Presentation Title (IN ALL CAPS)

Factors Associated with Patient Satisfaction Using Caregivers as a Proxy in a Pediatric Setting Based on a Newly Developed Survey Instrument

Departmental Affiliation and City, State, Zip for All Authors

UNTHSC Graduate School of Biomedical Sciences, Fort Worth, TX, 76107; UNTHSC Texas College of Osteopathic Medicine, Fort Worth, TX, 76107; UNTHSC School of Public Health, Fort Worth, TX, 76107

Classification

GSBS Student (For Competition)

Research Presentation Category

Clinical Research

Layperson Narrative or Summary (3-5 sentences)

A patient’s satisfaction with health care system utilization counts as much towards his/her perception of the overall quality of healthcare as the actual diagnoses and treatment of ailments. In a pediatrics setting patients cannot be surveyed easily so their caregivers must act as a proxy. There are very few surveys designed to assess patient satisfaction in a pediatric setting and none for an academic pediatric setting. This survey enables the UNT Health Pediatric Clinic to asses patient satisfaction and improve quality of care.

Scientific Abstract

Background: Patient’s satisfaction plays a major role in their perception of healthcare. In a pediatric setting, caregiver satisfaction is a proxy for patient satisfaction. Among existing instruments that assess caregiver satisfaction in a pediatric clinic, none examined an academic pediatric clinic. In this study, we designed an instrument to measure satisfaction in an academic pediatric clinic, and measured associations between caregiver’s satisfaction and factors related to provider performance. Methods: A 43 question survey was developed using a validated instrument for satisfaction, and added questions pertinent to an academic setting. Data were gathered from 176 caregivers (convenience sampling) at the UNTHSC Pediatrics Clinic. Patient satisfaction was assessed using a Likert (0-10) question. Instrument reliability was measured using Cronbach’s alpha. Descriptives and logistic regression were used to model satisfaction, after converting to a binary variable where satisfaction ≤ 8 was ‘low/medium’ and > 8 was ‘high’. Results: Cronbach’s alpha was 0.92. Median provider satisfaction was 10 (IQR=2). As provider communication score increased by 1 unit, the odds of being in the low/middle category was 0.01 (p<0.0001); as receiving timely access to care score increased by 1 unit, the odds of being in the low/middle category was 0.42 (p<0.002). Conclusions: The high Cronbach’s alpha indicates that instrument is measuring patient's satisfaction with a provider as intended. A few themes had lower Cronbach’s alpha values indicating that some questions should be re-evaluated. Based on study results, we conclude, that patient satisfaction was significantly associated with provider communication and receiving timely access to care.

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Factors Associated with Patient Satisfaction Using Caregivers as a Proxy in a Pediatric Setting Based on a Newly Developed Survey Instrument

Background: Patient’s satisfaction plays a major role in their perception of healthcare. In a pediatric setting, caregiver satisfaction is a proxy for patient satisfaction. Among existing instruments that assess caregiver satisfaction in a pediatric clinic, none examined an academic pediatric clinic. In this study, we designed an instrument to measure satisfaction in an academic pediatric clinic, and measured associations between caregiver’s satisfaction and factors related to provider performance. Methods: A 43 question survey was developed using a validated instrument for satisfaction, and added questions pertinent to an academic setting. Data were gathered from 176 caregivers (convenience sampling) at the UNTHSC Pediatrics Clinic. Patient satisfaction was assessed using a Likert (0-10) question. Instrument reliability was measured using Cronbach’s alpha. Descriptives and logistic regression were used to model satisfaction, after converting to a binary variable where satisfaction ≤ 8 was ‘low/medium’ and > 8 was ‘high’. Results: Cronbach’s alpha was 0.92. Median provider satisfaction was 10 (IQR=2). As provider communication score increased by 1 unit, the odds of being in the low/middle category was 0.01 (p<0.0001); as receiving timely access to care score increased by 1 unit, the odds of being in the low/middle category was 0.42 (p<0.002). Conclusions: The high Cronbach’s alpha indicates that instrument is measuring patient's satisfaction with a provider as intended. A few themes had lower Cronbach’s alpha values indicating that some questions should be re-evaluated. Based on study results, we conclude, that patient satisfaction was significantly associated with provider communication and receiving timely access to care.