SynthesisBMJ quality & safety2017
Interventions to improve hospital patient satisfaction with healthcare providers and systems: a systematic review.
Synthesis in BMJ quality & safety, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 57 papers, 2 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
57 citing papers in PubMed, 2 syntheses or guidelines pooled it, 124 citations in OpenAlex.
- Differences in Cancer Patient Experience by Race, Ethnicity, and Preferred Language: A Systematic Review.Cancer medicine · 2026Pooled it
- Pooled it
- Trial
- Decision regret and patient satisfaction after TURP and Rezūm™ for benign prostatic obstruction: a retrospective comparative cohort study.World journal of urology · 2026Article
- Impact of a Physician Communication Development Program on Patient Experience Scores.Journal of patient experience · 2026Article
- What Drives Trust and Satisfaction in Health Welfare Social Cooperatives?Healthcare (Basel, Switzerland) · 2025Article
- Patient satisfaction: A feature of quality metrics within the inpatient healthcare system - A narrative review.Journal of family medicine and primary care · 2025Review
- Back-to-Basics Hospital-Wide Training Improves Inpatient Pediatric Care Experiences.Hospital pediatrics · 2025Article
- Patients' Experience with Received Healthcare in Internal Medicine and Surgery Wards of Slovenian Hospitals-A Cross-Sectional Survey.Zdravstveno varstvo · 2025Article
- Improving Patient Experience in Healthcare.Journal of Brown hospital medicine · 2025Review
- Outpatient Process Transformation and Patient Satisfaction Under New Public Service Theory.Patient preference and adherence · 2025Article
- Unveiling the drivers of patient satisfaction in the United States hospitals: Assessing quality indicators across regions.PloS one · 2025Article
- Article
- Differential Effect of Patient- and Provider-Level Factors on Patient Satisfaction Scores in Academic General Internal Medicine Clinics.Journal of general internal medicine · 2024Article
- The Impact of Patient-Physician Racial and Gender Concordance on Patient Satisfaction with Outpatient Clinic Visits.Journal of racial and ethnic health disparities · 2024Article
- Exploring Inpatients' Perspective: A Cross-Sectional Survey on Satisfaction and Experiences in Greek Hospitals.Healthcare (Basel, Switzerland) · 2024Article
- Rurality and patients' hospital experience: A multisite analysis from a US healthcare system.PloS one · 2024Article
- Rural patients' satisfaction with humanistic nursing care in Chinese Public Tertiary Hospitals: a national cross-sectional study.Frontiers in public health · 2024Article
- National surveys of patient experiences with addiction services in Norway: do employees use the results in quality initiatives and are results improving over time?Frontiers in health services · 2024Article
- An evaluation of outpatient satisfaction based on the national standard questionnaire: a satisfaction survey conducted in a tertiary hospital in Shenyang, China.Frontiers in public health · 2024Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
11 authors at 4 institutions in 1 country.
Funding
Abstract
backgroundMany hospital systems seek to improve patient satisfaction as assessed by the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) surveys. A systematic review of the current experimental evidence could inform these efforts and does not yet exist.
methodsWe conducted a systematic review of the literature by searching electronic databases, including MEDLINE and EMBASE, the six databases of the Cochrane Library and grey literature databases. We included studies involving hospital patients with interventions targeting at least 1 of the 11 HCAHPS domains, and that met our quality filter score on the 27-item Downs and Black coding scale. We calculated post hoc power when appropriate.
resultsA total of 59 studies met inclusion criteria, out of these 44 did not meet the quality filter of 50% (average quality rating 27.8%±10.9%). Of the 15 studies that met the quality filter (average quality rating 67.3%±10.7%), 8 targeted the Communication with Doctors HCAHPS domain, 6 targeted Overall Hospital Rating, 5 targeted Communication with Nurses, 5 targeted Pain Management, 5 targeted Communication about Medicines, 5 targeted Recommend the Hospital, 3 targeted Quietness of the Hospital Environment, 3 targeted Cleanliness of the Hospital Environment and 3 targeted Discharge Information. Significant HCAHPS improvements were reported by eight interventions, but their generalisability may be limited by narrowly focused patient populations, heterogeneity of approach and other methodological concerns.
conclusionsAlthough there are a few studies that show some improvement in HCAHPS score through various interventions, we conclude that more rigorous research is needed to identify effective and generalisable interventions to improve patient satisfaction.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.