Patient Satisfaction with Bronchoscopy

We conducted a cohort study to characterize patient satisfaction with flexible bronchoscopy (FB) and to determine patient characteristics, care factors, and patient evaluations of bronchoscopy that are associated with a patient's willingness to return for repeat FB. Physicians and patients comp...

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Bibliographic Details
Published in:American journal of respiratory and critical care medicine 2002-11, Vol.166 (10), p.1326-1331
Main Authors: Lechtzin, Noah, Rubin, Haya R, White, Peter, Jr, Jenckes, Mollie, Diette, Gregory B
Format: Article
Language:English
Subjects:
Adolescent
Adult
Aged
Biological and medical sciences
Bronchoalveolar Lavage - statistics & numerical data
Bronchoscopy
Cohort Studies
Endoscopy
Female
Humans
Investigative techniques, diagnostic techniques (general aspects)
Likelihood Functions
Male
Medical sciences
Middle Aged
Multivariate Analysis
Patient Satisfaction - statistics & numerical data
Physician-Patient Relations
Predictive Value of Tests
Prospective Studies
Quality of Health Care - statistics & numerical data
Surveys and Questionnaires
Volition - physiology
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Summary:We conducted a cohort study to characterize patient satisfaction with flexible bronchoscopy (FB) and to determine patient characteristics, care factors, and patient evaluations of bronchoscopy that are associated with a patient's willingness to return for repeat FB. Physicians and patients completed surveys between February 1997 and June 1998. Data from 481 patients were analyzed. Over 80% of the patients rated physicians as very good or excellent, but they were least satisfied with the information that they were provided about FB, waiting time before and after FB, and the FB environment. Seventy-one percent of the patients would definitely return, and 22% would probably return for a repeat FB. Better health status (odds ratio [OR] 1.4; 95% confidence interval [CI], 1.1-1.7), not being bothered by scope insertion (OR 2.0; 95% CI, 1.2-3.3), better rating of information quality (OR 1.2; 95% CI, 1.0-1.3), and better rating of physician quality (OR 1.1; 95% CI, 1.0-1.2) were associated with patients reporting that they would definitely return for a repeat FB. Although patient satisfaction with providers is high, there are specific patient and process of care factors that should be improved. Sicker patients may be at a risk of dissatisfaction with FB. Process of care measures that could improve satisfaction with FB include providing better information to patients and optimizing the experience of bronchoscope insertion.
ISSN:1073-449X
1535-4970
DOI:10.1164/rccm.200203-231OC