Journal article
Postoperative complications and patient satisfaction: does payer status have an impact?
The American journal of surgery, Vol.211(6), pp.1099-1105.e1
06/2016
DOI: 10.1016/j.amjsurg.2015.08.026
PMID: 26542189
Abstract
Patient demographics and outcomes may influence patient satisfaction. We aim to investigate the relationship between postoperative complications and survey-based satisfaction in the context of payer status.
Institutional data were used to identify major complication occurrence and linked to patient satisfaction surveys. The impact of complication occurrence on satisfaction was investigated and stratified by payer status.
In all, 1,597 encounters were identified with an 18% major complication rate. Satisfaction scores in specific domains were significantly more likely to be above the median for patients without complications (P < .01) and for payer status Medicaid/low income (P < .05). In sensitivity analyses, we found no significant interactions among payer status, complications, and satisfaction scores.
Significant differences exist for individual satisfaction survey domains between patients with and without major postoperative complications and by payer status. Payer status was not found to have an impact on the intersection of major complications and patient satisfaction.
•We investigate the relationship among complications, satisfaction, and payer status.•The occurrence of complications affects patient-reported satisfaction scores.•Payer status did not have an impact on satisfaction in the setting of complications.
Details
- Title: Subtitle
- Postoperative complications and patient satisfaction: does payer status have an impact?
- Creators
- John G Armstrong - Department of Surgery, The University of Iowa Carver College of Medicine, Iowa City, IA, USAPaula A.M Weigel - Department of Health Management and Policy, College of Public Health, The University of Iowa, Iowa City, IA, USAJohn W Cromwell - Department of Surgery, The University of Iowa Carver College of Medicine, Iowa City, IA, USAJohn C Byrn - Division of Colorectal Surgery, Department of Surgery, University of Michigan Health System, 2124 Taubman Center, 1500 East Medical Center Drive, Ann Arbor, MI, 48109, USA
- Resource Type
- Journal article
- Publication Details
- The American journal of surgery, Vol.211(6), pp.1099-1105.e1
- Publisher
- Elsevier Inc
- DOI
- 10.1016/j.amjsurg.2015.08.026
- PMID
- 26542189
- ISSN
- 0002-9610
- eISSN
- 1879-1883
- Language
- English
- Date published
- 06/2016
- Academic Unit
- Surgery
- Record Identifier
- 9984051767302771
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