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The Effects of Patient Expectation on Patient Perception

Vietmeier, Anna C.
http://rave.ohiolink.edu/etdc/view?acc_num=ysu156034912164728

Abstract Details

2019, Master of Science in Biological Sciences, Youngstown State University, Department of Biological Sciences and Chemistry.
A medical encounter’s quality can be measured both objectively and subjectively. Subjective measures provide insight to the patient’s experience. This experience can have many influential factors including patient perceptions and patient expectations. Hospitals are now required to publically report quarterly satisfaction rating or face decreased reimbursement (CMS, 2017). For emergency departments (EDs), that operate under time constraints with a diversity of medical and trauma presentations, building rapport and creating satisfied patients can be a challenge. The introduction of a pre-visit expectation questionnaire to allow patients to provide a reason for why they have arrived to the ED, their perceived medical severity, and what they believe is medically appropriate, may help physicians better understand their patients’ needs and lead to decreased length of stay. Half of the included survey participants were randomized into the control group (n = 117) that received only the post-visit satisfaction, and the second half was randomized into the experimental group (n = 113) that received both the post-visit satisfaction survey and pre-visit expectation questionnaire. A one-way ANOVA analysis found no significant difference between the control and experimental groups (p = .952) and no statistically significant relationship for the within groups of actual length of stay and estimated (perceived) length of stay (p = .455). Due to the findings the control group and experimental group were pooled together for further analysis (n = 230). A Pearson correlation tested for the relationship between the study participants level of satisfaction with their provider and accuracy of perceived length of stay, calculated by subtracting the reported estimated length of stay from the actual length of stay (r = -.135, p = .043). As the level of satisfaction decreased with the provider the perception of length of stay was inversely effected. This implicated that the level of satisfaction with providers directly impacted the patient's perception of length of stay; which has previously been linked to overall reported satisfaction (Schoenfelder et al., 2013). Further investigations into provider qualities such as bedside manner, communication (Cooke et al., 2006) and demographic features (Toma et al., 2009) which have previously been linked to patient satisfaction may account for this significance.
Jill Tall, PhD (Advisor)
Matthew Lindberg, PhD (Committee Member)
Kelly Colwell, EdD (Committee Member)
75 p.
Biology; Biomedical Research; Health Care; Medicine
Patient Satisfaction in the emergency department; patient expectations; patient perceptions; perceived and actual total length of stay

Recommended Citations

Citations

  • Vietmeier, A. C. (2019). The Effects of Patient Expectation on Patient Perception [Master's thesis, Youngstown State University]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=ysu156034912164728

    APA Style (7th edition)

  • Vietmeier, Anna. The Effects of Patient Expectation on Patient Perception. 2019. Youngstown State University, Master's thesis. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=ysu156034912164728.

    MLA Style (8th edition)

  • Vietmeier, Anna. "The Effects of Patient Expectation on Patient Perception." Master's thesis, Youngstown State University, 2019. http://rave.ohiolink.edu/etdc/view?acc_num=ysu156034912164728

    Chicago Manual of Style (17th edition)

ysu156034912164728
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© 2019, all rights reserved.
This open access ETD is published by Youngstown State University and OhioLINK.