Patient satisfaction with emergency house calls.
OBJECTIVE
To identify determinants of patient satisfaction with emergency house calls and to assess the properties of a satisfaction measurement questionnaire.


METHODS
Patient survey, combined with routinely collected information on the circumstances of the house call.


METHODS
Emergency house calls provided by an independent emergency care organization (ECO) in Geneva, Switzerland.


METHODS
Consecutive sample of 389 patients (67% response rate).


METHODS
Patient satisfaction.


METHODS
patient age and sex, type of medical problem, time of visit, waiting time, duration of visit, perceived effectiveness of treatment.


RESULTS
The satisfaction questionnaire was easy to administer. Factor analysis identified 3 separate dimensions of satisfaction, which pertained to the visit itself, to access and to general attitude toward the ECO. Validation tests were consistent with expectations. In multivariate analysis, older patient age and greater perceived treatment effectiveness predicted independently all satisfaction scales. Presence of a mixed physical and mental problem reduced satisfaction with the visit itself only, a delay between the phone call and the visit exceeding one hour reduced satisfaction with access and worsened the attitude toward the ECO.


CONCLUSIONS
The instrument used to measure patient satisfaction with emergency house calls performed well. Overall levels of satisfaction were high. Perceived effectiveness of treatment was the strongest correlate of patient satisfaction. Monitoring of patient satisfaction in emergency settings may contribute to improvements of quality of care.
Perneger
T V
TV
Institute of Social and Preventive Medicine, University of Geneva, Switzerland. perneger@cmu.unige.ch
Vouilloz
M
M
Greder
B
B
Barros
J
J
Froidevaux
J
J
Froidevaux
P
P
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000704:Analysis of Variance; D002648:Child; D004638:Emergency Treatment / Q000592:standards*; D005163:Factor Analysis, Statistical; D005260:Female; D006792:House Calls; D006801:Humans; D016014:Linear Models; D008297:Male; D008875:Middle Aged; D017063:Outcome Assessment, Health Care / Q000379:methods*; D017060:Patient Satisfaction / Q000706:statistics & numerical data*; D015203:Reproducibility of Results; D011795:Surveys and Questionnaires; D013557:Switzerland