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Patient satisfaction and healthcare providers
  1. Giles N Cattermole1,2,
  2. Colin A Graham1,2,
  3. Timothy H Rainer1,2
  1. 1Accident and Emergency Academic Unit, Chinese University of Hong Kong
  2. 2Department of Emergency Medicine, Prince of Wales Hospital, Shatin, NT, Hong Kong
  1. Correspondence to Giles N Cattermole, Assistant Professor, Chinese University of Hong Kong, Accident and Emergency Medicine Academic Unit, Trauma and Emergency Centre, Prince of Wales Hospital, Shatin, NT, Hong Kong; gncattermole{at}cuhk.edu.hk

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We read the article by Sandhu et al1 with great interest. It is always encouraging to see good research addressing the changing contributions to better patient care made by different groups within the emergency department team. However, we were concerned with their conclusion that ‘patients appeared to be more satisfied with Emergency Nurse Practitioner (ENP) consultations than with Senior House Officer (SHO) consultations’, as we feel that the evidence presented does not support this.

The unadjusted patient satisfaction score was higher (9.3) for ENPs than for SHOs (8.8), but there are two large potentials for bias …

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