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Determinants of inpatient satisfaction: evidence from Switzerland

Stephan Tobler (Institute for Management and Economics in Health Care, Private University of Health Sciences Medical Informatics and Technology, Hall, Austria)
Harald Stummer (Institute for Management and Economics in Health Care, Private University of Health Sciences Medical Informatics and Technology, Hall, Austria) (Institute for Health Management and Innovation, University Seeburgcastle, Seekirchen am Wallersee, Austria)

International Journal of Health Care Quality Assurance

ISSN: 0952-6862

Article publication date: 22 December 2020

Issue publication date: 16 February 2021

360

Abstract

Purpose

A common way to handle quality problems and increasing costs of modern health care systems is more transparency through public reporting. Thereby, patient satisfaction is seen as one main reported outcome. Previous studies proposed several associated factors. Only a few of them included organizational determinants with potential to inform the health care provider's management. Therefore, the aim of this study was to investigate the influence of organizational contingency factors on patient satisfaction.

Design/methodology/approach

As a case, Switzerland's inpatient rehabilitation sector was used. Therein, a cross-sectional study of public released secondary data with an exploratory multiple linear regression (MLR) modeling approach was conducted.

Findings

Five significant influencing factors on patient satisfaction were found. They declared 42.2% of the variance in satisfaction on provider level. The organizations' supplementary insured patients, staff payment, outpatients, extracantonal patients and permanent resident population revealed significant correlations with patient satisfaction.

Research limitations/implications

Drawing on publicly available cross-sectional data, statistically no causality can be proved. However, integration of routine data and organization theory can be useful for further studies.

Practical implications

Regarding inpatient satisfaction, improvement levers for providers' managers are as follow: first, service provision should be customized to patients' needs, expectations and context; second, employees' salary should be adequate to prevent dissatisfaction; third, the main business should be prioritized to avoid frittering.

Originality/value

Former studies regarding public reporting are often atheoretical and rarely used organizational variables as determinants for relevant outcomes. Therefore, uniformed data are useful.

Keywords

Acknowledgements

The first author is member of two committees of quality at SNAQ. The conducted study was no assignment. The authors declare no conflicts of interest.

Citation

Tobler, S. and Stummer, H. (2021), "Determinants of inpatient satisfaction: evidence from Switzerland", International Journal of Health Care Quality Assurance, Vol. 34 No. 1, pp. 19-34. https://doi.org/10.1108/IJHCQA-03-2020-0044

Publisher

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Emerald Publishing Limited

Copyright © 2020, Emerald Publishing Limited

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