Abstract
Objective: Our study aimed to identify factors affecting patient satisfaction. Data: The study was conducted at a training hospital in Turkey. The final sample consisted of 302 inpatients. In this study, patient satisfaction was examined using a survey questionnaire with 22 questions collected under five dimensions. Method: Factor analysis was used to group 22 questions measuring patients’ satisfaction questions into certain dimensions. Then, structural equation model (SEM) was performed to determine the influence of patient characteristics on patient satisfaction. Results: Our analysis showed the questionnaire has an appropriate reliability and validity. The structural equation model (SEM) was used to determine those factors which could affect patient satisfaction. The results of SEM analysis showed that 15% of the total variance in patients’ satisfaction was explained by the model. The SEM analysis found that variables of education and type of clinic (surgical vs. non-surgical) were significant on patient satisfaction. Persons with a higher level of education were less satisfied when compared to those with a lower level of education. Surgical patients are more satisfied with the care they received when compared to non-surgical patients. Conclusion: The education level of patients and the type of clinics had a significant influence on patient satisfaction.
Similar content being viewed by others
References
Woodring, S., Polomano, R. C., Haagen, B. F., Haack, M. M., Nunn, R. R., Miller, G. I., Zarefoss, M. A., and Tan, L., Development and testing patient satisfaction measure for inpatient psychiatry care. J. Nurs. Care Qual. 19(2):137–147, 2004.
Blumenthal, D., Quality of care: Part L, What is It? N. Engl. J. Med. 335:891–894, 1996.
Donabedian, A., The quality of care—how can it be assessed? J. Am. Med. Assoc. 260:1743–1748, 1988.
Lessing, E. E., Beech, and R. P., Use of Patient and hospital variables in interpreting patient satisfaction data for performance improvement purposes. Am. J. Orthopsychiatry 74(3):376–382, 2004.
Messner, E. R., Quality of care and patient satisfaction the improvement efforts of one emergency department. Top Emerg. Med. 27(2):132–141, 2005.
Otani, K., Kurz, R. S., and Harris, L. E., Managing primary care using patient satisfaction measures. J. Healthc. Manage. 50(5):311–324, 2005.
Huston, C. J., Outcomes measurement in healthcare. New imperatives for professional nursing practice. Nurs. Case Manage. 4:188–195, 1999.
Jennings, B. M., Staggers, N., and Brosch, L. R., A Classification scheme for outcome indicators. Image: J. Nurs. Sch. 31:381–388, 1999.
Wiechers, D. O., and Wiechers, D. K., Demonstrating quality: Clinical outcome, functional status, patient satisfaction, value, and efficiency. Clin. Rehabil. Psychiatr. Pract. 7:167–183, 1996.
Acorn, S., and Barnett, J., Patient satisfaction. Issues in measurement. Can. Nurse 95(6):33–36, 1999.
Schulmeister, L., Quiett, K., and Mayer, K., Quality of life, quality of care, and patient satisfaction: Perceptions of patients undergoing outpatient autologous stem cell transplantation. Oncol. Nurs. Forum 32(1):57–67, 2005.
Ware, J. E., and Hays, R. D., Methods for measuring patient satisfaction with specific medical encounters. Med. Care 26(4):393–402, 1988.
Eriksen, L. R., Patient satisfaction with nursing care: A magnitude estimation approach. Proceedings of the meeting of the clinical and educational nursing outcomes conference, June, new Orleans, 1985.
Bredart, A., Razavi, D., Delvaux, N., Goodman, V., Farvacques, C., and Van Heer, C. A., Comprehensive assessment of satisfaction with care for cancer patients. Support. Care Cancer 6:518–23, 1988.
Quinn, G. P., Jacobsen, P. B., Albrecht, T. I., Ellison, B., Newman, N. W., Bell, M., and Ruckdeschel, J. C., Real-time patient satisfaction survey and improvement process. Hosp. Top. 82(3):26–32, 2004.
Laschinger, H. S., Hall, L. M., Pedersen, C., and Almost, J., A psychometric analysis of the patient satisfaction with nursing care quality questionnaire. J. Nurs. Care Qual. 20(3):220–230, 2005.
Fox, J. G., and Storms, D. M., A Different approach to sociodemographic predictors of satisfaction with health care. Soc. Sci. Med. 15:557–564, 1981.
Hall, J. A., and Dornan, M. C., Patient sociodemogntphic characteristics as predictors of satisfaction with medical care: A meta-analysis. Soc. Sci. Med. 30(7):811–818, 1990.
Cohen, G., Age and health status in a patient satisfaction survey. Soc. Sci. Med. 42(7):1085–1093, 1996.
Shaw, M., Tomlinson, D., and Higginson, I., Survey of HIV patients’ views on confidentiality and non-discrimination policies in general practice. BMJ 312(7044):1463–1464, 1996 Jun 8.
Sitzia, J., and Wood, N., Patient satisfaction: A review of issues and concepts. Soc. Sci. Med. 45(12):1829–1843, 1997.
Rahmqvist, M., Patient satisfaction in relation to age, health status, and other background factors: A model for comparisons of care units. Int. J. Qual. Health Care 13;385–390, 2001.
Thi, P. L., Briancon, S., Empereur, F., and Guillemin, F., Factors determining inpatient satisfaction with care. Soc. Sci. Med. 54:493–504, 2002.
Foss, C., Gender bias in nursing care? gender-related differences in patient satisfaction with the quality of nursing care. Scand. J. Car. Sci. 16;19–26, 2002.
Harris, L. E., Luft, F. C., Rudy, D. W., and Tierney, W. M., Correlates of health care satisfaction in inner-city patients with hypertension and chronic renal insufficiency. Soc. Sci. Med. 41(12):1639–1645, 1995.
Serber, E. R., Cronan, T. A., and Walen, H. R., Predictors of patient satisfaction and health care costs for patients with fibromyalgia. Psychol. Health 18(6):771–787, 2003.
Ware, J. E., Snyder, M. K., Wright, W. R., and Davies, A. R., Defining and measuring patient satisfaction with medical care. Eval. Program Plann. 6:247–263, 1983
Gourdji, I., McVey, L., and Loiselle, C., Patients’ satisfaction and importance ratings of quality in an outpatient oncology center. J. Nurs. Care Qual. 18(1):43–55, 2003
Skarstein, J., Dahl, A. A., Laading, J., and Fossa, S. D., Patient satisfaction in hospitalized cancer patients. Acta Oncol. 41(7):639–645, 2002
Eckerlund, I., Eklöf, J. A., and Nathorst-Böös, J., Patient satisfaction and priority setting in ambulatory health care. Total Qual. Manage. 11(7):S967–S978, 2000
Tengilimoglu, D., Kisa, A., and Dziegielewski, S. F., Patient satisfaction in turkey: Differences between public and private hospitals. J. Community Health 24(1):73–91, 1999
MacCallum, R. C., and Austin, J. T., Applications of structural equation modeling in psychological research. Annu. Rev. Psychol. 51:201–226, 2000.
Nunnally, J., Psychometric Theory, 2nd edn. McGraw-Hill, New York, 1978.
Swan, J., Deepening the understanding of hospital patient satisfaction: Fulfillment and equity of effects. J. Health Care Mark 5(3):14, 1985.
Kane, R. L., Maciejewski, M., and Finch, M., The relationship of patient satisfaction with care and clinical outcomes. Med. Care 35(7): 714–730, 1997.
Wallin, E., Lundgren, P., Ulander, K., and Holstein, C. S., Does age, gender or educational background effect patient satisfaction with short stay surgery? Ambulatory Surg. 8: 79–88, 2000.
Marple, R., Lucey, C., Kroenke, K., Wilder, J., and Lucas, C., A prospective study of concerns and expectations in patients presenting with common symptoms. Arch. Intern. Med. 157: 1482–1488, 1997.
Edlund, M. J., Young, A. S., Kung, F. Y., Sherbourne, C. D., and Wells, K. B., Does satisfaction reflect the technical quality of mental health care? Health Serv. Res. 38(2):631–645, 2003.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Sahin, B., Yilmaz, F. & Lee, KH. Factors Affecting Inpatient Satisfaction: Structural Equation Modeling. J Med Syst 31, 9–16 (2007). https://doi.org/10.1007/s10916-006-9038-8
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10916-006-9038-8