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Determinants of patient satisfaction in an Australian emergency department fast-track setting
  1. Michael M Dinh1,
  2. Nicholas Enright2,
  3. Andrew Walker1,
  4. Ahilan Parameswaran3,
  5. Matthew Chu4
  1. 1Emergency Department, Registrar Royal Prince Alfred Hospital, Camperdown, New South Wales, Australia
  2. 2Sydney Medical School, Sydney University, Sydney, New South Wales, Australia
  3. 3Concord Hospital, New South Wales, Australia ahilan.parameswaran@sswahs.gov.au
  4. 4Emergency Department, Canterbury Hospital, Sydney, New South Wales, Australia
  1. Correspondence to Dr Michael M Dinh, Emergency Department, Royal Prince Alfred Hospital, Missenden Road, Camperdown, NSW 2050, Australia; dinh.mm{at}gmail.com

Abstract

Objectives To describe the relationship between waiting time and patient satisfaction, and to determine predictors of overall care rating in an emergency department (ED) fast-track setting.

Methods A convenience sample of patients triaged to a fast-track unit were surveyed. Patient satisfaction was scored using a validated survey instrument, as well as a single overall care rating (poor to excellent). Median satisfaction scores were compared between each incremental hour of waiting time. Bivariate analysis was conducted between those who waited 1 h or less, and those who waited longer. Ordered logistic regression was used to determine predictors of improved overall care rating.

Results 236 patients completed surveys (response rate of 74%). Of these, 84% rated their care as either very good or excellent. There was a linear decrease in median satisfaction scores for each incremental hour of waiting time associated with half the odds of higher overall care rating after adjusting for presenting problem type, triage category, and treating clinician type (OR 0.53 95% CI 0.37 to 0.75 p<0.001). English language (OR 2.43 95% CI 1.33 to 4.42 p=0.004) and initial consultation by a nurse practitioner (NP) (OR 1.81 95% CI 1.03 to 3.31 p=0.038) were also found to be significant predictors of improved overall care rating.

Conclusions Waiting time was found to be highly predictive of patient satisfaction in an emergency fast-track unit with English language and NPs also associated with improved overall care rating. Future measures to improve patient satisfaction in fast-track units should focus on these factors.

  • emergency care systems, primary care

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