Patient Satisfaction with Virtual Clinic Encounters: Analysis of Factors that Impact the Press Ganey Survey in the Hand Surgery Population

Miranda J Rogers; Matthew Belton; Dustin Randall; Minkyoung Yoo; Angela P Presson; Angela Wang; Nikolas H Kazmers

doi:10.1016/j.jhsg.2023.02.004

Patient Satisfaction with Virtual Clinic Encounters: Analysis of Factors that Impact the Press Ganey Survey in the Hand Surgery Population

J Hand Surg Glob Online. 2023 Mar 7;5(3):325-331. doi: 10.1016/j.jhsg.2023.02.004. eCollection 2023 May.

Authors

Miranda J Rogers¹, Matthew Belton¹, Dustin Randall¹, Minkyoung Yoo², Angela P Presson³, Angela Wang¹, Nikolas H Kazmers¹

Affiliations

¹ Department of Orthopaedic Surgery, University of Utah, Salt Lake City, UT.
² Department of Economics, University of Utah, Salt Lake City, UT.
³ Division of Public Health, University of Utah, Salt Lake City, UT.

Abstract

Purpose: Our purpose was to identify patient characteristics and visit components that affect patient satisfaction with virtual new patient visits in an outpatient hand surgery clinic as measured by the Press Ganey Outpatient Medical Practice Survey (PGOMPS) total score (primary outcome) and provider subscore (secondary outcome).

Methods: Adult patients evaluated through virtual new patient visits at a tertiary academic medical center between January 2020 and October 2020 who completed the PGOMPS for virtual visits were included. Data regarding demographics and visit characteristics were collected via chart review. Factors associated with satisfaction were identified using a Tobit regression model on the continuous score outcomes (Total Score and Provider Subscore) to account for substantial ceiling effects.

Results: A total of 95 patients were included: 54% were men and the mean age was 54 ± 16 years. Mean area deprivation index was 32 ± 18, and the mean driving distance to the clinic was 97 ± 188 mi. Common diagnoses include compressive neuropathy (21%), hand arthritis (19%), hand mass (12%), and fracture/dislocation (11%). Treatment recommendations included small joint injection (20%), in-person evaluation (25%), surgery (36%), and splinting (20%). Multivariable Tobit regressions showed notable differences in satisfaction by the provider on the Total Score but not on the Provider Subscore. Other factors known to affect the PGOMPS scores for in-person visits were not notably associated with the Total or Provider Sub-Scores for virtual visits (area deprivation index, age, and offer of surgery or injection) other than the body mass index.

Conclusions: Virtual clinic visit satisfaction was affected by the provider. Wait time strongly affects satisfaction with in-person visits but is not accounted for by the PGOMPS scoring system for virtual visits, which is a limitation of their survey. Further work is required to determine how to improve the patient experience with virtual visits.

Type of study/level of evidence: Prognostic IV.

Keywords: Patient factors; Patient satisfaction; Press Ganey; Virtual visits.