title: Patient satisfaction in cardiology after cardiac catheterization : Effects of treatment outcome, visit characteristics, and perception of received care.
abstract: BACKGROUND
  Patient satisfaction is a key indicator for quality of care. However, recent data on determinants of satisfaction in invasive cardiology are lacking. Hence this study was conducted to identify determinants of patient satisfaction after hospitalization for cardiac catheterization.
  
  
  METHODS
  Data were obtained from 811 randomly selected patients discharged from ten hospitals responding to a mailed post-visit questionnaire. The satisfaction dimension was measured with a validated 42-item inventory assessing demographic and visit characteristics as well as medical, organizational, and service aspects of received care. Bivariate and multivariate statistical analyses were performed to identify predictors of satisfaction.
  
  
  RESULTS
  Patients were most satisfied with the kindness of medical practitioners and nurses. The lowest ratings were observed for discharge procedures and instructions. Multivariate analysis revealed five predictors of satisfaction: treatment outcome (OR, 2.14), individualized medical care (OR, 1.64), clear reply to patient's inquiries by physicians (OR, 1.63), kindness of nonmedical professionals (OR, 3.01), and room amenities (OR, 2.02). No association between demographic data and overall satisfaction was observed.
  
  
  CONCLUSIONS
  Five key determinants that can be addressed by health-care providers in order to improve patient satisfaction were identified. Our findings highlight the importance of the communicational behavior of health-care professionals and the transparency of discharge management.
authors.affiliation: Department of Health Sciences and Public Health, Faculty of Medicine Carl Gustav Carus, Technische Universität Dresden, Fetscherstr. 74, 01307, Dresden, Germany. robin.weidemann@uniklinikum-dresden.de.|Internal Medicine Department I, University Hospital Carl Gustav Carus Dresden, Dresden, Germany. robin.weidemann@uniklinikum-dresden.de.
authors.forename: R R
authors.initials: RR
authors.lastname: Weidemann
authors.affiliation: Department of Health Sciences and Public Health, Faculty of Medicine Carl Gustav Carus, Technische Universität Dresden, Fetscherstr. 74, 01307, Dresden, Germany.
authors.forename: T
authors.initials: T
authors.lastname: Schönfelder
authors.affiliation: Department of Public Health and Care Management, University of Applied Sciences Zwickau, Zwickau, Germany.
authors.forename: J
authors.initials: J
authors.lastname: Klewer
authors.affiliation: Department of Health Sciences and Public Health, Faculty of Medicine Carl Gustav Carus, Technische Universität Dresden, Fetscherstr. 74, 01307, Dresden, Germany. joachim.kugler@tu-dresden.de.
authors.forename: J
authors.initials: J
authors.lastname: Kugler
mesh_terms: D000328:Adult; D017677:Age Distribution; D000368:Aged; D000369:Aged, 80 and over; D000553:Ambulatory Care / Q000523:psychology* / Q000706:statistics & numerical data; D006328:Cardiac Catheterization / Q000523:psychology* / Q000706:statistics & numerical data*; D005260:Female; D005858:Germany / Q000453:epidemiology; D006760:Hospitalization / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D008875:Middle Aged; D017060:Patient Satisfaction / Q000706:statistics & numerical data*; D010817:Physician-Patient Relations; D017678:Sex Distribution; D016896:Treatment Outcome; D055815:Young Adult
keywords: Angiography; Invasive cardiology; Patient satisfaction; Quality indicator; Quality management