Patient experiences in relation to respondent and health service delivery characteristics: A survey of 26,938 patients attending 62 hospitals throughout Norway

Abstract

Aims: To assess the association between patient experiences, aspects of healthcare delivery, and patient characteristics for adult somatic inpatients attending hospitals throughout Norway. Methods: The Patient Experiences Questionnaire (PEQ) was mailed to 26,938 patients attending inpatient clinics at 62 Norwegian hospitals during 2002 and 2003 within a six-week period. Reminders were mailed at four weeks. Scores for the PEQ were regressed on whether the patient felt that he/she had received incorrect treatment, had spent the night in a corridor bed, had been an emergency or routine admission, his/her number of previous admissions, hospital teaching status, hospital size and location, health status, and sociodemographic variables. Results: A total of 13,700 (50.9%) patients responded. Patients who felt that they had received incorrect treatment had significantly poorer scores for all 10 PEQ dimensions. Those spending the night in a corridor bed had significantly poorer scores for six dimensions. Emergency admissions and the previous number of inpatient stays were significantly associated with poorer experiences for 10 and 7 dimensions respectively. Hospital size and university status had negative relationships with scores for six and four dimensions respectively. Conclusions: Whether the patient felt that he/she had received the incorrect treatment had by far the strongest association with patient experiences. Future studies of patient experiences and satisfaction should include this variable. As found in previous research, patient experiences were significantly associated with age and health status.

Keywords

Patient experiences Patient Experiences Questionnaire patient satisfaction quality of care

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References

Fitzpatrick R. Surveys of patient satisfaction: 1 important general consideration. Br Med J 1991;302:887—9.

Crow R. , Gage H. , Hampsom S. , Hart J. , Kimber A. , Storey L. , et al. The measurement of satisfaction with healthcare: implications for practice from a systematic review of the literature. Health Technol Assess 2002;6:1—24.

Sitzia J. How valid and reliable are patient satisfaction data? An analysis of 195 studies . Int J Qual Health Care 1999 ;11:319—28.

Pouwer F. , Snoek FJ , Van der Ploeg HM , et al. A comparion of the standard and the computerized versions of the Well.being Questionnaire (WBQ) and the Diabetes Treatment Satisfaction Questionnaire (DTSQ). Qual Life Res 1998;77:333—8.

Jenkinson C. , Coulter A. , Bruster S. , Chandola T. , Jones P. Factors relating to patients' reports about hospital care for heart disease in England. J Health Serv Res Policy 2003;8:83—6.

Schwappach DLB , Blaudszun A. , Conen D. , Ebner H. , Eichler K. , Hochreutner MA `Emerge': Benchmarking of clinical performance and patients' experiences with emergency care in Switzerland. Int J Qual Saf Health Care 2003;15:473—85.

Garratt AM , Andersen Bjertnæs , Krogstad U. , Gulbransen P.

The OutPatient Experiences Questionnaire: reliability and validity in 52 Norwegian hospitals. Qual Saf

Health Care 2005;14:433—7.

Coulter A. , Cleary PD Patient experiences with hospital care in five countries. Health Affairs 2001 ;20:244—52.

Bredart A. , Robertson C. , Razavi D. , Batel-Copel L. , et al. Patients' satisfaction ratings and their desire for care improvement across oncology settings from France, Italy, Poland and Sweden. Psycho-Oncology 2003;12:68—77.

10.

Rahmquist M. Patient satisfaction in relation to age, health status and other background factors: A model for comparison of care units . Int J Qual Health Care 2001;13:385—90.

11.

Rogers G. , Smith DP Reporting comparative results from hospital patient surveys. Int J Qual Health Care 1999 ;11:251—9.

12.

Avis M. , Bond M. , Arthur A. Satisfying solutions? A review of some unresolved issues in the measurement of patient satisfaction. J Adv Nurs 1995;22:316—22.

13.

Fitzpatrick R.

Capturing what matters to patients when they evaluate their hospital care. Qual Saf

Health Care 2002;11:306.

14.

Pettersen KI , Veenstra M. , Guldvog B. , Kolstad A. The Patient Experiences Questionnaire: Development, validity and reliability. Int J Qual Health Care 2004;16:453—63.

15.

Garratt AM , Bjertnæs A. , Krogstad U. , Gulbrandsen P. The patient experiences questionnaire PasOpp in somatic outpatient clinics. Tidsskr Nor Lægeforen 2005;125:421—4.

16.

Garratt AM , Bjørngård JH , Dahle KA , Bjertnæs A. , Saunes IS , Ruud T. Psychiatric Out-Patient Experiences Questionnaire: Data quality, reliability and validity in patients attending 90 Norwegian clinics. Nordic J Psychiatry 2006;60:89—96.

17.

Statistics Norway. Standard classification of municipalities 1994, Official Statistics of Norway C192 . Oslo: Kongsvinger; 1994.

18.

Foss C. , Krogstad U. The invisible patient: Patients' experience of staying in bed in a hospital corridor. Tidsskr Nor Laegeforen 2000;120:2639—41.

19.

Boudreaux ED , O'Hea L. Patient satisfaction in the emergency department: A review of the literature and implications for practice. J Emerg Med 2004;26:13—26.

20.

Young GJ , Meterko M. , Desai KR Patient satisfaction with hospital care: Effects of demographic and institutional characteristics. Med Care 2000 ;38:325—34.

21.

Pink GH , Murray MA , McKillop I. Hospital efficiency and patient satisfaction. Health Serv Manage Res 2003;16:24—38.

22.

Finkelstein BS , Singh J. , Silvers JB , Neuhauser D. , Rosenthal GE Patient and hospital characteristics associated with patient assessments of hospital obstetrical care. Med Care 1998;36(Suppl):AS68—78.

23.

Holte TO , Bjertnæs A. , Stavem K.

Is there a relationship between hospital size and patient experience?

Tidsskr Nor Lægeforen 2005;12:1685—8.

24.

Fleming GV Hospital structure and consumer satisfaction . Health Serv Res 1981;16:43—63.

25.

Fitzpatrick R. The assessment of patient satisfaction. In: Jenkinson C , editor. Assessment and Evaluation of Health and Medical Care. Buckingham: Open University Press; 1997.

26.

Cohen G. Age and health status in a patient satisfaction survey. Soc Sci Med 1996;42:1085—93.

27.

Neuberger J. The educated patient: New challenges for the medical profession. J Intern Med 2000;247:6—10.

28.

Hall J. , Dornan MC Patient sociodemographic characteristics as predictors of satisfaction with medical care: A meta analysis. Soc Sci Med 1990;30:811—18.

29.

Sitzia J. , Wood N. Patient satisfaction: A review of the issues and concepts. Soc Sci Med 1997;45:1829—43.

30.

Hall JA , Milburn MA , Epstein AM A causual model of health status and satisfaction with medical care . Med Care 1993;31:84—94.