Inpatient satisfaction with medical information received from caregivers: an observational study on the effect of social deprivation

• Published in: BMC health services research 2017-11, Vol.17 (1), p.769-769, Article 769
• Main Authors: Moret, L, Anthoine, E, Pourreau, A, Beaudeau, F, Leclère, B
• Format: Article
• Language: English
• Subjects: Analysis; Cancer; Care and treatment; Caregivers; Clinical Decision-Making; Communication; Consent; Decision Making; Educational Status; Employment; Family physicians; Female; France; Health aspects; Health services; Hospital patients; Hospitals; Humans; Inpatient satisfaction; Inpatients; Interviews; Life Sciences; Male; Medical information; Medical research; Medical screening; Middle Aged; Nurse-Patient Relations; Nurses; Observational studies; Patient Participation; Patient satisfaction; Patient Satisfaction - economics; Patient Satisfaction - statistics & numerical data; Perceptions; Physician patient relationships; Physician-Patient Relations; Physicians; Public health; Questionnaires; Santé publique et épidémiologie; Shared decision-making; Social Class; Social deprivation; Socioeconomic factors; Surveys; Surveys and Questionnaires; Training
• ISSN: 1472-6963; 1472-6963
• DOI: 10.1186/s12913-017-2728-8

The main objective of this study was to explore the relationships between inpatients' social differentiation and satisfaction with the medical information delivered by caregivers. In four departments of a teaching hospital, patients were enrolled as well as their attending physician and one of the nurses assigned to them. Structured survey questionnaires were administered face-to-face to patients and caregivers. Patients were asked to rate their satisfaction with the medical information received, the quality and duration of the interactions with the caregivers, and their experience regarding their involvement in medical decision-making. Caregivers were asked to rate their perception of the patients' social position and involvement in medical decision-making. Social deprivation was assessed using the EPICES score in particular. The statistical analysis was mainly descriptive and completed by a structural equation model. A sample of 255 patients, 221 pairs of patient-physician and 235 pairs of patient-nurse were considered. One third of the patients (32.7%) were identified as socially deprived. They were significantly less satisfied with the information they received on their health status or their treatment; 56.7% of patients thought that they received sufficient explanations without having to ask. This proportion was significantly lower in socially deprived patients (42.3%) compared to not deprived patients (63.6%, p