title: Factors Influencing Patient Experience in Pediatric Neurology.
abstract: Hospitals have begun to shift toward patient-centered care because of the pay-for-performance system that was established by the Patient Protection and Affordable Care Act. In pediatrics, the needs of both the caregiver and the pediatric patient have to be taken into account. Pediatric practices have been shifting toward a family-centered approach, although the primary drivers have not been well defined. Identifying the key patient experiences that lead to higher patient satisfaction would enable a more meaningful clinical encounter. To better understand patient experience, we examined waiting time and the elements of the physician-patient interaction in pediatric neurology. We predict that the determining factor in patient satisfaction is the physician-patient interaction.
  
  
  
  Patient satisfaction surveys were sent to families via mail or e-mail after their ambulatory pediatric neurology visit. The visits took place between January 1, 2012, and December 31, 2014, at one of multiple locations in a children's health system spanning four states. A Likert scale was used for these surveys, and a top-box method (measuring percent of survey questions were rated 5 out of 5) was used to filter data from this database. Statistical analysis using a Pearson correlation was used for data analysis, with likelihood to recommend practice as the dependent variable.
  
  
  
  The five survey questions that correlated most with overall likelihood to recommend the practice were cheerfulness of practice (r = 0.79); staff working together (r = 0.76); cleanliness of practice (r = 0.70); wait time at clinic, from entering to leaving (r = 0.66); and likelihood of recommending care provider (r = 0.65).
  
  
  
  Pediatric neurologists striving to enhance overall patient satisfaction in their practices should work toward providing an atmosphere that supports office staff cheerfulness, teamwork, and visit efficiency provided in a clean and friendly environment.
authors.affiliation: University of Central Florida, College of Medicine, Orlando, Florida.
authors.forename: Suprit C
authors.initials: SC
authors.lastname: Singh
authors.affiliation: Nemours Clinic Specialty Care, Jacksonville, Florida.
authors.forename: Raj D
authors.initials: RD
authors.lastname: Sheth
authors.affiliation: Nemours/Alfred I. duPont Hospital for Children, Wilmington, Delaware.
authors.forename: James F
authors.initials: JF
authors.lastname: Burrows
authors.affiliation: Nemours/Alfred I. duPont Hospital for Children, Wilmington, Delaware. Electronic address: PRosen@nemours.org.
authors.forename: Paul
authors.initials: P
authors.lastname: Rosen
mesh_terms: D001291:Attitude of Health Personnel; D017028:Caregivers / Q000523:psychology; D002648:Child; D006801:Humans; D009462:Neurology; D017060:Patient Satisfaction; D010372:Pediatrics; D011795:Surveys and Questionnaires
keywords: family-centered care; patient experience; patient satisfaction; patient–physician interaction