Patient satisfaction with musculoskeletal physical therapy care: a systematic review.
BACKGROUND
Patient satisfaction is an important patient-centered health outcome. To date, no systematic review of the literature on patient satisfaction with musculoskeletal physical therapy care has been conducted.


OBJECTIVE
The purpose of this study was to systematically and critically review the literature to determine the degree of patient satisfaction with musculoskeletal physical therapy care and factors associated with satisfaction.


METHODS
The databases CINAHL, MEDLINE, and EBM Reviews were searched from inception to September 2009.


METHODS
Articles were included if the design was a clinical trial, observational study, survey, or qualitative study; patient satisfaction was evaluated; and the study related to the delivery of musculoskeletal physical therapy services conducted in an outpatient setting. The search located 3,790 citations. Fifteen studies met the inclusion criteria.


METHODS
Two authors extracted patient satisfaction data and details of each study.


RESULTS
A meta-analysis of patient satisfaction data from 7 studies was conducted. The pooled estimate of patient satisfaction was 4.44 (95% confidence interval=4.41-4.46) on a scale of 1 to 5, where 5 indicates high satisfaction and 1 indicates high dissatisfaction. Additional data were summarized in tables and critically appraised.


CONCLUSIONS
Nonrespondent bias from individual studies may affect the accuracy and representativeness of these data.


CONCLUSIONS
Patients are highly satisfied with musculoskeletal physical therapy care delivered across outpatient settings in northern Europe, North America, the United Kingdom, and Ireland. The interpersonal attributes of the therapist and the process of care are key determinants of patient satisfaction. An unexpected finding was that treatment outcome was infrequently and inconsistently associated with patient satisfaction. Physical therapists can enhance the quality of patient-centered care by understanding and optimizing these determinants of patient satisfaction.
Discipline of Physiotherapy, Faculty of Health Sciences, The University of Sydney, 75 East St, Lidcombe, New South Wales, 2141, Australia.
Julia M
JM
Hush
Kirsten
K
Cameron
Martin
M
Mackey
D003266:Continuity of Patient Care / Q000706:statistics & numerical data; D006233:Persons with Disabilities / Q000534:rehabilitation*; D005060:Europe / Q000453:epidemiology; D006801:Humans; D007494:Ireland / Q000453:epidemiology; D009140:Musculoskeletal Diseases / Q000628:therapy*; D009656:North America / Q000453:epidemiology; D010349:Patient Compliance / Q000706:statistics & numerical data; D017060:Patient Satisfaction / Q000706:statistics & numerical data*; D026741:Physical Therapy Modalities / Q000706:statistics & numerical data*; D011369:Professional-Patient Relations; D019984:Quality Indicators, Health Care; D011788:Quality of Life; D006113:United Kingdom / Q000453:epidemiology