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J Emerg Med. 2013 Jan;44(1):236-41. doi: 10.1016/j.jemermed.2012.07.074. Epub 2012 Oct 22.

The impact of post-discharge patient call back on patient satisfaction in two academic emergency departments.

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1
Department of Emergency Medicine, University of California, San Diego, San Diego, California 92103-8676, USA.

Abstract

BACKGROUND:

Patients' satisfaction is a common parameter tracked by health care systems and Emergency Departments (EDs).

OBJECTIVES:

To determine whether telephone calls by health care providers to patients after discharge from the ED was associated with improved patient satisfaction.

METHODS:

Retrospective analysis of Press Ganey (PG; Press Ganey Associates, South Bend, IN) surveys from two EDs operated by the University of California San Diego Health System. Responses to the YES/NO question, "After discharge, did you receive a phone call from an ED staff member?" was compared to the responses to the question "likelihood of recommending this ED to others" (LR). This variable could be ranked with a score of 1 (very poor) to 5 (very good). Responses were dichotomized into two groups, 1-4 and 5. Chi-squared was performed to assess LR between those answering YES vs. NO to the call back question. Differences in proportion, 95% confidence interval (CI), and p-value are reported. Rankings for percentage of 5s across all EDs in the PG database were compared based upon YES/NO responses.

RESULTS:

In the 12-month study period, about 30,000 surveys were mailed and 2250 (7.5%) were returned. Three hundred forty-seven (15.4%) checked off YES for the call back question. Percentage of 5s for LR for NO call back was 51.1% and for YES call back was 70.6% (difference = 19.5; 95% CI 14.0-24.6; p < 0.001).These values correlated with an ED ranking of 14(th) and 85(th) percentile, respectively.

CONCLUSION:

This retrospective study demonstrated a strong association between post-visit patient call back and LR. Further prospective study with control for co-variables is warranted.

PMID:
23089204
DOI:
10.1016/j.jemermed.2012.07.074
[Indexed for MEDLINE]
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