January 31, 2019
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Physician ratings may be predicted by patient self-reported recovery likelihood

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Heather Vallier headshot
Heather A. Vallier

Patients who underwent elective or trauma surgery rated physicians based on the patient’s likelihood to make a full recovery and their overall impression of the hospital, according to results published in The Journal of Orthopaedic Trauma.

Heather A. Vallier, MD, and colleagues conducted a telephone survey of 323 trauma patients treated for one or more fractures and 432 patients who underwent elective orthopedic surgery, including total knee replacement, total hip replacement, ACL reconstruction or rotator cuff repair, at a minimum of 12 months after admission. Researchers acquired questions for the survey from the Hospital Consumer Assessment of Health Care Providers and Systems surveys, and they rated responses on a 1 to 5 point Likert scale.

Compared with patients who underwent elective surgery, results showed trauma patients, patients who were uninsured and patients who smoked rated their likelihood to make a full recovery lower. Patients who rated the hospital higher were more likely to score physicians better, according to multivariate binary logistic regression. Researchers also found patients were more likely to rate their physicians more positively if they scored their overall likelihood of recovering at 4 or greater vs. 3 or lower.

Patient satisfaction scores rating their surgeon were biased depending on whether they liked the hospital. Trauma patients rated their care experience lower than elective patients, which is not surprising since trauma is a disruptive, unplanned event. Patients who felt they were more likely to recover rated physicians higher,” Vallier told Healio.com/Orthopedics. “We believe that interventions to enhance recovery will also improve patient satisfaction. To that end we now offer non-traditional services to educate and assist patients and families, including support groups, counseling and peer mentorship programming.” – by Casey Tingle

 

Disclosures: The authors report no relevant financial disclosures.