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. 2023 Aug 31;2(3):100276.
doi: 10.1016/j.inpm.2023.100276. eCollection 2023 Sep.

The impact of social deprivation on patient satisfaction in physical medicine and rehabilitation outpatient interventional spine and musculoskeletal medicine using the press Ganey® outpatient medical practice survey

Andrew R Stephens  1 , Zachary L McCormick  2 , Taylor R Burnham  2 , Aaron Conger  2
Affiliations

The impact of social deprivation on patient satisfaction in physical medicine and rehabilitation outpatient interventional spine and musculoskeletal medicine using the press Ganey® outpatient medical practice survey

Andrew R Stephens et al. Interv Pain Med. .

Abstract

Introduction: Multiple factors (patient age, wait time, depression, etc.) have been associated with lower patient satisfaction as assessed by the Press Ganey® Outpatient Medical Practice Survey (PGOMPS). Social deprivation has been shown to impact multiple aspects of patient care but its impact on patient satisfaction in Physical Medicine and Rehabilitation (PM&R) is limited.

Objective: We hypothesized that increased social deprivation would independently predict lower patient satisfaction, as measured by the PGOMPS.

Design: Retrospective large cohort study.

Setting: Single tertiary academic institution.

Patients: Adult patients seen by PM&R physicians practicing outpatient interventional spine and musculoskeletal medicine who completed PGOMPS between January 1, 2014 and December 31, 2019.

Interventions: Independent variables include: Social deprivation as measured by 2015 Area Deprivation Index (ADI), wait time, patient age, and sex.

Main outcome measure: Patient satisfaction was defined as receiving a perfect PGOMPS Total Score.

Results: A totla of 64,875 patients (mean age 52.7 ± 21.8 years, 41.4% male, mean ADI 29.9 ± 18.8) were included. Univariate analysis showed a decreased odds of achieving satisfaction for each decile increase in ADI (odds ratio 0.965; 95% confidence interval 0.957-0.973; p < 0.001). The most socially deprived quartile was significantly less likely to report satisfaction on PGOMPS compared to the least deprived quartile (91.1 vs 93.2; p < 0.001). Multivariable analysis revealed that the odds of achieving satisfaction was 0.99 (95% confidence interval 0.980 to 0.997; p = 0.009) for the Total Score, independent of age, wait time, and patient sex for each decile increase in ADI.

Conclusions: In this cohort, increased social deprivation independently predicted patient dissatisfaction in PM&R.

Keywords: Area deprivation index; Patient satisfaction; Press Ganey; Social deprivation.

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Conflict of interest statement

The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.

Figures

Fig. 1
Fig. 1
Average press Ganey scores per area deprivation index decile.
See this image and copyright information in PMC

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