Article

Patient satisfaction is an important patient-centered health outcome.
To date, no systematic review of the literature on patient satisfaction with
musculoskeletal physical therapy care has been conducted.
The purpose of
this study was to systematically and critically review the literature to
determine the degree of patient satisfaction with musculoskeletal physical
therapy care and factors associated with satisfaction. DATA SOURCES: The
databases CINAHL, MEDLINE, and EBM Reviews were searched from inception to
September 2009. STUDY SELECTION: Articles were included if the design was a
clinical trial, observational study, survey, or qualitative study; patient
satisfaction was evaluated; and the study related to the delivery of
musculoskeletal physical therapy services conducted in an outpatient setting. The
search located 3,790 citations. Fifteen studies met the inclusion criteria. DATA
EXTRACTION: Two authors extracted patient satisfaction data and details of each
study. DATA SYNTHESIS: A meta-analysis of patient satisfaction data from 7
studies was conducted. The pooled estimate of patient satisfaction was 4.44 (95%
confidence interval=4.41-4.46) on a scale of 1 to 5, where 5 indicates high
satisfaction and 1 indicates high dissatisfaction. Additional data were
summarized in tables and critically appraised. LIMITATIONS: Nonrespondent bias
from individual studies may affect the accuracy and representativeness of these
data. CONCLUSION: Patients are highly satisfied with musculoskeletal physical
therapy care delivered across outpatient settings in northern Europe, North
America, the United Kingdom, and Ireland. The interpersonal attributes of the
therapist and the process of care are key determinants of patient satisfaction.
An unexpected finding was that treatment outcome was infrequently and
inconsistently associated with patient satisfaction. Physical therapists can
enhance the quality of patient-centered care by understanding and optimizing
these determinants of patient satisfaction.

Langue : ANGLAIS