{"id":14011,"date":"2021-05-06T08:56:50","date_gmt":"2021-05-06T08:56:50","guid":{"rendered":"https:\/\/interhospi.com\/?p=14011"},"modified":"2021-05-14T11:49:42","modified_gmt":"2021-05-14T11:49:42","slug":"trauma-and-emergency-surgeons-positively-impact-patient-satisfaction","status":"publish","type":"post","link":"https:\/\/interhospi.com\/trauma-and-emergency-surgeons-positively-impact-patient-satisfaction\/","title":{"rendered":"Trauma and emergency surgeons positively impact patient satisfaction"},"content":{"rendered":"
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Trauma and emergency surgeons positively impact patient satisfaction<\/h1>\/ in Featured Articles<\/a> <\/span><\/span><\/header>\n<\/div><\/section>
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Trauma patients and patients who need emergency surgery have little to no opportunity to get acquainted with the surgeon and team that will perform their operation. However, a large study has found that effective and meaningful physician communication is a more important contributor to the overall satisfaction of trauma patients and those having emergency surgery than it is for patients admitted to the hospital for medical reasons or for elective procedures.<\/strong><\/p>\n

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Physician communication<\/strong><\/h3>\n

The researchers found an unexpectedly significant effect of physician communication among patients admitted through a hospital\u2019s trauma bay or emergency department. They analysed patient survey data to determine how several factors, including interactions with nurses and doctors, contributed to satisfaction ratings in five different patient categories: trauma, direct-admit (elective) surgery, emergency department (ED)-admitted (emergency) surgery, ED-admitted medical, and direct-admit medical.<\/p>\n

\u201cNurses uniformly come out as the most highly ranked, and that\u2019s because they provide wonderful bedside care and have so much contact with the patients,\u201d said lead study author Samir M. Fakhry, MD, FACS, vice president of the Center for Trauma and Acute Care Surgery Research for HCA Healthcare. \u201cBut in the case of the trauma patients, and to a lesser degree the emergency surgical patients, physician communication ranked as the number two factor,\u201d he said.<\/p>\n

Among elective surgery and medical admission patients, physician communication didn\u2019t register even as a third or fourth factor. \u201cThere\u2019s something about the way the trauma surgeons are delivering their care that is an important driver of the satisfaction scoring that is provided by our patients,\u201d Dr Fakhry said.<\/p>\n

Hospital experience<\/strong><\/h3>\n

The authors noted that no previous large study has investigated overall satisfaction among trauma and emergency surgery patients. Study investigators analysed Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey data of 186,779 non-maternity patients discharged from 168 HCA Healthcare hospitals in 2018 and 2019. HCAHPS is a post-discharge survey that asks patients about their hospital experience. The Centers for Medicare and Medicaid Services uses HCAHPS data to generate hospital ratings reported on its Hospital Compare < http:\/\/www.medicare. gov\/hospitalcompare\/search.aspx > website. The survey captures patient impressions of a number of factors about the hospital experience, including communication with doctors and nurses.<\/p>\n

The researchers found that physician communication had a greater impact on overall satisfaction after accounting for nursing factors among trauma and emergency surgery patients, representing a 12% boost in the former and an 8.6% boost in the latter. In categories in which physician communication received low ratings, it was unlikely that high scores in other factors could compensate to bring the overall satisfaction score above the 50th percentile.<\/p>\n

Impact on hospital ratings<\/strong><\/h3>\n

\u201cThe things trauma surgeons and the people around them are doing seem to be very important to their patients,\u201d Dr Fakhry said. \u201cFor many people in hospital leadership, the trauma service is an important mission of the hospital, but they wouldn\u2019t expect the trauma service to contribute very much to a positive patient experience because we\u2019re dealing with injured people. However, this study shows trauma care has a significant impact on hospital ratings.\u201d<\/p>\n

The authors noted that future research should explore what specific aspects of the physician\u2019s behaviour in trauma, emergency surgery, and ED admissions contribute to patient satisfaction.<\/p>\n

\u201cWe like to say in the world of trauma that the \u2018t\u2019 in trauma is for team, so it would be important to stress that the team approach we employ in trauma may be an important part of the findings of the study,\u201d Dr Fakhry said. \u201cThat\u2019s something we\u2019re going to explore in future studies to try to determine what it is, specifically, that trauma surgeons are doing, how they relate to the nurses, and if the interaction between the doctor and the nurse are all something we can turn into an even more positive experience for the patient.\u201d<\/p>\n

The study was selected for the 2020 Southern Surgical Association Program and published as an \u201carticle in press\u201d on the website of the Journal of the American College of Surgeons in advance of print.<\/p>\n<\/div><\/section>
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Reference<\/strong><\/h3>\n

Critical Role of Trauma and Emergency Surgery Physicians in Patient Satisfaction: An Analysis of HCAHPS Data from 186,779 Patients and 168 Hospitals in a National Healthcare System. Journal of the American College of Surgeons. doi: https:\/\/doi.org\/10.1016\/j.jamcollsurg.2020.12.017<\/a><\/p>\n<\/div><\/section>
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