Patient satisfaction after pulmonary resection for lung cancer: A multicenter comparative analysis

Cecilia Pompili, Alessandro Brunelli, Gaetano Rocco, Rosario Salvi, Francesco Xiumé, Antonello La Rocca, Armando Sabbatini, Nicola Martucci

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Background: Patient satisfaction reflects the perception of the customer about the level of quality of care received during the episode of hospitalization. Objective: To compare the levels of satisfaction of patients submitted to lung resection in two different thoracic surgical units. Methods: Prospective analysis of 280 consecutive patients submitted to pulmonary resection for neoplastic disease in two centers (center A: 139 patients; center B: 141 patients; 2009-2010). Patients' satisfaction was assessed at discharge through the EORTC-InPatSat32 module, a 32-item, multi-scale self-administered anonymous questionnaire. Each scale (ranging from 0 to 100 in score) was compared between the two units. Multivariable regression and bootstrap were used to verify factors associated with the patients' general satisfaction (dependent variable). Results: Patients from unit B reported a higher general satisfaction (91.5 vs. 88.3, p = 0.04), mainly due to a significantly higher satisfaction in the doctor-related scales (doctors' technical skill: p = 0.001; doctors' interpersonal skill: p = 0.008; doctors' availability: p = 0.005, and doctors information provision: p = 0.0006). Multivariable regression analysis and bootstrap confirmed that level of care in unit B (p = 0.006, bootstrap frequency 60%) along with lower level of education of the patient population (p = 0.02, bootstrap frequency 62%) were independent factors associated with a higher general patient satisfaction. Conclusion: We were able to show a different level of patient satisfaction in patients operated on in two different thoracic surgery units. A reduced level of patient satisfaction may trigger changes in the management policy of individual units in order to meet patients' expectations and improve organizational efficiency.

Original languageEnglish
Pages (from-to)106-111
Number of pages6
JournalRespiration
Volume85
Issue number2
DOIs
Publication statusPublished - Feb 2013

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Patient Satisfaction
Lung Neoplasms
Lung
Organizational Efficiency
Quality of Health Care
Patient Education
Thoracic Surgery
Hospitalization
Thorax
Regression Analysis
Population

Keywords

  • Lung resection
  • Non-small cell lung cancer
  • Patient satisfaction
  • Pulmonary surgery
  • Quality of care

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine

Cite this

Patient satisfaction after pulmonary resection for lung cancer : A multicenter comparative analysis. / Pompili, Cecilia; Brunelli, Alessandro; Rocco, Gaetano; Salvi, Rosario; Xiumé, Francesco; La Rocca, Antonello; Sabbatini, Armando; Martucci, Nicola.

In: Respiration, Vol. 85, No. 2, 02.2013, p. 106-111.

Research output: Contribution to journalArticle

Pompili, Cecilia ; Brunelli, Alessandro ; Rocco, Gaetano ; Salvi, Rosario ; Xiumé, Francesco ; La Rocca, Antonello ; Sabbatini, Armando ; Martucci, Nicola. / Patient satisfaction after pulmonary resection for lung cancer : A multicenter comparative analysis. In: Respiration. 2013 ; Vol. 85, No. 2. pp. 106-111.
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abstract = "Background: Patient satisfaction reflects the perception of the customer about the level of quality of care received during the episode of hospitalization. Objective: To compare the levels of satisfaction of patients submitted to lung resection in two different thoracic surgical units. Methods: Prospective analysis of 280 consecutive patients submitted to pulmonary resection for neoplastic disease in two centers (center A: 139 patients; center B: 141 patients; 2009-2010). Patients' satisfaction was assessed at discharge through the EORTC-InPatSat32 module, a 32-item, multi-scale self-administered anonymous questionnaire. Each scale (ranging from 0 to 100 in score) was compared between the two units. Multivariable regression and bootstrap were used to verify factors associated with the patients' general satisfaction (dependent variable). Results: Patients from unit B reported a higher general satisfaction (91.5 vs. 88.3, p = 0.04), mainly due to a significantly higher satisfaction in the doctor-related scales (doctors' technical skill: p = 0.001; doctors' interpersonal skill: p = 0.008; doctors' availability: p = 0.005, and doctors information provision: p = 0.0006). Multivariable regression analysis and bootstrap confirmed that level of care in unit B (p = 0.006, bootstrap frequency 60{\%}) along with lower level of education of the patient population (p = 0.02, bootstrap frequency 62{\%}) were independent factors associated with a higher general patient satisfaction. Conclusion: We were able to show a different level of patient satisfaction in patients operated on in two different thoracic surgery units. A reduced level of patient satisfaction may trigger changes in the management policy of individual units in order to meet patients' expectations and improve organizational efficiency.",
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