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Otolaryngol Head Neck Surg. 2002 Apr;126(4):365-70.

Can patient satisfaction with decisions predict compliance with surgery?

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  • 1Department of Otolaryngology, SUNY Health Science Center at Brooklyn and The Long Island College Hospital, NY 11201, USA.

Abstract

BACKGROUND:

Patient satisfaction with treatment decisions is a discrete and measurable component of the satisfaction paradigm, distinct from satisfaction with health care services.

OBJECTIVE:

The study goal was to determine if the Satisfaction With Decision (SWD) scale, a valid and reliable 6-item survey, can predict patient compliance with surgery proposed by their otolaryngologist.

DESIGN:

Prospective study using the SWD scale plus measures of office visit satisfaction, provider satisfaction, and disease-specific quality of life.

SETTING:

Metropolitan, private nonprofit hospital.

PATIENTS:

The study population consisted of 151 patients scheduled for surgery, with a median age of 5.8 years and an age range of 0.6 to 65.3 years.

INTERVENTIONS:

At the time surgery was scheduled, the decision-maker completed a 12-item questionnaire about satisfaction and quality of life that included the SWD scale. Noncompliant patients were contacted, and the specific reason for cancellation was ascertained.

RESULTS:

The strongest predictor of surgical cancellation was the SWD survey score, with a median value of 4.8 for patients completing surgery compared with 3.8 for those who cancelled (P < 0.001). Patients with scores <4.0 had a 57% cancellation rate, whereas those with scores > or =4.0 had a 98% completion rate. Patients were also more likely to cancel if it was their first visit with the surgeon (P = 0.004) or if they were responsible for their own decisions (P = 0.007). Cancellations were not associated with office visit satisfaction, patient quality of life, or demographic characteristics of the decision-maker.

CONCLUSIONS:

Patients who are satisfied with their initial decision to undergo surgery are most likely to comply with planned therapy. Conversely, patients who score <4.0 on the SWD scale may benefit from additional preoperative counseling to increase the likelihood of compliance.

PMID:
11997774
[PubMed - indexed for MEDLINE]
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