title: Factors associated with patient satisfaction scores for physician care in trauma patients.
abstract: BACKGROUND
  The Affordable Care Act of 2010 identifies "patient experience of care" as one of five domains of excellent care. We hypothesized that there are specific demographic factors associated with higher or lower physician satisfaction (PS) scores in trauma patients.
  
  
  METHODS
  Press-Ganey PS scores for September 2004 to December 2010 were compared with trauma variables and the association of a mean PS greater than or equal to 75 (high score) or less than or equal to 50 (low score). Those variables that proved significant on univariate analysis were subjected to multivariate logistic regression analysis. Significance was at p < 0.05.
  
  
  RESULTS
  There were 12,196 admissions, of whom 1,631 (13.4%) returned patient satisfaction survey. A total of 1,174 patients (75.5%) returned a high PS (≥75), and 126 patients (8.1%) returned a low PS (≤50). In the multiple logistic regression analysis, 65 years or older (odds ratio [OR], 1.7), having had a surgical procedure (OR, 1.6), and having a positive impression of the hospital care (OR, 7.0) proved significant for a high PS. Those patients who scored a low PS were significantly more likely to be younger (18-29 years: OR, 2.4; 30-64 years: OR, 1.8), to have not had surgery (OR, 2.2), had an Injury Severity Score (ISS) of 16 or lower (OR, 2.6), had a complication of care (OR, 4.4), and rated the hospital care as poor (OR, 9.2).
  
  
  CONCLUSIONS
  A trauma patient who is satisfied with his or her physician care is one who is 65 years or older, requires surgery, and is predominantly satisfied with other aspects of their hospital care. Unsatisfied patients are younger, are nonoperative, had lower ISS, had a complication of care, and rated their hospital care as poor. Understanding the specific characteristics of Press-Ganey results for trauma patients will allow trauma surgeons and their hospital partners to develop strategies to improve patients' satisfaction with their trauma surgeon's care.
  
  
  METHODS
  Epidemiologic study, level III; therapeutic study, level IV.
authors.affiliation: Lancaster General Health, Lancaster, Pennsylvania 17602, USA. frogers2@lghealth.org
authors.forename: Frederick
authors.initials: F
authors.lastname: Rogers
authors.forename: Michael
authors.initials: M
authors.lastname: Horst
authors.forename: Tuc
authors.initials: T
authors.lastname: To
authors.forename: Amelia
authors.initials: A
authors.lastname: Rogers
authors.forename: Mathew
authors.initials: M
authors.lastname: Edavettal
authors.forename: Daniel
authors.initials: D
authors.lastname: Wu
authors.forename: Jeffrey
authors.initials: J
authors.lastname: Anderson
authors.forename: John
authors.initials: J
authors.lastname: Lee
authors.forename: Turner
authors.initials: T
authors.lastname: Osler
authors.forename: Lisa
authors.initials: L
authors.lastname: Brosey
mesh_terms: D000293:Adolescent; D000328:Adult; D000367:Age Factors; D000368:Aged; D016001:Confidence Intervals; D005260:Female; D019538:Health Care Surveys; D006801:Humans; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D015999:Multivariate Analysis; D016017:Odds Ratio; D058991:Patient Protection and Affordable Care Act / Q000458:organization & administration; D017060:Patient Satisfaction / Q000706:statistics & numerical data*; D010817:Physician-Patient Relations; D010818:Practice Patterns, Physicians'; D012307:Risk Factors; D014193:Trauma Centers / Q000458:organization & administration*; D015599:Trauma Severity Indices; D014481:United States; D014947:Wounds and Injuries / Q000175:diagnosis / Q000401:mortality* / Q000628:therapy*; D055815:Young Adult