Racial Differences in Patient Satisfaction With the Hospital Experience Undergoing Primary Unilateral Hip and Knee Arthroplasty: A Retrospective Study
Background: Press Ganey (PG) inpatient survey is widely used to track patient satisfaction with the hospital experience. Our aim was to use the PG survey to determine if there are racial differences in overall hospital experience and perception of nurses and surgeons following hip and knee arthropla...
| Main Authors: | , , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2023-10-01
|
| Series: | Arthroplasty Today |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2352344123001176 |
| _version_ | 1797653958156615680 |
|---|---|
| author | Orett C. Burke, Jr., BS J. Alex B. Gibbons, BA Huong T. Do, MA Emily Y. Lai, MS Letitia Bradford, MD Anne R. Bass, MD Troy B. Amen, MD, MBA Linda A. Russell, MD Bella Mehta, MBBS, MS Michael Parks, MD Mark Figgie, MD Susan Goodman, MD |
| author_facet | Orett C. Burke, Jr., BS J. Alex B. Gibbons, BA Huong T. Do, MA Emily Y. Lai, MS Letitia Bradford, MD Anne R. Bass, MD Troy B. Amen, MD, MBA Linda A. Russell, MD Bella Mehta, MBBS, MS Michael Parks, MD Mark Figgie, MD Susan Goodman, MD |
| author_sort | Orett C. Burke, Jr., BS |
| collection | DOAJ |
| description | Background: Press Ganey (PG) inpatient survey is widely used to track patient satisfaction with the hospital experience. Our aim was to use the PG survey to determine if there are racial differences in overall hospital experience and perception of nurses and surgeons following hip and knee arthroplasty. Methods: We retrospectively analyzed Black and White patients from hip and knee arthroplasty registries from a single institution between July 2010 and February 2012. The overall assessment score for the hospital experience and perception of the nurse and surgeon questions from the PG inpatient survey were dichotomized as “not completely satisfied” or “completely satisfied”. Multivariable logistic regression models were developed to determine the impact of race on the likelihood of being ‘completely satisfied’ in the hip and knee cohorts. Results: There were 2517 hip and 2114 knee patients who underwent surgery and completed the PG survey, of whom 3.9% were Black and 96.0% were White. Black patients were less likely to be completely satisfied with their hospital experience compared to White patients in the hip (odds ratio 0.62, confidence interval 0.39-1.00, P = .049) and knee (odds ratio 0.52, confidence interval 0.33-0.82, P = .005) cohorts. Black patients were also less likely to be completely satisfied with multiple aspects of care they received from the nurse and surgeon in both cohorts. Conclusions: We found that the PG Survey shows Black patients were less likely to be completely satisfied than White patients with the hospital experience, including their interactions with nurses and surgeons. More work is needed to understand this difference. |
| first_indexed | 2024-03-11T16:52:23Z |
| format | Article |
| id | doaj.art-6eac92567e064e209b355b6f48061a5d |
| institution | Directory Open Access Journal |
| issn | 2352-3441 |
| language | English |
| last_indexed | 2024-03-11T16:52:23Z |
| publishDate | 2023-10-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Arthroplasty Today |
| spelling | doaj.art-6eac92567e064e209b355b6f48061a5d2023-10-21T04:22:50ZengElsevierArthroplasty Today2352-34412023-10-0123101212Racial Differences in Patient Satisfaction With the Hospital Experience Undergoing Primary Unilateral Hip and Knee Arthroplasty: A Retrospective StudyOrett C. Burke, Jr., BS0J. Alex B. Gibbons, BA1Huong T. Do, MA2Emily Y. Lai, MS3Letitia Bradford, MD4Anne R. Bass, MD5Troy B. Amen, MD, MBA6Linda A. Russell, MD7Bella Mehta, MBBS, MS8Michael Parks, MD9Mark Figgie, MD10Susan Goodman, MD11Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ, USA; Corresponding author. Rutgers Robert Wood Johnson Medical School, 675 Hoes Lane West, Piscataway, NJ 08854, USA.Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ, USA; Division of Rheumatology, Department of Medicine, Hospital for Special Surgery, New York, NY, USA; Division of Research Administration, Hospital for Special Surgery, New York, NY, USA; Department of Orthopedics, University of Nevada, Reno, Reno, NV, USA; Division of Rheumatology, Department of Medicine, Weill Cornell Medicine, New York, NY, USA; Department of Orthopedics, Hospital for Special Surgery, New York, NY, USARutgers Robert Wood Johnson Medical School, New Brunswick, NJ, USA; Division of Rheumatology, Department of Medicine, Hospital for Special Surgery, New York, NY, USA; Division of Research Administration, Hospital for Special Surgery, New York, NY, USA; Department of Orthopedics, University of Nevada, Reno, Reno, NV, USA; Division of Rheumatology, Department of Medicine, Weill Cornell Medicine, New York, NY, USA; Department of Orthopedics, Hospital for Special Surgery, New York, NY, USARutgers Robert Wood Johnson Medical School, New Brunswick, NJ, USA; Division of Rheumatology, Department of Medicine, Hospital for Special Surgery, New York, NY, USA; Division of Research Administration, Hospital for Special Surgery, New York, NY, USA; Department of Orthopedics, University of Nevada, Reno, Reno, NV, USA; Division of Rheumatology, Department of Medicine, Weill Cornell Medicine, New York, NY, USA; Department of Orthopedics, Hospital for Special Surgery, New York, NY, USADepartment of Orthopedics, University of Nevada, Reno, Reno, NV, USARutgers Robert Wood Johnson Medical School, New Brunswick, NJ, USA; Division of Rheumatology, Department of Medicine, Hospital for Special Surgery, New York, NY, USA; Division of Research Administration, Hospital for Special Surgery, New York, NY, USA; Department of Orthopedics, University of Nevada, Reno, Reno, NV, USA; Division of Rheumatology, Department of Medicine, Weill Cornell Medicine, New York, NY, USA; Department of Orthopedics, Hospital for Special Surgery, New York, NY, USARutgers Robert Wood Johnson Medical School, New Brunswick, NJ, USA; Division of Rheumatology, Department of Medicine, Hospital for Special Surgery, New York, NY, USA; Division of Research Administration, Hospital for Special Surgery, New York, NY, USA; Department of Orthopedics, University of Nevada, Reno, Reno, NV, USA; Division of Rheumatology, Department of Medicine, Weill Cornell Medicine, New York, NY, USA; Department of Orthopedics, Hospital for Special Surgery, New York, NY, USARutgers Robert Wood Johnson Medical School, New Brunswick, NJ, USA; Division of Rheumatology, Department of Medicine, Hospital for Special Surgery, New York, NY, USA; Division of Research Administration, Hospital for Special Surgery, New York, NY, USA; Department of Orthopedics, University of Nevada, Reno, Reno, NV, USA; Division of Rheumatology, Department of Medicine, Weill Cornell Medicine, New York, NY, USA; Department of Orthopedics, Hospital for Special Surgery, New York, NY, USARutgers Robert Wood Johnson Medical School, New Brunswick, NJ, USA; Division of Rheumatology, Department of Medicine, Hospital for Special Surgery, New York, NY, USA; Division of Research Administration, Hospital for Special Surgery, New York, NY, USA; Department of Orthopedics, University of Nevada, Reno, Reno, NV, USA; Division of Rheumatology, Department of Medicine, Weill Cornell Medicine, New York, NY, USA; Department of Orthopedics, Hospital for Special Surgery, New York, NY, USARutgers Robert Wood Johnson Medical School, New Brunswick, NJ, USA; Division of Rheumatology, Department of Medicine, Hospital for Special Surgery, New York, NY, USA; Division of Research Administration, Hospital for Special Surgery, New York, NY, USA; Department of Orthopedics, University of Nevada, Reno, Reno, NV, USA; Division of Rheumatology, Department of Medicine, Weill Cornell Medicine, New York, NY, USA; Department of Orthopedics, Hospital for Special Surgery, New York, NY, USARutgers Robert Wood Johnson Medical School, New Brunswick, NJ, USA; Division of Rheumatology, Department of Medicine, Hospital for Special Surgery, New York, NY, USA; Division of Research Administration, Hospital for Special Surgery, New York, NY, USA; Department of Orthopedics, University of Nevada, Reno, Reno, NV, USA; Division of Rheumatology, Department of Medicine, Weill Cornell Medicine, New York, NY, USA; Department of Orthopedics, Hospital for Special Surgery, New York, NY, USARutgers Robert Wood Johnson Medical School, New Brunswick, NJ, USA; Division of Rheumatology, Department of Medicine, Hospital for Special Surgery, New York, NY, USA; Division of Research Administration, Hospital for Special Surgery, New York, NY, USA; Department of Orthopedics, University of Nevada, Reno, Reno, NV, USA; Division of Rheumatology, Department of Medicine, Weill Cornell Medicine, New York, NY, USA; Department of Orthopedics, Hospital for Special Surgery, New York, NY, USABackground: Press Ganey (PG) inpatient survey is widely used to track patient satisfaction with the hospital experience. Our aim was to use the PG survey to determine if there are racial differences in overall hospital experience and perception of nurses and surgeons following hip and knee arthroplasty. Methods: We retrospectively analyzed Black and White patients from hip and knee arthroplasty registries from a single institution between July 2010 and February 2012. The overall assessment score for the hospital experience and perception of the nurse and surgeon questions from the PG inpatient survey were dichotomized as “not completely satisfied” or “completely satisfied”. Multivariable logistic regression models were developed to determine the impact of race on the likelihood of being ‘completely satisfied’ in the hip and knee cohorts. Results: There were 2517 hip and 2114 knee patients who underwent surgery and completed the PG survey, of whom 3.9% were Black and 96.0% were White. Black patients were less likely to be completely satisfied with their hospital experience compared to White patients in the hip (odds ratio 0.62, confidence interval 0.39-1.00, P = .049) and knee (odds ratio 0.52, confidence interval 0.33-0.82, P = .005) cohorts. Black patients were also less likely to be completely satisfied with multiple aspects of care they received from the nurse and surgeon in both cohorts. Conclusions: We found that the PG Survey shows Black patients were less likely to be completely satisfied than White patients with the hospital experience, including their interactions with nurses and surgeons. More work is needed to understand this difference.http://www.sciencedirect.com/science/article/pii/S2352344123001176Press GaneyHCAHPSPatient satisfactionKnee arthroplastyHip arthroplastyRace |
| spellingShingle | Orett C. Burke, Jr., BS J. Alex B. Gibbons, BA Huong T. Do, MA Emily Y. Lai, MS Letitia Bradford, MD Anne R. Bass, MD Troy B. Amen, MD, MBA Linda A. Russell, MD Bella Mehta, MBBS, MS Michael Parks, MD Mark Figgie, MD Susan Goodman, MD Racial Differences in Patient Satisfaction With the Hospital Experience Undergoing Primary Unilateral Hip and Knee Arthroplasty: A Retrospective Study Arthroplasty Today Press Ganey HCAHPS Patient satisfaction Knee arthroplasty Hip arthroplasty Race |
| title | Racial Differences in Patient Satisfaction With the Hospital Experience Undergoing Primary Unilateral Hip and Knee Arthroplasty: A Retrospective Study |
| title_full | Racial Differences in Patient Satisfaction With the Hospital Experience Undergoing Primary Unilateral Hip and Knee Arthroplasty: A Retrospective Study |
| title_fullStr | Racial Differences in Patient Satisfaction With the Hospital Experience Undergoing Primary Unilateral Hip and Knee Arthroplasty: A Retrospective Study |
| title_full_unstemmed | Racial Differences in Patient Satisfaction With the Hospital Experience Undergoing Primary Unilateral Hip and Knee Arthroplasty: A Retrospective Study |
| title_short | Racial Differences in Patient Satisfaction With the Hospital Experience Undergoing Primary Unilateral Hip and Knee Arthroplasty: A Retrospective Study |
| title_sort | racial differences in patient satisfaction with the hospital experience undergoing primary unilateral hip and knee arthroplasty a retrospective study |
| topic | Press Ganey HCAHPS Patient satisfaction Knee arthroplasty Hip arthroplasty Race |
| url | http://www.sciencedirect.com/science/article/pii/S2352344123001176 |
| work_keys_str_mv | AT orettcburkejrbs racialdifferencesinpatientsatisfactionwiththehospitalexperienceundergoingprimaryunilateralhipandkneearthroplastyaretrospectivestudy AT jalexbgibbonsba racialdifferencesinpatientsatisfactionwiththehospitalexperienceundergoingprimaryunilateralhipandkneearthroplastyaretrospectivestudy AT huongtdoma racialdifferencesinpatientsatisfactionwiththehospitalexperienceundergoingprimaryunilateralhipandkneearthroplastyaretrospectivestudy AT emilyylaims racialdifferencesinpatientsatisfactionwiththehospitalexperienceundergoingprimaryunilateralhipandkneearthroplastyaretrospectivestudy AT letitiabradfordmd racialdifferencesinpatientsatisfactionwiththehospitalexperienceundergoingprimaryunilateralhipandkneearthroplastyaretrospectivestudy AT annerbassmd racialdifferencesinpatientsatisfactionwiththehospitalexperienceundergoingprimaryunilateralhipandkneearthroplastyaretrospectivestudy AT troybamenmdmba racialdifferencesinpatientsatisfactionwiththehospitalexperienceundergoingprimaryunilateralhipandkneearthroplastyaretrospectivestudy AT lindaarussellmd racialdifferencesinpatientsatisfactionwiththehospitalexperienceundergoingprimaryunilateralhipandkneearthroplastyaretrospectivestudy AT bellamehtambbsms racialdifferencesinpatientsatisfactionwiththehospitalexperienceundergoingprimaryunilateralhipandkneearthroplastyaretrospectivestudy AT michaelparksmd racialdifferencesinpatientsatisfactionwiththehospitalexperienceundergoingprimaryunilateralhipandkneearthroplastyaretrospectivestudy AT markfiggiemd racialdifferencesinpatientsatisfactionwiththehospitalexperienceundergoingprimaryunilateralhipandkneearthroplastyaretrospectivestudy AT susangoodmanmd racialdifferencesinpatientsatisfactionwiththehospitalexperienceundergoingprimaryunilateralhipandkneearthroplastyaretrospectivestudy |