scale of 1 to 5: 1 = better than expected; 2 = as expected; 3 = little bit worse than expected; 4 = worse than expected; 5 = greatly worse than expected.
When arriving at the hospital, administrative staff:
Quickly registered me
Was helpful and kind
When arriving at the hospital:
I felt a good coordination between administrative wards
When arriving at the department, staff:
Quickly took me in
Heartily welcomed me
When arriving at the hospital, I:
Believed
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Cited by (44)
Patient Satisfaction After Lung Cancer Surgery: Do Clinical Outcomes Affect Hospital Consumer Assessment of Health Care Providers and Systems Scores?
2019, Annals of Thoracic SurgeryCitation Excerpt :Their study showed a strong correlation between prolonged lengths of hospitalization and decreased patient satisfaction in several areas, including patients’ impression of the comprehensiveness of surgeons’ information provision during inpatient period, the inpatient recovery, and follow-up care, whereas postoperative adverse events showed no association with satisfaction with providers. Another study by Barlesi used the French questionnaire of satisfaction of hospitalized patients and found that, although patients with postoperative complications after lung surgery were more often dissatisfied with hospital features, such as room arrangement, food, and waiting time dimensions after pulmonary lobectomy, there was no correlation with satisfaction with the hospital staff.20 The present study provides additional institutional experience to this growing body of literature and identifies a potential target for improved satisfaction.
Impact of Adverse Events and Length of Stay on Patient Experience After Lung Cancer Resection
2017, Annals of Thoracic SurgeryCitation Excerpt :TOH’s Division of Thoracic Surgery developed a standardized approach to identify both presence and severity of TM&M with the aim to capture all AEs postoperatively. The TM&M system is a prospective in-hospital database that was developed according to the Clavien-Dindo classification schema of postoperative AEs (Table 1), which grades the severity of thoracic surgical outcomes based on the treatment required [8, 9]. Postoperative AE data were collected by a senior thoracic surgery resident and research coordinator.
Hospitalization in French forensic units: Results of a patient satisfaction survey
2017, Revue d'Epidemiologie et de Sante PubliqueThe SATISPSY-22: Development and validation of a French hospitalized patients' satisfaction questionnaire in psychiatry
2015, European PsychiatryCitation Excerpt :Our questionnaire was sensitive to the conditions of hospitalizations (i.e., length of hospitalization, hospitalization under constraint, and seclusion), which were reported to have a negative impact on the relationships between patient and staff, and on the acceptance of treatment in the future [18,19]. The positive association between satisfaction and CGI improvement (and not CGI severity) confirmed that patients are reliable or appropriate informers to judge their care independently of their clinical state at discharge, and that patient satisfaction should be integrated into quality of care indicators [6]. Our findings were also in line with the study of Barker et al. in which patients with a diagnosis of a non-affective psychotic illness were significantly less satisfied with their care [5].
Patient satisfaction surveys and quality of care: An information paper
2014, Annals of Emergency MedicinePatients' Satisfaction. Customer Relationship Management as a New Opportunity for Quality Improvement in Thoracic Surgery.
2012, Thoracic Surgery ClinicsCitation Excerpt :Global staff and structure mean patient satisfaction was 78% (±13% SD) and 69% (±13%), respectively. Although overall quality of surgical care was rated 88%, a correlation with patient satisfaction was not demonstrated.16 In 2009, Rocco and colleagues published on the principles of PES and in particular on patient satisfaction in thoracic surgery as one item of the multidimensional approach to quality measurement.10
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