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Minerva Orthopedics 2021 April;72(2):219-26

DOI: 10.23736/S2784-8469.20.03990-9

Copyright © 2020 EDIZIONI MINERVA MEDICA

language: English

The quality of health care perceived by orthopedic patients in the General Hospital of Polyclinic in Bari: an observational-validation study

Elsa VITALE 1 , Angela NOTARNICOLA 2, Lorenzo MORETTI 2, Antonio ESPOSITO 3, Biagio MORETTI 2

1 Department of Mental Health, ASL Bari, Bari, Italy; 2 Orthopedic and Trauma Unit, Department of Basic Medical Sciences, Neuroscience and Sense Organs, School of Medicine, AOU Consorziale Polyclinic, University of Bari Aldo Moro, Bari, Italy; 3 Orthopedic and Trauma Unit, AOU Consorziale Polyclinic, Bari, Italy



BACKGROUND: Literature shows that there are several factors as organization, structure, delivery of healthcare that are correlated with patient satisfaction. The quality perception of care received in the orthopedic field is the subject of this investigation. An observational-validation study was performed.
METHODS: An ad-hoc questionnaire has been validated in order to support the belief that management systems based on customer attention are the most effective in guiding health policy choices. The questionnaire elaborated ad hoc contains 37 questions divided into eight dimensions: the first is the benefits to access, the second is the ward admission, the third is the medical staff qualities, the fourth is the nursing staff qualities, the fifth is the ward environment hygiene, the sixth is the free time organization, the seventh is the lunch service and finally the eighth is the patient discharge organization. The questionnaire was administered to patients hospitalized in the orthopedic ward from November 2019 to January 2020.
RESULTS: A total of 37 questions were assessed for each participant. The reliability of the questionnaire was checked and the Cronbach’ alpha value was 0.943. The response rate was 81% (N.=121).
CONCLUSIONS: Through factor analysis we found that patient satisfaction consists of seven sub-dimensions. They were: “access to benefits,” “hospitalization,” “medical staff,” “nursing staff,” “environments,” “free time organization,” “lunch service.” Summary, they well explained the underlying causes of patient satisfaction.


KEY WORDS: Patient satisfaction; Quality of health care; Surveys and questionnaires

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