The impact of the resident duty hour regulations on surgical patients’ perceptions of care

Implementation of the 2003 Accreditation Council for Graduate Medical Education (ACGME) resident duty-hour regulations and access to publicly reported patient satisfaction measures have challenged administrators and clinicians to balance resident’s educational experience, patient care quality, and p...

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Autores principales:	Shital Shah, Mary Katherine Krause, Francis Fullam, Susan Vanderberg-Dent, Amie Solber
Formato:	article
Lenguaje:	EN
Publicado:	The Beryl Institute 2014
Materias:	acgme resident duty hour regulations patient perceptions patient satisfaction physician-patient interactions Medicine (General) R5-920 Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/673c0fc766ca41fc90a891cef5291243
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spelling	oai:doaj.org-article:673c0fc766ca41fc90a891cef52912432021-11-15T03:34:04ZThe impact of the resident duty hour regulations on surgical patients’ perceptions of care2372-0247https://doaj.org/article/673c0fc766ca41fc90a891cef52912432014-04-01T00:00:00Zhttps://pxjournal.org/journal/vol1/iss1/12https://doaj.org/toc/2372-0247Implementation of the 2003 Accreditation Council for Graduate Medical Education (ACGME) resident duty-hour regulations and access to publicly reported patient satisfaction measures have challenged administrators and clinicians to balance resident’s educational experience, patient care quality, and patients’ satisfaction and perceptions. A pre-post retrospective study design investigated association between implementation of ACGME regulations and patient satisfaction/perceptions using multinomial logistic regressions. The sample consisted of all surgical inpatients (July 2001 – June 2005), who responded to surveys at an academic medical center. Patients gave lower ratings for physician interactions (patient-physician interaction time, clinical updates, and courtesy) following the implementation of post-duty hour regulations. While the odds of patients rating <em>“below good” </em>post-implementation for physician survey questions (i.e., related to time spent, kept informed, and friendliness/ courtesy) were higher (i.e., 1.25 to 1.3) as compared to odds of rating “<em>very good</em>”, the overall rating of quality care improved post-implementation. This difference could be due to increased interaction of patients with other hospital personnel. To improve patient satisfactions and in turn their perceptions, initiatives such as workload balancing, hand-off protocols, patient communication, and interactive training for care providers are recommended. Finally, residency programs and institutions need to develop strategies for implementation of current and future ACGME duty hour regulations so as to balance patient safety, patient perceptions, and resident well-being.Shital ShahMary Katherine KrauseFrancis FullamSusan Vanderberg-DentAmie SolberThe Beryl Institutearticleacgme resident duty hour regulationspatient perceptionspatient satisfactionphysician-patient interactionsMedicine (General)R5-920Public aspects of medicineRA1-1270ENPatient Experience Journal, Vol 1, Iss 1 (2014)
institution	DOAJ
collection	DOAJ
language	EN
topic	acgme resident duty hour regulations patient perceptions patient satisfaction physician-patient interactions Medicine (General) R5-920 Public aspects of medicine RA1-1270
spellingShingle	acgme resident duty hour regulations patient perceptions patient satisfaction physician-patient interactions Medicine (General) R5-920 Public aspects of medicine RA1-1270 Shital Shah Mary Katherine Krause Francis Fullam Susan Vanderberg-Dent Amie Solber The impact of the resident duty hour regulations on surgical patients’ perceptions of care
description	Implementation of the 2003 Accreditation Council for Graduate Medical Education (ACGME) resident duty-hour regulations and access to publicly reported patient satisfaction measures have challenged administrators and clinicians to balance resident’s educational experience, patient care quality, and patients’ satisfaction and perceptions. A pre-post retrospective study design investigated association between implementation of ACGME regulations and patient satisfaction/perceptions using multinomial logistic regressions. The sample consisted of all surgical inpatients (July 2001 – June 2005), who responded to surveys at an academic medical center. Patients gave lower ratings for physician interactions (patient-physician interaction time, clinical updates, and courtesy) following the implementation of post-duty hour regulations. While the odds of patients rating <em>“below good” </em>post-implementation for physician survey questions (i.e., related to time spent, kept informed, and friendliness/ courtesy) were higher (i.e., 1.25 to 1.3) as compared to odds of rating “<em>very good</em>”, the overall rating of quality care improved post-implementation. This difference could be due to increased interaction of patients with other hospital personnel. To improve patient satisfactions and in turn their perceptions, initiatives such as workload balancing, hand-off protocols, patient communication, and interactive training for care providers are recommended. Finally, residency programs and institutions need to develop strategies for implementation of current and future ACGME duty hour regulations so as to balance patient safety, patient perceptions, and resident well-being.
format	article
author	Shital Shah Mary Katherine Krause Francis Fullam Susan Vanderberg-Dent Amie Solber
author_facet	Shital Shah Mary Katherine Krause Francis Fullam Susan Vanderberg-Dent Amie Solber
author_sort	Shital Shah
title	The impact of the resident duty hour regulations on surgical patients’ perceptions of care
title_short	The impact of the resident duty hour regulations on surgical patients’ perceptions of care
title_full	The impact of the resident duty hour regulations on surgical patients’ perceptions of care
title_fullStr	The impact of the resident duty hour regulations on surgical patients’ perceptions of care
title_full_unstemmed	The impact of the resident duty hour regulations on surgical patients’ perceptions of care
title_sort	impact of the resident duty hour regulations on surgical patients’ perceptions of care
publisher	The Beryl Institute
publishDate	2014
url	https://doaj.org/article/673c0fc766ca41fc90a891cef5291243
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The impact of the resident duty hour regulations on surgical patients’ perceptions of care

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