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What Factors Drive Inpatient Satisfaction After Knee Arthroplasty?

Abstract Background The Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) Survey, developed by the Centers for Medicare & Medicaid Services, is directly tied to hospital reimbursement. The purpose of this study was to analyze survey responses from patients who underwent p...

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Bibliographic Details
Published in:The Journal of arthroplasty 2017-06, Vol.32 (6), p.1769-1772
Main Authors: Peres-da-Silva, Ashwin, BS, Kleeman, Lindsay T., MD, Wellman, Samuel S., MD, Green, Cindy, PhD, Attarian, David, MD, Bolognesi, Michael P., MD, Seyler, Thorsten M., MD, PhD
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Language:English
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Summary:Abstract Background The Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) Survey, developed by the Centers for Medicare & Medicaid Services, is directly tied to hospital reimbursement. The purpose of this study was to analyze survey responses from patients who underwent primary knee arthroplasty in order to identify factors that drive patient dissatisfaction in the inpatient setting. Methods HCAHPS responses received from patients undergoing elective total and unicompartmental knee arthroplasty at our institution between January 1, 2013 and January 1, 2016 were obtained and expressed as a percentage of overall satisfaction. Satisfaction scores were correlated to patient demographics. Results Overall, responses from 580 patients were obtained (554 TKA, 26 UKA). There was a statistically significant difference in overall satisfaction when comparing sex (p=0.034), race (p=0.030), and socioeconomic status (p=0.001). Males reported a higher average satisfaction score than females (77.8% vs 74.2%). Patients in the 1st quartile of socioeconomic status reported a higher average satisfaction than those in the 4th quartile (81.3% vs 71.3%). African American patients reported a higher satisfaction than Caucasian and other races (81.6% vs 75.3% vs 66.3%, respectively). There was an inverse relationship between increased length of stay and reported satisfaction (r=-0.113, p=0.006). Conclusions Our data indicate that patients who are likely to report higher levels of inpatient satisfaction after knee arthroplasty are male, African American, of lower socioeconomic status, and with shorter length of stay. To our knowledge this is the first reported analysis of the HCAHPS survey in relation to total joint arthroplasty.
ISSN:0883-5403
1532-8406
DOI:10.1016/j.arth.2017.01.036