title: Factors impacting Press Ganey patient satisfaction scores in orthopedic surgery spine clinic.
abstract: Patient satisfaction is and will continue to become an important metric in the American health care system. To our knowledge, there is no current literature exploring the factors that impact patient satisfaction in outpatient orthopedic spine surgery clinic.
  
  
  
  The purpose of this study was to determine which factors impact patient satisfaction in an outpatient orthopedic spine clinic.
  
  
  
  This is a case series, level of evidence IV.
  
  
  
  We reviewed the Press Ganey Associates database to identify patients seen in an orthopedic spine surgery clinic from 2013 to 2015.
  
  
  
  Outcome measures were self-reported, which included visual analog pain scores and Press Ganey satisfaction scores.
  
  
  
  Retrospective computerized Press Ganey survey review was performed to identify patient demographics and patient visit characteristics. Bivariate analysis was used by splitting the patient response into the following: 0-3 (not satisfied), 4-7 (somewhat satisfied), and 8-11 (satisfied). Kruskal-Wallis test and Fisher exact test were used to evaluate the significance of patient and visit characteristics. Any variable that had a p-value less than .20 was subjected to the Poisson regression model.
  
  
  
  Overall, 353 patients were seen in an orthopedic spine surgery clinic and completed the Press Ganey survey. Three hundred and thirty-two patients were satisfied with their visit. Patients who were satisfied had a mean pain score of 4.02; patients who were somewhat satisfied or not satisfied had a pain score of 7 and 6, respectively (p=.009). Of 21 patients who felt the provider did not spend enough time with him or her, five (24%) patients were not satisfied with their visit. Poisson regression model confirmed significance of pain score and "provider time spent with you." Most impactful was "provider spent enough time with you" where a "yes, definitely" answer predicted a nearly 60% increase in Press Ganey overall satisfaction score.
  
  
  
  Two patient variables that have a statistical significance on Press Ganey patient satisfaction scores were pain score and "provider spent enough time with you."
authors.affiliation: University of Alabama at Birmingham, 1313 13th St South, Birmingham, AL 35205, USA. Electronic address: brianetier@gmail.com.
authors.forename: Brian E
authors.initials: BE
authors.lastname: Etier
authors.affiliation: University of Alabama at Birmingham, 1313 13th St South, Birmingham, AL 35205, USA.
authors.forename: Scott P
authors.initials: SP
authors.lastname: Orr
authors.affiliation: University of Alabama at Birmingham, 1313 13th St South, Birmingham, AL 35205, USA.
authors.forename: Jonathan
authors.initials: J
authors.lastname: Antonetti
authors.affiliation: University of Alabama at Birmingham, 1313 13th St South, Birmingham, AL 35205, USA.
authors.forename: Scott B
authors.initials: SB
authors.lastname: Thomas
authors.affiliation: University of Alabama at Birmingham, 1960 6th Ave South, Faculty Office Tower 960, Birmingham, AL 35233, USA.
authors.forename: Steven M
authors.initials: SM
authors.lastname: Theiss
mesh_terms: D005260:Female; D006801:Humans; D008297:Male; D019637:Orthopedic Procedures / Q000009:adverse effects* / Q000592:standards; D010149:Postoperative Pain / Q000453:epidemiology*; D017060:Patient Satisfaction; D012189:Retrospective Studies; D013131:Spine / Q000601:surgery*; D011795:Surveys and Questionnaires
keywords: Health-care metric; Orthopedic surgery spine clinic; Pain scores; Patient satisfaction; Press Ganey survey; Time spent with patients