Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.
ADVANCED SEARCH
Log in
Top
BMC Musculoskeletal Disorders
Published in: BMC Musculoskeletal Disorders 1/2016

Open Access 01-12-2016 | Research article

Determinants of patient satisfaction and their willingness to return after primary total hip replacement: a cross-sectional study

Authors: Tom Schaal, Tonio Schoenfelder, Joerg Klewer, Joachim Kugler

Published in: BMC Musculoskeletal Disorders | Issue 1/2016

Login to get access

Abstract

Background

Surveys of patient satisfaction and their willingness to return can be used for the optimization of processes, improving their quality, and increasing the satisfaction and loyalty in customers. This study looked at the factors significantly associated with patient satisfaction after primary total hip replacement (THR), and which affect the patients’ willingness to return to the same hospital for future treatment, even when unrelated to their THR.

Methods

Data for the study was collected by written survey from 810 patients of 43 hospitals following their THR. Satisfaction and willingness to return were measured using a validated, multidimensional questionnaire, primarily based on six-point scales, which were then evaluated together with routine hospital data, according to bivariate and multivariate analyses.

Results

The bivariate analysis showed a strong correlation between satisfaction or willingness to return and the health condition before hospitalization as well as the perceived length of stay. In contrast, the patient’s gender and the number of inpatient cases in a hospital with THR had no influence. The binary logistic regression analyses identified three predictors associated with overall satisfaction and seven predictors associated with willingness to return. The strongest factor for both dependent variables was the perceived length of stay, and the weakest factor for satisfaction was the treatment outcome.

Conclusions

Overall, with all of the medical and service-related issues considered, high levels of satisfaction were reached. Despite the high satisfaction scores, probable causes for declining the willingness to return were identified. The results provide incentives for hospitals and medical professionals to attain a high satisfaction levels in their THR patients.
Literature
1.
Porter ME. What is value in health care? N England J Med. 2010;363:2477–81.CrossRef
2.
Baumann C, Rat AC, Osnowycz G, Mainard D, Cuny C, Guillemin F. Satisfaction with care after total hip or knee replacement predicts self-perceived health status after surgery. BMC Musculoskelet Disord. 2009;10:150.CrossRefPubMedPubMedCentral
3.
Mancuso CA, Salvati EA. Patients’ satisfaction with the process of total hip arthroplasty. J Healthc Qual. 2009;25:12–9.CrossRef
4.
Lau RL, Gandhi R, Mahomed S, Mahomed N. Patient satisfaction after total knee and hip arthroplasty. Clin Geriatr Med. 2012;28:349–65.CrossRefPubMed
5.
Sitzia J, Wood N. Patient satisfaction: A review of issues and concepts. Soc Sci Med. 1997;45:1829–43.CrossRefPubMed
6.
Crow R, Gage H, Hampson S, Hart J, Kimber A, Storey L, et al. The measurement of satisfaction with healthcare: implications for practice from a systematic review of the literature. Health Technol Assess. 2002;6:1–244.CrossRefPubMed
7.
Learmonth ID, Young C, Roraback C. The operation of the century: total hip replacement. Lancet. 2007;370:1508–19.CrossRefPubMed
8.
9.
Shan L, Shan B, Graham D, Saxena A. Total hip replacement: a systematic review and meta-analysis on mid-term quality of life. Osteoarthritis Cartilage. 2014;22:389–406.CrossRefPubMed
10.
Anakwe RE, Jenkins PJ, Moran M. Predicting dissatisfaction after total hip arthroplasty: a study of 850 patients. J Arthroplasty. 2011;26:209–13.CrossRefPubMed
11.
Kay A, Davison B, Badley E, Wagstaff S. Hip arthroplasty: patient satisfaction. Br J Rheumatol. 1983;12:243–9.CrossRef
12.
Specht K, Kjaersgaard-Andersen P, Kehlet H, Wedderkopp N, Pedersen BD. High patient satisfaction in 445 patients who underwent fast-track hip or knee replacement. Acta Orthop. 2015;86:1–6.CrossRef
13.
Conner-Spady BL, Marshall DA, Bohm E, Dunbar MJ, Loucks L, Hennigar AW, et al. Patient factors in referral choice for total joint replacement surgery. Med Care. 2014;52:300–6.CrossRefPubMed
14.
Palazzo C, Jourdan C, Descamps S, Nizard R, Hamadouche M, Anract P, et al. Determinants of satisfaction 1 year after total hip arthroplasty: the role of expectations fulfilment. BMC Musculoskelet Disord. 2014;15:53.CrossRefPubMedPubMedCentral
15.
Beverland D. Patient satisfaction following TKA: Bless them all! Orthopedics. 2010;33:657.PubMed
16.
Chang CS, Chen SY, Lan YT. Service quality, trust, and patient satisfaction in interpersonal-based medical service encounters. BMC Health Serv Res. 2013;13:22.CrossRefPubMedPubMedCentral
17.
Ramaesh R, Jenkins P, Lane JV, Knight S, Macdonald D, Howie C. Personality, function and satisfaction in patients undergoing total hip or knee replacement. J Orthop Sci. 2014;19:275–81.CrossRefPubMed
18.
Otani K, Kurz RS, Harris L, Byrne FD. Managing primary care using patient satisfaction measures. J Healthc Manag. 2005;50:324–5.
19.
Arab M, Tabatabaei SMG, Rashidian A, Forushani AR, Zarei E. The effect of service quality on patient loyalty: a study of private hospitals in Tehran, Iran. Iran J Publ Health. 2012;41:71–7.
20.
Zeithaml VA, Berry LL, Parasuraman A. The behavioral consequences of service quality. J Mark. 1996;60:31–46.CrossRef
21.
Tung YC, Chang GM. Patient satisfaction with and recommendation of a primary care provider: associations of perceived quality and patient education. Int J Qual Health Care. 2009;21:206–13.CrossRefPubMed
22.
Sun BC, Adams J, Orav EJ, Rucker DW, Brennan TA, Burstin HR. Determinants of patient satisfaction and willingness to return with emergency care. Ann Emerg Med. 2000;35:426–34.CrossRefPubMed
23.
Berstock JR, Beswick AD, Lenguerrand E, Whitehouse MR, Blom AW. Mortality after total hip replacement - A systematic review. Bone Joint Res. 2014;3:175–82.CrossRefPubMedPubMedCentral
24.
Shervin N, Rubash HE, Katz JN. Orthopaedic procedure volume and patient outcomes - a systematic literature review. Clin Orthop Relat Res. 2007;457:35–41.CrossRefPubMed
25.
Varagunam M, Hutchings A, Black N. Relationship between patient-reported outcomes of elective surgery and hospital and consultant volume. Med Care. 2015;53:310–6.PubMed
26.
Schoenfelder T, Klewer J, Kugler J. Determinants of patient satisfaction: A study among 39 hospitals in an inpatient setting in Germany. Int J Qual Health Care. 2011;23:503–9.CrossRefPubMed
27.
Schoenfelder T, Schaal T, Klewer J, Kugler J. Patient satisfaction in urology: effects of hospital characteristics, demographic data and patients’ perceptions of received care. Urol J. 2014;11:1834–40.PubMed
28.
Goeij MCM, Diepen M, Jager KJ, Tripepi G, Zoccali C, Dekker FW. Multiple imputation: dealing with missing data. Nephrol Dial Transplant. 2013;28:2415–20.CrossRefPubMed
29.
Mackinnon A. The use and reporting of multiple imputation in medical research - a review. J Intern Med. 2010;268:586–93.CrossRefPubMed
30.
Buuren S, Boshuizen HC, Knook DL. Multiple imputation of missing blood pressure covariates in survival analysis. Stat Med. 1999;18:681–94.CrossRefPubMed
31.
Unnebrink K, Windeler J. Intention-to-treat: methods for dealing with missing values in clinical trials of progressively deteriorating diseases. Stat Med. 2001;20:3931–46.CrossRefPubMed
32.
Sauerbrei W, Blettner M. Interpreting results in 2 × 2 tables: extensions and problems-part 9 of a series on evaluation of scientific publications. Dtsch Arztebl Int. 2009;106:795–800.PubMedPubMedCentral
33.
Loftus R, Nugent Z, Graff LA, Schumacher F, Bernstein CN, Singh H. Patient satisfaction with the endoscopy experience and willingness to return in a central Canadian health region. Can J Gastroenterol. 2013;27:259–66.CrossRefPubMedPubMedCentral
34.
Schoenfelder T, Schaal T, Klewer J, Kugler J. Patient satisfaction and willingness to return to the provider among women undergoing gynecological surgery. Arch Gynecol Obstet. 2014;290:683–90.CrossRefPubMed
35.
Baumann C, Rat AC, Osnowycz G, Mainard D, Delagoutte JP, Cuny C, et al. Do clinical presentation and pre-operative quality of life predict satisfaction with care after total hip or knee replacement? J Bone Joint Surg Br. 2006;88:366–73.CrossRefPubMed
36.
Frankel L, Sanmartin C, Conner-Spady B, Marshall DA, Freeman-Collins L, Wall A, et al. Osteoarthritis patients' perceptions of “appropriateness” for total joint replacement surgery. Osteoarthritis Cartilage. 2012;20:967–73.CrossRefPubMed
37.
Baumann C, Rat AC, Mainard D, Cuny C, Guillemin F. Importance of patient satisfaction with care in predicting osteoarthritis-specific health-related quality of life one year after total joint arthroplasty. Qual Life Res. 2011;20:1581–8.CrossRefPubMed
38.
Finkelstein BS, Harper DL, Rosenthal GE. Does length of hospital stay during labor and delivery influence patient satisfaction? Results from a regional study. Am J Manag Care. 1998;4:1701–8.PubMed
39.
Husted H, Holm G, Jacobsen S. Predictors of length of stay and patient satisfaction after hip and knee replacement surgery: fast track experience in 712 patients. Acta Orthop. 2008;79:168–73.CrossRefPubMed
40.
Schneider M, Kawahara I, Ballantyne G, McAuley C, Macgregor K, Garvie R, et al. Predictive factors influencing fast track rehabilitation following primary total hip and knee arthroplasty. Arch Orthop Trauma Surg. 2009;129:1585–91.CrossRefPubMed
41.
42.
Des Cormiers A, Légaré F, Simard S, Boulet LP. Decisional conflict in asthma patients: a cross sectional study. J Asthma. 2015;52:1084–91.CrossRefPubMed
43.
Sänger S. Evidence based patient choice – reality or vision? Z Allg Med. 2005;81:528–36.CrossRef
44.
Ferri P, Muzzalupo J, Di Lorenzo R. Patients’ perception of dignity in an Italian general hospital: a cross-sectional analysis. BMC Health Serv Res. 2015;15:41.CrossRefPubMedPubMedCentral
45.
Dini GM, Ferreira LM. Maintaining the privacy of patients, part 2. Plast Reconstr Surg. 2003;112:356–7.CrossRefPubMed
46.
Asadi-Lari M, Packham C, Gray D. Is quality of life measurement likely to be a proxy for health needs assessment in patients with coronary artery disease? Health Qual Life Outcomes. 2003;1:50.CrossRefPubMedPubMedCentral
47.
Hernigou P, Roussignol X, Delambre J, Poignard A, Flouzat-Lachaniette CH. Ceramic-on-ceramic THA associated with fewer dislocations and less muscle degeneration by preserving muscle progenitors. Clin Orthop Relat Res. 2015;473:3762–9.CrossRefPubMedPubMedCentral
48.
Kenney NA, Farmer KW. Minimally invasive versus conventional joint arthroplasty. PM R. 2012;4:134–40.CrossRef
49.
AQUA – Institut für angewandte Qualitätsförderung und Forschung im Gesundheitswesen. Bundesauswertung zum Erfassungsjahr 2011: 17/2 – Hüft-Endoprothesen-Erstimplantation. Goettingen, 2012
50.
AQUA – Institut für angewandte Qualitätsförderung und Forschung im Gesundheitswesen. Bundesauswertung zum Erfassungsjahr 2014: 17/2 – Hüft-Endoprothesen-Erstimplantation. Goettingen, 2015
51.
Emberton M, Black N. Impact of non-response and of late-response by patients in a multi-centre surgical outcome audit. Int J Qual Health Care. 1995;7:47–55.PubMed
52.
Polk A, Rasmussen JV, Brorson S, Olsen BS. Reliability of patient-reported functional outcome in a joint replacement registry. Acta Orthop. 2013;84:12–7.CrossRefPubMedPubMedCentral
53.
Hosmer DW, Hosmer T, Cessie SL, Lemeshow S. A comparison of goodness-of-fit tests for the logistic regression model. Stat Med. 1997;15:965–80.CrossRef
54.
Metadata
Title
Determinants of patient satisfaction and their willingness to return after primary total hip replacement: a cross-sectional study
Authors
Tom Schaal
Tonio Schoenfelder
Joerg Klewer
Joachim Kugler
Publication date
01-12-2016
Publisher
BioMed Central
Published in
BMC Musculoskeletal Disorders / Issue 1/2016
Electronic ISSN: 1471-2474
DOI
https://doi.org/10.1186/s12891-016-1196-3

Other articles of this Issue 1/2016

BMC Musculoskeletal Disorders 1/2016 Go to the issue

Research article

Multidisciplinary approaches to managing osteoarthritis in multiple joint sites: a systematic review

Research article

Comparison of supraintercondylar and supracondylar femur fractures treated with condylar buttress plates

Research article

The pathophysiology associated with primary (idiopathic) frozen shoulder: A systematic review

Research article

Experimental study on treatment of acetabular anterior column fractures: applyment of a minimally invasive percutaneous lag screw guide apparatus

Research article

Intra-session absolute and relative reliability of pressure pain thresholds in the low back region of vine-workers: effect of the number of trials

Research article

A systematic review of double-bundle versus single-bundle posterior cruciate ligament reconstruction