• Media type: E-Article
  • Title: Expectations Confounded: Patients Are Satisfied with THR and TKR Delivery in Australian Public Hospitals—A Multisite Case Study
  • Contributor: Walters, Julie Lynette; Mackintosh, Shylie; Sheppard, Lorraine
  • imprint: Hindawi Limited, 2012
  • Published in: ISRN Public Health
  • Language: English
  • DOI: 10.5402/2012/947828
  • ISSN: 2090-8008
  • Keywords: General Earth and Planetary Sciences ; General Engineering ; General Environmental Science
  • Origination:
  • Footnote:
  • Description: <jats:p><jats:italic>Background.</jats:italic> The popular media infer that satisfaction with waiting lists for total hip or knee replacement surgery is poor; however, there is little supporting evidence for this. The purpose of this study was to describe patients satisfaction with the service they received for joint replacement surgery in a public hospital. <jats:italic>Methods.</jats:italic> A cross-sectional design was used to survey 450 patients. Data was analysed descriptively and chi-squared analyses (significance level of <mml:math xmlns:mml="http://www.w3.org/1998/Math/MathML" id="M1"><mml:mrow><mml:mi>P</mml:mi><mml:mo>&lt;</mml:mo><mml:mn>0.05</mml:mn></mml:mrow></mml:math>) were used to examine associations between variables. <jats:italic>Results.</jats:italic> The response rate was 71%. Nearly three-quarters (<mml:math xmlns:mml="http://www.w3.org/1998/Math/MathML" id="M2"><mml:mrow><mml:mi>n</mml:mi><mml:mo>=</mml:mo><mml:mn>312</mml:mn></mml:mrow></mml:math>) of the sample were “very happy” with the service and 92.0% (<mml:math xmlns:mml="http://www.w3.org/1998/Math/MathML" id="M3"><mml:mrow><mml:mi>n</mml:mi><mml:mo>=</mml:mo><mml:mn>379</mml:mn></mml:mrow></mml:math>) indicated that they would have their surgery again. Satisfaction was significantly associated with waiting time to the first appointment (chi-square; <mml:math xmlns:mml="http://www.w3.org/1998/Math/MathML" id="M4"><mml:mrow><mml:mi>P</mml:mi><mml:mo>=</mml:mo><mml:mn>0.002</mml:mn></mml:mrow></mml:math>), whether the patients enquired about their waiting time (chisquare; <mml:math xmlns:mml="http://www.w3.org/1998/Math/MathML" id="M5"><mml:mrow><mml:mi>P</mml:mi><mml:mo>=</mml:mo><mml:mn>0.003</mml:mn></mml:mrow></mml:math>), and the number of preoperative appointments (chisquare; <mml:math xmlns:mml="http://www.w3.org/1998/Math/MathML" id="M6"><mml:mrow><mml:mi>P</mml:mi><mml:mo>=</mml:mo><mml:mn>0.04</mml:mn></mml:mrow></mml:math>). Most participants reported a maximum acceptable waiting period for initial appointment of less than 6 months but nearly half waited longer. <jats:italic>Conclusions.</jats:italic> The perception that patients are unhappy with elective surgery services in Australia may be unfounded despite many waiting longer than they consider appropriate.</jats:p>
  • Access State: Open Access