RESEARCH PAPER
Does place of residence affect patient satisfaction with hospital health care?
 
More details
Hide details
1
Department of Public Health, Faculty of Health Sciences, Medical University of Bialystok, Poland
2
Department of Epidemiology and Biostatistics, Institute of Rural Health, Lublin, Poland
3
Department of Hygiene, Epidemiology and Ergonomics, Faculty of Health Sciences, Medical University of Bialystok, Poland
CORRESPONDING AUTHOR
Bogusława Karczewska   

Department of Public Health, Faculty of Health Sciences, Medical University of Bialystok, ul. Szpitalna 37, 15-295, Białystok, Poland
 
Ann Agric Environ Med. 2020;27(1):86–90
KEYWORDS
TOPICS
ABSTRACT
Introduction and objective:
Measuring the level of patient satisfaction is a useful tool in delivering quality care that is responsive to consumer preferences. Various socio-demographic factors might be considered as potential predictors of patient satisfaction. The aim of the study was to assess whether place of residence (rural/urban) affects patient satisfaction with hospital health care.

Material and methods:
Data were obtained using face-to-face questionnaire, administered in five large, urban hospitals in Podlaskie Province, north-eastern Poland, during 2014–2018. The study sample comprised of 1,624 participants (585 rural, 1039 urban) who assessed satisfaction with 28 hospital health care items. The means and standard deviations were presented to compare 28 satisfaction items between the rural and the urban samples. Regression analysis was used to determine whether location difference (rural vs urban) affected patient satisfaction with various domains of hospital health care.

Results:
The mean results of 28 satisfaction items on the 1–5 scale were similar among the rural and the urban samples, and generally skewed towards positive experiences. In the univariate analysis, significant associations between place of residence and patient satisfaction were identified with regard to three components of inpatient care: 1) hospital settings and staff care, 2) doctors’ professional skills, and 3) hospitalization outcomes. After adjusting for socio-demographic variables, the association remained significant only with respect to satisfaction with hospitalization outcomes (b = 0.121; SE = 0.055; p = 0.028).

Conclusions:
Some evidence for differences in patient satisfaction by place of residence was found. Study findings may be helpful in implementing care quality improvement programmes.

 
REFERENCES (26)
1.
Ferrand YB, Siemens J, Weathers D, Fredendall LD, Choi Y, Pirrallo RG, et al. Patient satisfaction with healthcare services. A critical review. Qual Manag J. 2016; 23(4): 6–22. doi: 10.1080/10686967.2016.11918486.
 
2.
Kraska RA, Weigand M, Geraedts M. Associations between hospital characteristics and patient satisfaction in Germany. Heal Expect. 2017; 20(4): 593–600. doi: 10.1111/hex.12485.
 
3.
Yaya S, Bishwajit G, Ekholuenetale M, Shah V, Kadio B, Udenigwe O. Urban-rural difference in satisfaction with primary healthcare services in Ghana. BMC Health Serv Res. 2017; 25; 17(1): 776. doi: 10.1186/s12913-017-2745-7.
 
4.
Sixma HJ, Kerssens JJ, Campen CV, Peters L. Quality of care from the patients’ perspective: from theoretical concept to a new measuring instrument. Health Expect. 1998; 1(2): 82–95.
 
5.
Bjertnaes OA, Sjetne IS, Iversen HH. Overall patient satisfaction with hospitals: Effects of patient-reported experiences and fulfilment of expectations. BMJ Qual Saf. 2012; 21(1): 39–46. doi: 10.1136/bmjqs-2011-000137.
 
6.
Xesfingi S, Vozikis A. Patient satisfaction with the healthcare system: Assessing the impact of socio-economic and healthcare provision factors. BMC Health Serv Res. 2016; 16(94). doi: 10.1186/s12913-016-1327-4.
 
7.
Schoenfelder T, Klewer J KJ. Determinants of patient satisfaction: a study among 39 hospitals in an in-patient setting in Germany. Int J Qual Health Care. 2011; 23(5): 503–509. doi: 10.1093/intqhc/mzr038.
 
8.
Batbaatar E, Dorjdagva J, Luvsannyam A. Conceptualisation of patient satisfaction: a systematic narrative literature review. Perspect Public Health. 2015; 135(5): 243–250. doi: 10.1177/1757913915594196.
 
9.
Weinhold I, Gurtner S. Rural – urban differences in determinants of patient satisfaction with primary care. Soc Sci Med. 2018; 212: 76–85. doi: 10.1016/j.socscimed.2018.06.019.
 
10.
Riedl, D, Schüßler G. The influence of doctor-patient communication on health outcomes: a systematic review. Z Psychosom Med Psychother. 2017; 63(2): 131–150. doi: 10.13109/zptm.2017.63.2.131.
 
11.
Crow R, Gage H, Hampson S, Hart J, Kimber A, Storey L, et al. The measurement of satisfaction with healthcare: implications for practice from a systematic review of the literature. Health Technol Assess. 2002; 6(32): 1–244.
 
12.
Quintana JM, González N, Bilbao A, Aizpuru F, Escobar A, Esteban C, et al. Predictors of patient satisfaction with hospital health care. BMC Health Serv Res. 2006; 6: 1–9. doi: 10.1186/1472-6963-6-102.
 
13.
Buchanan RJ, Wang S, Stuifbergen A, Chakravorty BJ, Zhu L, Kim M. Urban/rural differences in the use of physician services by people with multiple sclerosis. NeuroRehabilitation. 2006; 21(3): 177–187.
 
14.
Yan Z, Wan D, Li L. Patient satisfaction in two Chinese provinces: Rural and urban differences. Int J Qual Heal Care. 2011; 23(4): 384–389. doi: 10.1093/intqhc/mzr03.
 
15.
Henning-Smith C, Prasad S, Casey M, Kozhimannil K, Moscovice I. Rural-Urban Differences in Medicare Quality Scores Persist After Adjusting for Sociodemographic and Environmental Characteristics. Rural Health. 2019; 35(1): 58–67. doi: 10.1111/jrh.12261.
 
16.
Laksono AD, Wulandari RD, Soedirham O. Urban and Rural Disparities in Hospital Utilization among Indonesian Adults. Iran J Public Health. 2019; 48(2): 247–255. doi: 10.18502/ijph.v48i2.819.
 
17.
Levinton C, Veillard J, Slutsky A, Brown A. The importance of place of residence in patient satisfaction. Int J Qual Heal Care. 2011; 23(5): 495–502. doi: 10.1093/intqhc/mzr048.
 
18.
Mollica MA, Weaver KE, McNeel TS, Kent EE. Examining urban and rural differences in perceived timeliness of care among cancer patients: A SEER-CAHPS study. Cancer. 2018;124 (15): 3257–3265. doi: 10.1002/cncr.31541.
 
19.
Macintyre S, Ellaway A, Cummins S. Place effects on health: how can we conceptualise, operationalise and measure them? Soc Sci Med. 2002; 55(1): 125–139. doi: 10.1016/S0277-9536(01)00214-3.
 
20.
Hart LG, Larson EH, Lishner DM. Rural definitions for health policy and research. Am J Public Health. 2005; 95(7): 1149–1155. doi: 10.2105/AJPH.2004.042432.
 
21.
Wallace LS, DeVoe JE, Bennett IM, Roskos SE, Fryer GE Jr. Perceptions of healthcare providers’ communication skills: Do they differ between urban and non-urban residents? Health Place. 2008; 14(4): 653–660. doi: 10.1016/j.healthplace.2007.10.010.
 
22.
Henning-Smith C, Kozhimannil K, Casey M, Prasad S, Moscovice I. Rural-Urban Differences in Medicare Quality Outcomes and the Impact of Risk Adjustment. Med Care. 2017; 55(9): 823–829. doi: 10.1097/MLR.0000000000000761.
 
23.
Li J, Shi L, Liang H, Ding G, Xu L. Urban-rural disparities in health care utilization among Chinese adults from 1993 to 2011. BMC Health Serv Res. 2018; 18(1): 102. doi: 10.1186/s12913-018-2905-4.
 
24.
Rahmqvist M, Bara AC. Patient characteristics and quality dimensions related to patient satisfaction. Int J Qual Heal Care. 2010; 22(2): 86–92. doi: 10.1093/intqhc/mzq009.
 
25.
Haddad S, Potvin L, Roberge D, Pineault R, Remondin M. Patient perception of quality following a visit to a doctor in a primary care unit. Fam Pract. 2000; 17(1): 21–29. doi: 10.1093/fampra/17.1.21.
 
26.
Zinn W, Sauer S, Göllner R. The German Inpatient Satisfaction Scale: a large-scale survey of perceived quality by inpatients’, SAGE Open. 2016. doi: 10.1177/2158244016643140.
 
eISSN:1898-2263
ISSN:1232-1966