title: A Qualitative Study of Hospitalists' Perceptions of Patient Satisfaction Metrics on Pain Management.
abstract: Hospital initiatives to promote pain management may unintentionally contribute to excessive opioid prescribing. To better understand hospitalists' perceptions of satisfaction metrics on pain management, the authors conducted 25 interviews with hospitalists. Transcribed interviews were systematically analyzed to identify emergent themes. Hospitalists felt institutional pressure to earn high satisfaction scores for pain, which they perceived influenced practices toward opioid prescribing. They felt tying compensation to satisfaction scores commoditized pain. Hospitalists believed satisfaction would improve with increased time spent at the bedside. Focusing on methods to improve patient-physician communication, while maintaining efficiency in clinical practice, may promote both patient-centered pain management and satisfaction.
authors.affiliation: a Department of Hospital Medicine , Denver Health Medical Center , Denver , Colorado , USA.|b Division of General Internal Medicine, Department of Medicine , University of Colorado School of Medicine , Aurora , Colorado , USA.
authors.forename: Susan L
authors.initials: SL
authors.lastname: Calcaterra
authors.affiliation: a Department of Hospital Medicine , Denver Health Medical Center , Denver , Colorado , USA.|b Division of General Internal Medicine, Department of Medicine , University of Colorado School of Medicine , Aurora , Colorado , USA.
authors.forename: Anne D
authors.initials: AD
authors.lastname: Drabkin
authors.affiliation: c Center for Health Systems Research, Denver Health Medical Center , Denver , Colorado , USA.
authors.forename: Reina
authors.initials: R
authors.lastname: Doyle
authors.affiliation: c Center for Health Systems Research, Denver Health Medical Center , Denver , Colorado , USA.
authors.forename: Sarah E
authors.initials: SE
authors.lastname: Leslie
authors.affiliation: b Division of General Internal Medicine, Department of Medicine , University of Colorado School of Medicine , Aurora , Colorado , USA.|h Kaiser Permanente Colorado Institute for Health Research , Denver , Colorado , USA.
authors.forename: Ingrid A
authors.initials: IA
authors.lastname: Binswanger
authors.affiliation: b Division of General Internal Medicine, Department of Medicine , University of Colorado School of Medicine , Aurora , Colorado , USA.|d VA Eastern Colorado Health Care System , Denver , Colorado , USA.
authors.forename: Joseph W
authors.initials: JW
authors.lastname: Frank
authors.affiliation: e Department of Sociology , University of Colorado , Denver , Colorado , USA.
authors.forename: Jennifer A
authors.initials: JA
authors.lastname: Reich
authors.affiliation: f Department of Anthropology , University of Colorado , Denver , Colorado , USA.|g Department of Health and Behavioral Sciences , University of Colorado Denver , Denver , Colorado , USA.
authors.forename: Stephen
authors.initials: S
authors.lastname: Koester
mesh_terms: D000328:Adult; D000700:Analgesics / Q000009:adverse effects / Q000627:therapeutic use; D000701:Analgesics, Opioid / Q000009:adverse effects / Q000627:therapeutic use; D005260:Female; D020445:Hospitalists / Q000523:psychology*; D006801:Humans; D057970:Inappropriate Prescribing / Q000009:adverse effects / Q000639:trends; D007388:Internal Medicine; D008297:Male; D008875:Middle Aged; D059408:Pain Management / Q000145:classification* / Q000592:standards*; D017060:Patient Satisfaction; D010465:Perception; D036301:Qualitative Research; D019984:Quality Indicators, Health Care / Q000639:trends; D019966:Substance-Related Disorders / Q000209:etiology; D000078329:Workforce
chemical_list: D000700:Analgesics; D000701:Analgesics, Opioid
keywords: Hospitalist; opioid; patient satisfaction