Patient Satisfaction in Academic Pain Management Centers: How Do We Compare?
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OTHER PAIN (N VADIVELU AND AD KAYE, SECTION EDITORS)
Patient Satisfaction in Academic Pain Management Centers: How Do We Compare? Joseph Charles Gonnella 3 & Alaa Abd-Elsayed 2 & Lynn Kohan 1 Accepted: 28 October 2020 # Springer Science+Business Media, LLC, part of Springer Nature 2020
Abstract Purpose of Review The aim of the study was to investigate patient satisfaction amongst academic pain management centers and associated factors. Recent Findings Approximately 25% of pain management centers perform better than other practices on Press Ganey surveys. The majority of respondents (96%) indicated that pain management practices were uniquely positioned to receive poorer scores on patient satisfaction surveys. The majority of respondents (20/26), who reported a reason, indicated that limiting opioid prescribing led to poor patient satisfaction scores. Eighty-three percent of respondents indicated that they received pressure from administrators to improve patient satisfaction scores. Summary The opioid epidemic in the USA must be addressed in order to diminish the senseless loss of life that is occurring in staggering numbers. The quality of care physicians provide has increasingly been assessed via patient satisfaction surveys. The results of these surveys often are utilized to provide financial incentives to physicians to obtain higher satisfaction scores. In the field of pain management, physicians may experience pressure to prescribe opioids in order to obtain higher patient satisfaction scores. Keywords Patient satisfaction . Opioid epidemic . Prescribing habits
Introduction In 2000, the Joint Commission and the Agency for Healthcare Research and Quality endorsed pain as “the fifth vital sign” in an attempt to tackle the nationwide problem of the undertreatment of pain [1]. The new standards and criteria for pain management essentially implied that patients should be pain free, leading to a drastic increase in opioid prescriptions. According to the Centers of Disease Control and Prevention, the use of prescription opioids has quadrupled since 1999, and the USA consumes more than 90% of the world’s opioids [2]. This article is part of the Topical Collection on Other Pain * Lynn Kohan [email protected] 1
Department of Anesthesiology, University of Virginia, 545 Ray C Hunt Drive Suite 3168, Charlottesville, VA 22908, USA
2
Department of Anesthesiology, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA
3
Sidney Kimmel Medical College–Thomas Jefferson University, PA Philadelphia, USA
While the Joint Commission has begun to revise its pain standards to address this current opioid epidemic, the fact remains that changing patients’ perceptions of pain and how it should be treated is much more challenging. One way to address this crisis is through education of the public and modifications to patient satisfaction surveys, which ultimately may be at the heart of the problem. Overall, physicians want what is best for their patients. This is why patient-centered care is at the forefront
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