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Barriers to Participation in a Patient Satisfaction Survey Who Are We Missing 英文参考文献
BarrierstoParticipationinaPatientSatisfactionSurvey:
WhoAreWeMissing?
Ange`leGayet-Ageron1*,ThomasAgoritsas1,LauraSchiesari2,3,Ve′roniqueKolly4,ThomasV.Perneger1
1DivisionofClinicalEpidemiology,DepartmentofCommunityHealthandMedicine,UniversityofGeneva,UniversityHospitalsofGeneva,Geneva,Switzerland,2Quality
of Care Service, University of Geneva, University Hospitals of Geneva, Geneva, Switzerland, 3Quality of Care Unit, Hospital Sirio-Libane`s, Sao Paulo, Brazil, 4Office of
Mediation,UniversityHospitalsofGeneva,Geneva,Switzerland
Abstract
Background:Acommonweaknessofpatientsatisfactionsurveysisasuboptimalparticipationrate.Somepatientsmaybe
unabletoparticipate,becauseoflanguagebarriers,physicallimitations,ormentalproblems.Astheroleofthesebarriersis
poorly understood, we aimed to identify patient characteristics that are associated with non-participation in a patient
satisfactionsurvey.
Methodology: At the University Hospitals of Geneva, Switzerland, a patient satisfaction survey is regularly conducted
among all adult patients hospitalized for .24hours on a one-month period in the departments of internal medicine,
geriatrics,surgery,neurosciences,psychiatry,andgynaecology-obstetrics.Inordertoassessthefactorsassociatedwithnon-
participationtothepatientsatisfactionsurvey,acase-controlstudywasconductedamongpatientsselectedforthe2005
survey.Cases(nonrespondents,n=195)andcontrols(respondents,n=205)wererandomlyselectedfromthesatisfaction
survey, and information about potential barriers to participation was abstracted in a blinded fashion from the patients’
medicalandnursingcharts.
Principal Findings: Non-participation in the satisfaction survey was independently associated with the presence of a
languagebarrier(oddsratio[OR]4.53,95%confidenceinterval[CI95%]:2.14–9.59),substanceabuse(OR3.75,CI95%:1.97–
7.14), cognitive limitations (OR 3.72, CI95%: 1.64–8.42), a psychiatric diagnosis (OR 1.99, CI95%: 1.23–3.23) and a sight
deficiency (OR 2.07, CI95%: 0.98–4.36). The odds rat
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