PMID- 31408490
OWN - NLM
STAT- MEDLINE
DCOM- 20200302
LR  - 20200302
IS  - 1932-6203 (Electronic)
IS  - 1932-6203 (Linking)
VI  - 14
IP  - 8
DP  - 2019
TI  - Comparing patients and families perceptions of satisfaction and predictors of 
      overall satisfaction in the emergency department.
PG  - e0221087
LID - 10.1371/journal.pone.0221087 [doi]
LID - e0221087
AB  - STUDY OBJECTIVE: The aim of the study was to investigate factors that best 
      predict patient's satisfaction with their ED visit, as well as examine whether 
      patients and their families perceived the factors related to satisfaction 
      similarly. METHODS: This is a retrospective study where secondary data analysis 
      was done on patient satisfaction data collected over three quarters for quality 
      improvement purposes. Exploratory factor analysis (EFA) was conducted on the data 
      from the first quarter to identify the factor structure, followed by confirmatory 
      factor analysis (CFA) on the rest of the data to confirm the EFA factor 
      structure. A structural equation model (SEM) was fitted where the factors 
      predicted overall satisfaction with the ED visit. Finally, measurement invariance 
      was conducted to examine if patients and families perceived the factors related 
      to ED services alike. RESULTS: Two factors were found to be predictive of 
      satisfaction: clinical team and system processes. The SEM showed that system 
      process was a statistically significant predictor of overall satisfaction, while 
      clinical team predicted overall satisfaction to a smaller extent. Multi-group CFA 
      showed that the factor structure fitted neither family nor patient groups 
      adequately. The instrument did not exhibit partial invariance. CONCLUSION: This 
      study found that system process was the best predictor of overall satisfaction. 
      Furthermore, this study showed that the same instrument might not reliably 
      compare the perceptions of patients and families.
FAU - Natesan, Prathiba
AU  - Natesan P
AD  - Department of Educational Psychology, University of North Texas, Denton, Texas, 
      United States of America.
FAU - Hadid, Dima
AU  - Hadid D
AD  - Department of Emergency Medicine, American University of Beirut, Beirut, Lebanon.
FAU - Harb, Yara Abou
AU  - Harb YA
AD  - Patient Affairs Office, American University of Beirut, Beirut, Lebanon.
FAU - Hitti, Eveline
AU  - Hitti E
AUID- ORCID: 0000-0001-9576-895X
AD  - Department of Emergency Medicine, American University of Beirut, Beirut, Lebanon.
LA  - eng
PT  - Clinical Trial
PT  - Comparative Study
PT  - Journal Article
DEP - 20190813
PL  - United States
TA  - PLoS One
JT  - PloS one
JID - 101285081
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - *Emergency Medical Services
MH  - *Emergency Service, Hospital
MH  - Female
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - *Patient Satisfaction
MH  - *Quality Improvement
MH  - Retrospective Studies
PMC - PMC6692004
COIS- The authors have declared that no competing interests exist.
EDAT- 2019/08/14 06:00
MHDA- 2020/03/03 06:00
PMCR- 2019/08/13
CRDT- 2019/08/14 06:00
PHST- 2018/09/06 00:00 [received]
PHST- 2019/07/30 00:00 [accepted]
PHST- 2019/08/14 06:00 [entrez]
PHST- 2019/08/14 06:00 [pubmed]
PHST- 2020/03/03 06:00 [medline]
PHST- 2019/08/13 00:00 [pmc-release]
AID - PONE-D-18-26177 [pii]
AID - 10.1371/journal.pone.0221087 [doi]
PST - epublish
SO  - PLoS One. 2019 Aug 13;14(8):e0221087. doi: 10.1371/journal.pone.0221087. 
      eCollection 2019.