title: Satisfaction Domains Differ between the Patient and Their Family in Adult Intensive Care Units.
abstract: Background.Patients' and family's satisfaction data from the Asian intensive care units (ICUs) is lacking.Objective.Domains between patient and family satisfaction and contribution of each domain to the general satisfaction were studied.Method.Over 3 months, adult patients across 4 ICUs staying for more than 48 hours with abbreviated mental test score of 7 or above and able to understand English and immediate family members were surveyed by separate validated satisfaction questionnaires.Results.Two hundred patients and 194 families were included in the final analysis. Significant difference in the satisfaction scores was observed between the ICUs. Patients were most and least satisfied in the communication (4.2 out of 5) and decision-making (2.9 out of 5) domains, respectively. Families were most and least satisfied in the relationship with doctors (3.9 out of 5) and family's involvement domains (3.3 out of 5), respectively. Domains contributing most to the general satisfaction were the illness management domain for patients (βcoefficient = 0.44) and characteristics of doctors and nurses domain for family (βcoefficient = 0.45).Discussion.In an Asian ICU community, patients and families differ in their expectations and valuations of health care processes. Health care providers have difficult tasks in attending to these different domains.
authors.affiliation: Medical Intensive Care Unit, Division of Respiratory and Critical Care Medicine, National University Hospital, National University Health System, Singapore.
authors.forename: Amartya
authors.identifier: 0000-0002-9747-5277
authors.initials: A
authors.lastname: Mukhopadhyay
authors.affiliation: National University Hospital, National University Health System, Singapore.
authors.forename: Ge
authors.initials: G
authors.lastname: Song
authors.affiliation: National University Hospital, National University Health System, Singapore.
authors.forename: Pei Zhen
authors.initials: PZ
authors.lastname: Sim
authors.affiliation: National University Hospital, National University Health System, Singapore.
authors.forename: Kit Cheng
authors.initials: KC
authors.lastname: Ting
authors.affiliation: National University Hospital, National University Health System, Singapore.
authors.forename: Jeffrey Kwang Sui
authors.initials: JK
authors.lastname: Yoo
authors.affiliation: National University Hospital, National University Health System, Singapore.
authors.forename: Qing Li
authors.initials: QL
authors.lastname: Wang
authors.affiliation: National University Hospital, National University Health System, Singapore.
authors.forename: Raudhah Binte Haji Mohamad
authors.initials: RB
authors.lastname: Mascuri
authors.affiliation: Division of Respiratory and Critical Care Medicine, National University Hospital, National University Health System, Singapore.
authors.forename: Venetia Hui Ling
authors.initials: VH
authors.lastname: Ong
authors.affiliation: Medical Intensive Care Unit, Division of Respiratory and Critical Care Medicine, National University Hospital, National University Health System, Singapore.
authors.forename: Jason
authors.initials: J
authors.lastname: Phua
authors.affiliation: Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine & National University Health System, Singapore.
authors.forename: Yanika
authors.initials: Y
authors.lastname: Kowitlawakul
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003142:Communication; D003422:Critical Care / Q000523:psychology*; D003430:Cross-Sectional Studies; D003657:Decision Making / Q000502:physiology; D005190:Family / Q000523:psychology*; D005260:Female; D006282:Health Personnel; D006801:Humans; D007362:Intensive Care Units / Q000592:standards*; D008297:Male; D008875:Middle Aged; D009726:Nurses; D010549:Personal Satisfaction; D010820:Physicians; D011795:Surveys and Questionnaires; D055815:Young Adult