Skip to main content
Log in

Outpatient experiences in acute hospitals

  • Original Papers
  • Published:
Irish Journal of Medical Science Aims and scope Submit manuscript

Abstract

Background

Patient satisfaction surveys are useful in gaining an understanding of users’ needs and their perceptions of the service received.

Aim

To assess the views of outpatient department (OPD) attendees on the quality of service received.

Methods

OPD attendees were randomly selected from four acute hospitals in one health board region and sent a confidential postal questionnaire to assess their views on their visit.

Results

Of 3,037 attendees surveyed, there was a response rate of 75.7%. Levels of satisfaction were high at 94%. Doctors and nurses were perceived as friendly by 61% and 72%, professional by 44% and 30%, rushed by 8% and 7%, and rude by 1% and 1% of patients, respectively. Using logistic regression, age (being older), sex (being male), pain level (no pain), decisions about care (wanting more involvement) and being satisfied with their waiting time from arrival to being seen were significantly associated with a greater likelihood of being satisfied overall.

Conclusion

Whilst there was a high level of satisfaction with the quality of care received, areas for improvement were highlighted from the patient’s perspective.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Bruster S, Jarman B, Bosanquet N, Weston D, Erens R, Delbanco TL. National survey of hospital patients.BMJ 1994; 309: 1542–6.

    CAS  PubMed  Google Scholar 

  2. Kane RL, Maciejewski M, Finch M. The relationship of patient satisfaction with care and clinical outcomes.Med Care 1997; 35: 714–30.

    Article  CAS  PubMed  Google Scholar 

  3. Lochman JE. Factors related to patients’ satisfaction with their medical care.J Comm Health 1983; 9: 91–109.

    Article  CAS  Google Scholar 

  4. Baker R. Pragmatic model of patient satisfaction in general practice: progress towards a theory.Qual Health Care 1997; 6(4): 201–4.

    Article  CAS  PubMed  Google Scholar 

  5. Cohen C, Forbes J, Garraway, M. Can different patient satisfaction survey methods yield consistent results? Comparison of three surveys.BMJ 1996; 313: 841–4.

    CAS  PubMed  Google Scholar 

  6. Linder-Pelz S. Toward a theory of patient satisfaction.Soc Sci Med 1982; 6: 577–82.

    Article  Google Scholar 

  7. McKinley R, Manku-Scott T, Hastings AM, French DP, Baker R. Reliability and validity of a new measure of patient satisfaction with out of hours primary medical care in the United Kingdom: development of a patient questionnaire.BMJ 1997; 314: 193–8.

    CAS  PubMed  Google Scholar 

  8. Salisbury C. Postal survey of patient’s satisfaction with a general practice out of hours co-operative.BMJ 1997; 314: 1594.

    CAS  PubMed  Google Scholar 

  9. Murphy-Cullen CL, Larsen LC. Interaction between the socio-demographic variables of physicians and their patients: its impact upon patient satisfaction.Soc Sci Med 1984; 20: 163–6.

    Article  Google Scholar 

  10. Falvo D, Tippy P. Communicating information to patients. Patient satisfaction and adherence as associated with resident skill.J Fam Pract 1988; 26: 643–7.

    CAS  PubMed  Google Scholar 

  11. Comstock LM, Hooper EM, Goodwin JM et al. Physician behaviours that correlate with patient satisfaction.J Med Educ 1982; 7: 105–12.

    Google Scholar 

  12. Deyo RA, Diehl AK. Patient satisfaction with medical care for low-back pain.Spine 1986; 25: 28–30.

    Article  Google Scholar 

  13. Thompson DA, Yarnold PR, Williams DR, Adams SL. 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: 657–65.

    Article  CAS  PubMed  Google Scholar 

  14. Smith J, Sanderson C. What makes an outpatient attendance worthwhile for patients?Quality Assurance in Health Care 1992; 4: 125–32.

    CAS  PubMed  Google Scholar 

  15. DiMatteo MR, Hays R. The significance of patients’ perceptions of physician conduct: a study of patient satisfaction in a family practice centre.J Community Health 1980; 6: 18–34.

    Article  CAS  PubMed  Google Scholar 

  16. Hall JA, Dornan MC. What patients like about their medical care and how often they are asked: a meta-analysis of the satisfaction literature.Soc Sci Med 1988; 27: 935–9.

    Article  CAS  PubMed  Google Scholar 

  17. Hill J, Bird HA, Hopkins R, Lawton C, Wright V. Survey of satisfaction with care in a rheumatology out-patient clinic.Ann Rheum Dis 1992; 51: 195–7.

    Article  CAS  PubMed  Google Scholar 

  18. Ware JE, Snyder MK. Dimensions of patient attitudes regarding doctors and medical care services.Medical Care 1975; 8: 669–82.

    Article  Google Scholar 

  19. Sitzia J, Fitt J, Buckingham R, Dikken C. Patient satisfaction on a medical day ward: a comparison of nurse-led and physician-led services.Int J Qual Health Care 1996; 8: 175–85.

    CAS  PubMed  Google Scholar 

  20. Thompson SA, Yarnold PR. Relating patient satisfaction to waiting time perceptions and expectations: the disconfirmation paradigm.Acad Emerg Med 1995; 28: 1057–62.

    Article  Google Scholar 

  21. Hardy G, West MA, Hill F. Components and predicators of patient satisfaction.Br J Health Psychol 1996; 1: 65–85.

    Article  Google Scholar 

  22. Central Statistics Office. Census 1996. Dublin, Government Publications, 1997.

    Google Scholar 

  23. Gannon PC.Comparative study of a general practitioner accident and emergency service with a general hospital accident and emergency service. Unpublished thesis submitted for membership of the Faculty of Public Health Medicine of the Royal College of Physicians in Ireland, 1995.

  24. Lerman CE, Brody DS, Caputo GC et al. Patients perceived involvement in care scale: relationship to attitudes about illness and medical care.J Gen Intern Med 1990; 5: 29–33.

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to F. Howell.

Rights and permissions

Reprints and permissions

About this article

Cite this article

De Brún, C., Howell, F., Bedford, D. et al. Outpatient experiences in acute hospitals. Ir J Med Sci 171, 89–93 (2002). https://doi.org/10.1007/BF03168960

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF03168960

Keywords

Navigation