Original Article

Parental Perception of Waiting Time and its Influence on Parental Satisfaction in an Urban Pediatric Emergency Department: Are Parents Accurate in Determining Waiting Time?

Authors: Muhammad Waseem, MD, Lalitha Ravi, MD, Michael Radeos, MD, Sandhya Ganti, MD

Abstract

Objective The objective of this study was to determine whether parental perception of waiting time in an urban pediatric emergency department (ED) is accurate and whether the actual waiting times or their perception of waiting times impact on parental satisfaction. Methods A prospective convenience sample study in which the on-duty emergency physicians randomly administered a questionnaire at the time of the ED visit was used. During a 3-week period from December 15, 1999, through January 7, 2000, 500 parents or legal guardians of children who visited our ED were questioned about their perceived waiting time, and the responses were compared with the actual waiting time. The parents or guardians were also asked if they were satisfied with the waiting time. Results The majority (84%) of parents overestimated waiting time in the ED (median difference, 26 min; interquartile range, 9–50 min). Parents with perceived or actual waiting times that exceeded 2 hours were significantly more likely to be dissatisfied than parents with actual or perceived waiting times that were 1 hour or less (P < 0.001). Satisfaction was not related to the age (P = 0.35), sex (P = 0.30), race/ethnicity (P = 0.90), or mode of arrival (P = 0.28). Conclusion Parents tend to overestimate waiting time. Both perceived and actual waiting times that exceed 2 hours were associated with parental dissatisfaction. ED administrators may need to keep this in mind when arranging ED staffing patterns to match peak patient hours to achieve optimal parental satisfaction.

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References

1. Reorganizing personnel, space improves patient flow, reduces waiting times. ED Management 1994; 6: 33–38.
2. Little NE. Image of the emergency physician, in Henry GL (ed): Emergency Medicine Risk Management: A Comprehensive Review. Dallas, TX, American College of Emergency Physicians, 1991, pp 11–16.
3. Albrecht G, Hoogstraten J. Satisfaction as a determinant of compliance. Community Dent Oral Epidemiol 1998; 26: 139–146.
4. Roghmann KJ, Hengst A, Zastowny TR. Satisfaction with medical care: Its measurement and relation to utilization. Med Care 1979; 17: 461–479.
5. Rhee KJ, Bird J. Perceptions and satisfaction with emergency department care. J Emerg Med 1996; 14: 679–683.
6. Thompson DA, Yarnold PR, Williams DR, et al. Effects of actual waiting time, perceived waiting time, information delivery, and expressive quality on patient satisfaction in the emergency department. Ann Emerg Med 1996; 28: 657–665.
7. Thompson DA, Yarnold PR, Adams SL, et al. How accurate are waiting time perceptions of patients in the emergency department? Ann Emerg Med 1996; 28: 652–656.
8. Thompson DA, Yarnold PR. Relating patient satisfaction to waiting time perceptions and expectations: The disconfirmation paradigm. Acad Emerg Med 1995; 12: 1057–1062.
9. Booth AJ, Harrison CJ, Gardener GJ, et al. Waiting times and patient satisfaction in the accident and emergency department. Arch Emerg Med 1992; 9: 162–168.
10. A secret risk management weapon: Customer service in the emergency department. Emerg Physician Leg Bull 1993; 3: 1–8 (published by Emergency Physician Associates and Team Health, Woodbury, NJ).
11. Mowen JC, Licata JW, McPhail J. Waiting in the emergency room: How to improve patient satisfaction. J Health Care Mark 1993; 13( 2): 26–33.
12. McMillan JR, Younger MS, DeWine LC. Satisfaction with hospital emergency department as a function of patient triage. Health Care Manage Rev 1986; 11: 21–27.
13. Parasuraman A, Zeithaml VA, Berry LL. A conceptual model of service quality and its implications for future research. J Mark 1985; 49: 41–50.