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The authors determined the feasibility of using a single mailing, anonymous postal …


Biology Articles » Medicine » Emergency Medicine » Postal survey methodology to assess patient satisfaction in a suburban emergency medical services system: an observational study

Abstract
- Postal survey methodology to assess patient satisfaction in a suburban emergency medical services system: an observational study

Postal survey methodology to assess patient satisfaction in a suburban emergency medical services system: an observational study

Aaron W Bernard1, Christopher J Lindsell1, Daniel A Handel2, Lindsey Collett3, Paul Gallo3, Kevin D Kaiser and Donald Locasto1

1Department of Emergency Medicine, University of Cincinnati College of Medicine, Cincinnati, Ohio, USA
2Center for Policy and Research in Emergency Medicine, Oregon Health and Sciences University, Portland, Oregon, USA
3City of Reading Fire Department, Reading, Ohio, USA

Background

Patient satisfaction is of growing importance to providers of emergency medical services (EMS). Prior reports of patient satisfaction have frequently used resource-intensive telephone follow-up to assess satisfaction. We determine the feasibility of using a single mailing, anonymous postal survey methodology for collecting patient satisfaction data from a suburban EMS system.

Methods

Patients transported between January 2001 and December 2004 were mailed a brief satisfaction questionnaire. The questionnaire was printed on a pre-addressed, postage paid postcard and consisted of five questions that used a five-point Likert scale to assess satisfaction with EMS personnel and services provided. Three open-ended questions assessed concerns, the most important service provided, and methods for improving service. Survey response rate was the primary outcome of interest. The Chi-square test was used to compare rates between years.

Results

The survey required about 6 man hours and cost about $70 per month. Overall response rate was 32.0% (857/2764; 95CI 30.3% – 33.9%). During the first year, response rate was 42.6% (95CI 38.5% – 46.8%), but was significantly lower in subsequent years (29.0% in year 2, 30.8% in year 3, and 27.6% in year 4, p

Conclusion

Postal surveys for assessing patient satisfaction following EMS transport can achieve comparable response rates to similar surveys in other health care settings. Response rates did not decline after the second year of patient surveys, suggesting some stability after the initial year. Interpersonal communication was determined to be the single most important contributor to patient satisfaction.

 


BMC Emergency Medicine 2007, 7:5. This is an Open Access article distributed under the terms of the Creative Commons Attribution License.

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