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Factors Influencing Patient Satisfaction in Plastic Surgery: A Nationwide Analysis

Chen, Kevin M.D.; Congiusta, Susan D.N.P., R.N.; Nash, Ira S. M.D.; Coppa, Gene F. M.D.; Smith, Mark L. M.D.; Kasabian, Armen K. M.D.; Thorne, Charles M.D.; Tanna, Neil M.D., M.B.A.

Plastic and Reconstructive Surgery: September 2018 - Volume 142 - Issue 3 - p 820-825
doi: 10.1097/PRS.0000000000004658
Plastic Surgery Focus: Special Topics
Press Release
Video Discussion

Background: Patient satisfaction surveys are an increasingly important part of health care, influencing the practice of physicians. Press Ganey has developed tools to assess physician and department performance that are used by 50 percent of hospitals in the United States and over 10,000 health care organizations. The authors sought to evaluate the factors that influence patient satisfaction in plastic surgery patients both locally and nationally.

Methods: A 24-item Press Ganey survey was distributed to patients of 686 participating plastic surgeons nationwide, including those at the authors’ home institution. The responses from January to December of 2016 were analyzed retrospectively with Pearson correlation coefficients. The items “likelihood to recommend provider” and “likelihood to recommend practice” were correlated to all other items of the survey, as these items have been shown to be surrogates for overall satisfaction.

Results: There were 411 survey responses from patients in the Northwell Health System and 36,836 responses from patients nationally. Items that were not well correlated (r < 0.5) with “likelihood to recommend practice” or “provider” were items such as wait time and courtesy of registration staff. The items that were best correlated (r > 0.8) with “likelihood to recommend practice” or “provider” were the patient’s confidence in the care provider and the provider’s concern for questions. All correlations were statistically significant (p < 0.001).

Conclusion: In an evolving patient centric culture, the patient’s confidence and trust of the provider is more important than perception of the provider’s office environment to maintaining patient loyalty and market share.

Video Discussion By Erika Sears, M.D., is Available Online for this Article.

New York, N.Y.

From the Division of Plastic and Reconstructive Surgery, Hofstra Northwell Health School of Medicine, Northwell Health.

Received for publication September 23, 2017; accepted March 21, 2018.

Presented at the 34th Annual Meeting of Northeastern Society of Plastic Surgeons, in Newport, Rhode Island, September 8 through 10, 2017; and Plastic Surgery The Meeting 2017, Annual Meeting of the American Society of Plastic Surgeons, in Orlando, Florida, October 6 through 10, 2017.

Disclosure:The authors have no financial interest to declare in relation to the content of this article.

Supplemental digital content is available for this article. A direct URL citation appears in the text; simply type the URL address into any Web browser to access this content. A clickable link to the material is provided in the HTML text of this article on the Journal’s website (

A Video Discussion by Erika Sears, M.D., accompanies this article. Go to and click on “Video Discussions” in the “Digital Media” tab to watch.

Neil Tanna, M.D., M.B.A., 130 East 77th Street, 10th Floor, New York, N.Y. 11042,

Copyright © 2018 by the American Society of Plastic Surgeons