title: Patient satisfaction scores for endoscopic procedures: impact of a survey-collection method.
abstract: BACKGROUND
  Many endoscopy units administer patient satisfaction surveys. We hypothesized that the survey collection method would affect satisfaction scores.
  
  
  OBJECTIVE
  To compare satisfaction scores obtained by using on-site (OS) surveys versus mail-back (MB) surveys.
  
  
  METHODS
  Quasi-randomization based on alternating weeks.
  
  
  METHODS
  Teaching hospital.
  
  
  METHODS
  Patients undergoing elective routine outpatient colonoscopy or upper endoscopy.
  
  
  METHODS
  Every patient was given an 11-question survey that asked about the patient's satisfaction with the nurses and the physician, wait times, the bowel-preparation process, patient education, procedural comfort, and sedation. Survey collection methods alternated weekly between an OS versus an MB method.
  
  
  METHODS
  Satisfaction scores on a Likert scale ranged from 1 (worst) to 7 (best).
  
  
  RESULTS
  A total of 1698 subjects were included. The response rate was higher for the OS group (95%) than the MB group (62%). OS scores were significantly higher than MB scores for 5 of 11 questions, which concerned nurse satisfaction, physician satisfaction, bowel-preparation comfort, postprocedure education, and overall satisfaction (Bonferroni adjusted P < .05 for all). Younger patients gave lower scores than older patients for all questions, whereas women gave significantly lower scores than men for bowel-preparation satisfaction.
  
  
  CONCLUSIONS
  Lack of true randomization and formal validation of the satisfaction survey.
  
  
  CONCLUSIONS
  Survey collection methods may bias not only response rates but also satisfaction scores. OS survey collection methods tend to result in higher satisfaction scores than MB methods. This bias should be noted when comparing scores among studies that used different survey collection methods.
authors.affiliation: Gastroenterology Section, Virginia Mason Medical Center, Seattle, Washington 98101, USA.
authors.forename: Otto S
authors.initials: OS
authors.lastname: Lin
authors.forename: Drew B
authors.initials: DB
authors.lastname: Schembre
authors.forename: Kamran
authors.initials: K
authors.lastname: Ayub
authors.forename: Michael
authors.initials: M
authors.lastname: Gluck
authors.forename: Susan E
authors.initials: SE
authors.lastname: McCormick
authors.forename: David J
authors.initials: DJ
authors.lastname: Patterson
authors.forename: Nico
authors.initials: N
authors.lastname: Cantone
authors.forename: Maw-Soan
authors.initials: MS
authors.lastname: Soon
authors.forename: Richard A
authors.initials: RA
authors.lastname: Kozarek
mesh_terms: D004724:Endoscopy / Q000523:psychology; D005260:Female; D019538:Health Care Surveys / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D017060:Patient Satisfaction