The patient satisfaction chasm: the gap between hospital management and frontline clinicians

BMJ Quality and Safety - Tập 22 Số 3 - Trang 242-250 - 2013
Ronen Rozenblum1, Marianne Lisby2, Peter Hockey3, Osnat Levtzion‐Korach4, Claudia Salzberg1, Nechama Efrati4, Stuart R. Lipsitz1, David W. Bates1
1Brigham and Women's Hospital and Harvard Medical School
2Aarhus University Hospital
3Wessex Deanery, NHS South of England, Hampshire, UK
4Tel-Aviv University

Tóm tắt

BackgroundAchieving high levels of patient satisfaction requires hospital management to be proactive in patient-centred care improvement initiatives and to engage frontline clinicians in this process.MethodWe developed a survey to assess the attitudes of clinicians towards hospital management activities with respect to improving patient satisfaction and surveyed clinicians in four academic hospitals located in Denmark, Israel, the UK and the USA.ResultsWe collected 1004 questionnaires (79.9% response rate) from four hospitals in four countries on three continents. Overall, 90.4% of clinicians believed that improving patient satisfaction during hospitalisation was achievable, but only 9.2% of clinicians thought their department had a structured plan to do so, with significant differences between the countries (p<0.0001). Among responders, only 38% remembered targeted actions to improve patient satisfaction and just 34% stated having received feedback from hospital management regarding patient satisfaction status in their department during the past year. In multivariate analyses, clinicians who received feedback from hospital management and remembered targeted actions to improve patient satisfaction were more likely to state that their department had a structured plan to improve patient satisfaction.ConclusionsThis portrait of clinicians’ attitudes highlights a chasm between hospital management and frontline clinicians with respect to improving patient satisfaction. It appears that while hospital management asserts that patient-centred care is important and invests in patient satisfaction and patient experience surveys, our findings suggest that the majority do not have a structured plan for promoting improvement of patient satisfaction and engaging clinicians in the process.

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Thông tin xuất bản

BMJ Quality and Safety

Tập 22 Số 3

242-250

Thông tin tác giả