Abstract
Background and Objectives
Previous studies have demonstrated associations between patient experience scores
and physician's demographic characteristics such as gender and race. There is a paucity
of data, however, on the effect of broader pediatrician characteristics on caregivers’
experience of their children's care. This study assessed pediatric caregiver experience
of care ratings within a children's hospital and examined the effects of pediatricians’
interpersonal and personality traits on caregiver experience ratings.
Methods
This cross-sectional study included caregivers of children under 18 years old (n = 26,703)
and physicians within children's hospital system (n = 65). Caregivers of children
who received care from 2017 to 2019 provided their rating (0–10) of care experience
via the standardized National Research Corporation Health Survey. Top box provider
ratings were used for analyses. Physician's interpersonal and personality data were
collected. Multilevel logistic regression analyses were used to examine the effects
of physician interpersonal characteristics (empathy, compassion) and personality (perfectionism,
Big Five personality traits [openness, conscientiousness, extraversion, agreeableness,
neuroticism]) on experience of care rating.
Results
The odds of caregivers of Spanish-speaking children to provide a high physician rating
were 75% higher than the odds for non-Spanish-speaking patients. At the physician
level, lower agreeableness (odds ratio [OR] = 0.63, P = .002), and lower narcissistic perfectionism (OR = 0.98, P = .016) were associated with an increased likelihood of a high care experience rating.
The odds of nonemergency medicine pediatricians receiving high ratings were approximately
4.17 times higher than that of EM pediatricians.
Conclusions
Current results may inform future interventions that address pediatrician personality
characteristics associated with caregivers of children experience outcomes.
Keywords
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References
- Patient satisfaction and quality of surgical care in US hospitals.Ann Surg. 2015; 261: 2-8
- A systematic review of evidence on the links between patient experience and clinical safety and effectiveness.BMJ Open. 2013; 3e001570
- Development of a new patient-based measure of pediatric ambulatory care.Pediatrics. 2009; 124: 1348-1354
- Measuring patient and family experiences of health care for children.Acad Pediatr. 2011; 11: S59-S67
- Differences in CAHPS reports and ratings of health care provided to adults and children.Med Care. 2012; 50: S35
- Patients’ perception of hospital care in the United States.N Engl J Med. 2008; 359: 1921-1931
- Primer on adult patient satisfaction in perioperative settings.Perioper Med. 2019; 8: 1-13
- Measuring satisfaction and anesthesia related outcomes in a surgical day care center: a three-year single-center observational study.J Clin Anesth. 2017; 43: 15-23
- Factors impacting parental and child satisfaction in the perioperative setting.Pediatr Anesth. 2021; 31: 932-943
- Racial and ethnic differences in parents’ assessments of pediatric care in Medicaid managed care.Health Serv Res. 2001; 36: 575-594
- Association of demographics and hospital stay characteristics with patient experience in hospitalized pediatric patients.J Patient Exp. 2020; 7: 1077-1085
- Relationship between patient satisfaction and physician characteristics.J Patient Exp. 2017; 4: 177-184
- Patient sociodemographic characteristics as predictors of satisfaction with medical care: a meta-analysis.Soc Sci Med 1982. 1990; 30: 811-818
- Medical specialty choice and well-being at work: physician's personality as a moderator.Arch Environ Occup Health. 2019; 74: 115-129
- Personality factors and medical training: a review of the literature.Med Educ. 2011; 45: 132-140
- Short and extra-short forms of the Big Five Inventory–2: the BFI-2-S and BFI-2-XS.J Res Personal. 2017; 68: 69-81
- Influences on patients’ ratings of physicians: physicians demographics and personality.Patient Educ Couns. 2007; 65: 270-274
- Congeniality: understanding the importance of surgeons’ nontechnical skills through 360°feedback.J Surg Educ. 2018; 75: 984-992
- Association between emergency physician self-reported empathy and patient satisfaction.PLoS One. 2018; 13e0204113
- Patient-rated physician empathy and patient satisfaction during pain clinic consultations.Ir J Med Sci. 2019; 188: 1379-1384
- Perfectionism in doctors.BMJ. 2012; 344: e1674
- Sample size considerations in prevention research applications of multilevel modeling and structural equation modeling.Prev Sci. 2015; 16: 987-996
- The big three perfectionism scale: a new measure of perfectionism.J Psychoeduc Assess. 2016; 34: 670-687
- The Jefferson scale of empathy: a nationwide study of measurement properties, underlying components, latent variable structure, and national norms in medical students.Adv Health Sci Educ. 2018; 23: 899-920
Hacker T. The Relational Compassion Scale: development and validation of a new self-rated scale for the assessment of self-other compassion. DClinPsy. University of Glasgow; 2008. Available at: https://eleanor.lib.gla.ac.uk/record=b2702336. Accessed April 29, 2021.
- What is compassion and how can we measure it? A review of definitions and measures.Clin Psychol Rev. 2016; 47: 15-27
- The geographic distribution of Big Five personality traits: patterns and profiles of human self-description across 56 nations.J Cross-Cult Psychol. 2007; 38: 173-212
- The Big-Five Trait Taxonomy: History, Measurement, and Theoretical Perspectives.Guilford Press, 2nd ed. (Pervin L, John O, eds.)1999
Centers for Medicare & Medicaid Services (CMS). HCAHPS Tables on HCAHPS Online. Available at: http://www.hcahpsonline.org/en/summary-analyses/, Accessed June 9, 2021.
Orange County Children's Partnership. The 26th Annual Report on the Conditions of Children in Orange County; 2020.
- Beyond burnout: looking deeply into physician distress.Can J Ophthalmol. 2020; 55: 7-16
- Medicine's shame problem.J Emerg Med. 2019; 57: 329-338
- Multidimensional perfectionism and burnout: a meta-analysis.Personal Soc Psychol Rev. 2016; 20: 269-288
- Addressing physician burnout the way forward.JAMA J Am Med Assoc. 2017; 317: 901-902
- Stability and change of personality across the life course: The impact of age and major life events on mean-level and rank-order stability of the big five.J Pers Soc Psychol. 2011; 101: 862-882
- Future directions in personality, occupational and medical selection: myths, misunderstandings, measurement, and suggestions.Adv Health Sci Educ. 2017; 22: 387-399
- Personality and medical specialty choice: a literature review and integration.J Career Assess. 2002; 10: 362-380
- Measurement of perceived physician empathy in orthopedic patients.J Patient Exp. 2020; 7: 600-606
- Physician empathy and listening: associations with patient satisfaction and autonomy.J Am Board Fam Med. 2011; 24: 665-672
- A comprehensive view of parental satisfaction with pediatric emergency department visits.Ann Emerg Med. 2013; 62: 340-350
- Patient satisfaction in the emergency department: a review of the literature and implications for practice.J Emerg Med. 2004; 26: 13-26
- Keys to improving patient satisfaction in the pediatric urology clinic: a starting point.J Pediatr Urol. 2020; 16: 377-383
- The effects of language concordant care on patient satisfaction and clinical understanding for Hispanic pediatric surgery patients.J Pediatr Surg. 2015; 50: 1586-1589
- Are caregivers who respond to the child HCAHPS survey reflective of all hospitalized pediatric patients?.Hosp Pediatr. 2019; 9: 162-169
- Evidence of selection bias and non-response bias in patient satisfaction surveys.Iowa Orthop J. 2019; 39: 195-201
Article info
Publication history
Published online: June 26, 2022
Accepted:
June 20,
2022
Received:
January 13,
2022
Footnotes
Conflict of Interest: Dr Zeev N. Kain serves as a consultant for Edwards Lifesciences and Pacira and is the President of the American College of Perioperative Medicine. All other authors have no conflicts of interest to report.
Identification
Copyright
Copyright © 2022 by Academic Pediatric Association
