Validated pre-discharge survey of patient satisfaction in orthopaedic care

Ravi Kant Jain, Adhir Jain, Neeraj Jain


Background: Worldwide, increasing concern has been given to the assessment of patient satisfaction survey as a method of monitor of the quality of health care provision in the health institutions. The study aimed to assess the level of patient satisfaction with preoperative and postoperative surgical services and its associated factors. Study includes Experience of 17 questionnaires.

Methods: A total of 507 indoor patients were taken on a random basis full filing the inclusion and exclusion criteria, over a period of 1 year from December 2017 to January 2018. Firstly, we applied Cronbach's alpha to know the reliability of survey questionnaire, then we collected the final data. Association between two non-parametric variables was seen using Pearson’s chi-square test. A p value of less than 0.05 was taken as statistically significant. Data was analysed using SPSS 21.0.

Results: Patients with good satisfaction rates were 60.2%. We found that males are more satisfied then females with Pearson Chi-square value=8.033, df=1, p value=0.005. Patients with age of above 80 years and between age group of 21-40 years have comparatively lower satisfaction rates with Pearson Chi-square value=33.265, df=4, P value=0.000.

Conclusions: Assessing patients’ satisfaction rates can be a simple and cost effective technique for evaluating the services provided by health care providers and institutions and should be conducted periodically to detect carelessness and bring about overall improvement in the quality of care provided. This should be generalised and universally accepted.



Orthopaedic survey, Satisfaction, Questionnaire

Full Text:



Assefa F, Mosse A, Hailemichael Y. Assessment of clients’ satisfaction with health service deliveries at Jimma University specialized hospital. Ethiop J Health Sci. 2011;21(2):101-9.

Bekele A, Taye G, Mekonnen Y, Girma W, Degefu A, Mekonnen A, Dejene A. Levels of outpatient satisfaction at selected health facilities in six regions of Ethiopia. Ethiop J Health Dev. 2008;22(1):42-8.

Health care Commission-North West London Hospitals NHS Trust. Outpatient Survey Rep. 2004/2005.

Leape LL, Brennan TA, Laird N, Lawthers AG, Localio AR, Barnes BA, et al. The nature of adverse events in hospitalized patients Results of the Harvard Medical Practice Study II. N Engl J Med. 1991;324(6):377-84.

Shirley Teng KY, Norazliah S. Surgical Patients’ Satisfaction of Nursing Care at the Orthopedic Wards in Hospital Universiti Sains Malaysia (HUSM). Health Environ J. 2012;3(1):36.

Hsiao HR, Wang PC, Cheng WN, Lee LA, Chen NH, Fang TJ, et al. Survey of short-term patient satisfaction after surgery for obstructive sleep apnea. Chang Gung Med J. 2009;32(2):212-9.

Jamison RN, Ross MJ, Hoopman P, Griffin F, Levy Daly M, et al. Assessment of postoperative pain management: patient satisfaction and perceived helpfulness. Clin J Pain. 1997;13(3):229-36.

Tateke T, Woldie M, Ololo S. Determinants of patient satisfaction with outpatient health services at public and private hospitals in Addis Ababa, Ethiopia. Afr J Prim Health Care Fam Med. 2012;4(1):384.

Aldaqal SM, Alghamdi H, AlTurki H, El-deek BS, Kensarah AA. Determinants of patient satisfaction in the surgical ward at a University Hospital in Saudi Arabia. Life Sci J. 2012;9(1):277-80.

Mira JJ, Tomás O, Virtudes-Pérez M, Nebot C, Rodríguez-Marín J. Predictors of patient satisfaction in surgery. Surgery. 2009;145(5):536-41.

Baker P, Tytler B, Artley A, Hamid K, Paul R, Eardley W. The use of a validated pre-discharge questionnaire to improve the quality of patient experience of orthopaedic care. Quality Improvement Reports. Br Med J. 2017;6:u212876.w5262

Harnett JPM, Correll DJ, Hurwitz S, Bader AM, Hepner DL. Improving efficiency and patient satisfaction in a tertiary teaching hospital preoperative clinic. Anesthesiol. 2010;112(1):66-72.

Lemos P, Pinto A, Morais G, Pereira J, Loureiro R, Teixeira S, et al. Patient satisfaction following day surgery. J Clin Anesth. 2009;21(3):200-5.

Iliyasu Z, Abubakar I, Lawan U, Gajida A. Patients’ satisfaction with services obtained from Aminu Kano teaching hospital. Niger J Clin Pract. 2010;13(4):371-8.

Department of Health. High Quality Care For All: NHS Next Stage Review Final Report, 2008.

Muhondwa EP, Leshabari MT, Mwangu M, Mbembati N, Ezekiel MJ. Patient satisfaction at the Muhimbili National Hospital in Dar es Salaam, Tanzania. East Afr J Public Health. 2008;5(2):67-73.

Elleuch A. Patient satisfaction in Japan. Int J Health Care Qual Assur. 2008;21(7):692-705.

Marley KA, Collier DA, Goldstein SM. The role of clinical and process quality in achieving patient satisfaction in hospitals. Decision Sciences. 2004;35(3):349-69.