Published ahead of print on July 19, 2002, doi:10.1164/rccm.200203-231OC
Am. J. Respir. Crit. Care Med., Volume 166, Number 10, November 2002, 1326-1331
A more recent version of this article appeared on November 15, 2002
Submitted on March 22, 2002
Accepted on July 18, 2002
Patient Satisfaction With Bronchoscopy
Noah Lechtzin1*, Haya R Rubin1, Peter White2, Mollie Jenckes1, and Gregory B Diette1
1 Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA,
2 Medicine, University of Arkansas for Medical Sciences, Little Rock, AR, USA
* To whom correspondence should be addressed. E-mail: nlechtz{at}mail.jhmi.edu.
We conducted a cohort study to characterize patient satisfaction with flexible bronchoscopy (FB) and determine patient characteristics, care factors and patient evaluations of bronchoscopy that are associated with a patient's willingness to return for repeat FB. Physicians and patients completed surveys between 2/97 and 6/98. Data from 481 patients were analyzed. Over 80% of patients rated physicians as very good or excellent but they were least satisfied with the information they were provided about FB, waiting time before and after FB and the FB environment. 71% of patients would definitely return and 22% would probably return for a repeat FB. Better health status (OR 1.4; 1.1-1.7), not being bothered by scope insertion (OR 2.0; 1.2-3.3), better rating of information quality (OR 1.2; 1.0-1.3), and better rating of physician quality (1.1; 1.0-1.2) were associated with patients reporting they would definitely return for a repeat FB. While patient satisfaction with providers is high there are specific patient and process of care factors that should be improved. Sicker patients may be at risk of dissatisfaction with FB. Process of care measures that could improve satisfaction with FB include providing better information to patients and optimizing the experience of bronchoscope insertion.
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