A comparison of nonobese versus obese emergency department patient satisfaction scores utilizing Standard U.S. hospital survey query methodology

Background: Prior research reveals that overweight patients have higher emergency department (ED) utilization rates, longer length of stay, and face increased misdiagnosis risk. Objective: The objective of this study was to evaluate the association between obesity and ED patient satisfaction. Method...

Full description

Bibliographic Details
Main Authors: Christopher Mock, Justin Hensley, K Tom Xu, Peter B Richman
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2019-01-01
Series:Journal of Emergencies, Trauma and Shock
Subjects:
Online Access:http://www.onlinejets.org/article.asp?issn=0974-2700;year=2019;volume=12;issue=1;spage=48;epage=53;aulast=Mock
_version_ 1811235240366047232
author Christopher Mock
Justin Hensley
K Tom Xu
Peter B Richman
author_facet Christopher Mock
Justin Hensley
K Tom Xu
Peter B Richman
author_sort Christopher Mock
collection DOAJ
description Background: Prior research reveals that overweight patients have higher emergency department (ED) utilization rates, longer length of stay, and face increased misdiagnosis risk. Objective: The objective of this study was to evaluate the association between obesity and ED patient satisfaction. Methods: This study was a cross-sectional study. A convenience sample of inner-city ED patients completed a written survey, then rated overall satisfaction with ED care (10-point scale), and rated components of satisfaction (4-point scale; never to always). Body mass index (BMI) was calculated using triage records (obesity = BMI >30). Results: Five hundred and sixty-four patients were included in the study group (50.5%: obese, 55.4%: female, mean age: 43.2 ± 25.4 years). With respect to overall visit satisfaction (rating 8 or greater on 10-point scale), bivariate analysis revealed no differences between nonobese versus obese patients (74.6% vs. 73.9%; P = 0.85). There were no significant differences for score of 4 (always) for components of ED satisfaction: physician courtesy (87.9% vs. 90.4%; P = 0.34), nurse courtesy/respect (89.2% vs. 88.7%; P = 0.87), doctor listened (85.4% vs. 87.1%; P = 0.5), doctor explained (80.2% vs. 85.0%; P = 0.14), and recommend to friend (72.5% vs. 81.1%; P = 0.02). Within our multivariate model, obesity was not associated with overall satisfaction (scores of 8 or greater) (P = 0.97; odds ratio = 0.99 [95% confidence interval = 0.65–1.5]). Conclusions: Despite research that suggests that overweight patients have characteristics of their ED visit that might increase dissatisfaction risk, we found no difference in satisfaction scores between nonobese and obese patients.
first_indexed 2024-04-12T11:48:53Z
format Article
id doaj.art-ef4486f16d8c4355a9c78d40ebcc6c22
institution Directory Open Access Journal
issn 0974-2700
language English
last_indexed 2024-04-12T11:48:53Z
publishDate 2019-01-01
publisher Wolters Kluwer Medknow Publications
record_format Article
series Journal of Emergencies, Trauma and Shock
spelling doaj.art-ef4486f16d8c4355a9c78d40ebcc6c222022-12-22T03:34:16ZengWolters Kluwer Medknow PublicationsJournal of Emergencies, Trauma and Shock0974-27002019-01-01121485310.4103/JETS.JETS_114_17A comparison of nonobese versus obese emergency department patient satisfaction scores utilizing Standard U.S. hospital survey query methodologyChristopher MockJustin HensleyK Tom XuPeter B RichmanBackground: Prior research reveals that overweight patients have higher emergency department (ED) utilization rates, longer length of stay, and face increased misdiagnosis risk. Objective: The objective of this study was to evaluate the association between obesity and ED patient satisfaction. Methods: This study was a cross-sectional study. A convenience sample of inner-city ED patients completed a written survey, then rated overall satisfaction with ED care (10-point scale), and rated components of satisfaction (4-point scale; never to always). Body mass index (BMI) was calculated using triage records (obesity = BMI >30). Results: Five hundred and sixty-four patients were included in the study group (50.5%: obese, 55.4%: female, mean age: 43.2 ± 25.4 years). With respect to overall visit satisfaction (rating 8 or greater on 10-point scale), bivariate analysis revealed no differences between nonobese versus obese patients (74.6% vs. 73.9%; P = 0.85). There were no significant differences for score of 4 (always) for components of ED satisfaction: physician courtesy (87.9% vs. 90.4%; P = 0.34), nurse courtesy/respect (89.2% vs. 88.7%; P = 0.87), doctor listened (85.4% vs. 87.1%; P = 0.5), doctor explained (80.2% vs. 85.0%; P = 0.14), and recommend to friend (72.5% vs. 81.1%; P = 0.02). Within our multivariate model, obesity was not associated with overall satisfaction (scores of 8 or greater) (P = 0.97; odds ratio = 0.99 [95% confidence interval = 0.65–1.5]). Conclusions: Despite research that suggests that overweight patients have characteristics of their ED visit that might increase dissatisfaction risk, we found no difference in satisfaction scores between nonobese and obese patients.http://www.onlinejets.org/article.asp?issn=0974-2700;year=2019;volume=12;issue=1;spage=48;epage=53;aulast=MockEmergency departmentobesitypatient satisfaction
spellingShingle Christopher Mock
Justin Hensley
K Tom Xu
Peter B Richman
A comparison of nonobese versus obese emergency department patient satisfaction scores utilizing Standard U.S. hospital survey query methodology
Journal of Emergencies, Trauma and Shock
Emergency department
obesity
patient satisfaction
title A comparison of nonobese versus obese emergency department patient satisfaction scores utilizing Standard U.S. hospital survey query methodology
title_full A comparison of nonobese versus obese emergency department patient satisfaction scores utilizing Standard U.S. hospital survey query methodology
title_fullStr A comparison of nonobese versus obese emergency department patient satisfaction scores utilizing Standard U.S. hospital survey query methodology
title_full_unstemmed A comparison of nonobese versus obese emergency department patient satisfaction scores utilizing Standard U.S. hospital survey query methodology
title_short A comparison of nonobese versus obese emergency department patient satisfaction scores utilizing Standard U.S. hospital survey query methodology
title_sort comparison of nonobese versus obese emergency department patient satisfaction scores utilizing standard u s hospital survey query methodology
topic Emergency department
obesity
patient satisfaction
url http://www.onlinejets.org/article.asp?issn=0974-2700;year=2019;volume=12;issue=1;spage=48;epage=53;aulast=Mock
work_keys_str_mv AT christophermock acomparisonofnonobeseversusobeseemergencydepartmentpatientsatisfactionscoresutilizingstandardushospitalsurveyquerymethodology
AT justinhensley acomparisonofnonobeseversusobeseemergencydepartmentpatientsatisfactionscoresutilizingstandardushospitalsurveyquerymethodology
AT ktomxu acomparisonofnonobeseversusobeseemergencydepartmentpatientsatisfactionscoresutilizingstandardushospitalsurveyquerymethodology
AT peterbrichman acomparisonofnonobeseversusobeseemergencydepartmentpatientsatisfactionscoresutilizingstandardushospitalsurveyquerymethodology
AT christophermock comparisonofnonobeseversusobeseemergencydepartmentpatientsatisfactionscoresutilizingstandardushospitalsurveyquerymethodology
AT justinhensley comparisonofnonobeseversusobeseemergencydepartmentpatientsatisfactionscoresutilizingstandardushospitalsurveyquerymethodology
AT ktomxu comparisonofnonobeseversusobeseemergencydepartmentpatientsatisfactionscoresutilizingstandardushospitalsurveyquerymethodology
AT peterbrichman comparisonofnonobeseversusobeseemergencydepartmentpatientsatisfactionscoresutilizingstandardushospitalsurveyquerymethodology