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. 2020 May 1;27(6):867–876. doi: 10.1093/jamia/ocaa026

Table 2.

Change in top box% patient satisfaction (top box% after switch – top box% before switch)

Change in top box% patient satisfaction by domains and individual questions (99% CI)a
Satisfaction domain Northwest Wisconsin Southwest Wisconsin Southwest Minnesota Southeast Minnesota Arizona Florida
Overall (24 individual question responses combined) −4.5 (−5.8 to -3.2) −3.7 (−5.5 to -2.0) −4.4 (−6.5 to -2.2) −3.6 (−4.9 to -2.3) −2.9 (−4.0 to -1.7) −1.2 (−2.1 to -0.3)
Access (4 individual question responses below combined) −8.8 (−11.2 to -6.4) −8.3 (−11.0 to -5.6) −7.7 (−10.7 to -4.7) −6.9 (−8.5 to -5.3) −8.5 (−10.2 to -6.8) −3.4 (−4.8 to -1.9)
Convenience of our office hours −8.7 (−11.4 to -6.0) −7.7 (−10.4 to -4.9) −6.6 (−10.2 to -3.1) −5.5 (−7.3 to -3.7) −5.2 (−6.8 to -3.7) −2.1 (−3.7 to -0.5)
Courtesy of registration staff −5.0 (−6.8 to -3.1) −4.1 (−6.4 to -1.9) −5.4 (−8.2 to -2.6) −4.5 (−6.0 to -3.0) −3.4 (−4.6 to -2.2) −0.6 (−1.8 to 0.6)
Ease of getting clinic on phone −11.9 (−14.8 to -9.0) −12.4 (−16.1 to -8.6) −10.6 (−14.4 to -6.7) −9.9 (−12.1 to -7.7) −14.9 (−17.6 to -12.2) −5.4 (−7.2 to -3.6)
Ease of scheduling appointments −9.8 (−12.9 to -6.7) −8.9 (−12.1 to -5.7) −8.2 (−11.6 to -4.7) −7.6 (−9.7 to -5.6) −10.9 (−13.3 to -8.6) −5.4 (−7.2 to -3.5)
CP (10 individual question responses below combined) −2.3 (−3.6 to -0.9) −2.5 (−4.3 to -0.6) −2.8 (−4.9 to -0.7) −2.0 (−3.4 to -0.5) −0.6 (−1.8 to 0.6) −0.5 (−1.4 to 0.4)
CP concern for questions/worries −2.6 (−4.3 to -1.0) −3.0 (−5.0 to -1.0) −3.7 (−6.2 to -1.3) −2.1 (−3.6 to -0.6) −0.4 (−1.8 to 0.9) −0.3 (−1.4 to 0.8)
CP efforts to include in decisions −1.8 (−3.3 to -0.2) −2.3 (−4.4 to -0.3) −3.0 (−5.4 to -0.5) −2.1 (−3.8 to -0.5) −0.9 (−2.2 to 0.4) −0.5 (−1.7 to 0.7)
CP explanations of prob/condition −2.3 (−3.9 to -0.8) −2.9 (−5.0 to -0.7) −3.4 (−5.9 to -1.0) −1.8 (−3.5 to 0.0) −0.7 (−1.9 to 0.5) −0.3 (−1.4 to 0.8)
CP information about medications −2.3 (−4.0 to -0.6) −2.7 (−5.0 to -0.3) −3.4 (−6.1 to -0.7) −2.4 (−4.2 to -0.6) −0.7 (−2.2 to 0.8) −0.7 (−1.9 to 0.5)
CP instructions for follow-up care −3.0 (−4.8 to -1.3) −2.8 (−5.1 to -0.5) −3.8 (−6.3 to -1.3) −2.3 (−4.1 to -0.6) −1.5 (−2.9 to -0.2) −1.0 (−2.2 to 0.2)
CP spoke using clear language −2.1 (−3.5 to -0.6) −2.1 (−4.2 to 0.0) −2.3 (−4.6 to 0.0) −1.9 (−3.5 to -0.4) −0.3 (−1.5 to 0.9) −1.0 (−2.2 to 0.2)
Friendliness/courtesy of CP −2.1 (−3.4 to -0.8) −2.7 (−4.8 to -0.6) −1.9 (−4.2 to 0.4) −1.5 (−2.8 to -0.3) 0.1 (−1.0 to 1.3) −0.1 (−1.1 to 0.8)
Likelihood of recommending CP −2.1 (−3.8 to -0.5) −2.3 (−4.2 to -0.3) −2.6 (−5.1 to -0.1) −1.8 (−3.3 to -0.3) −0.6 (−1.8 to 0.6) −0.2 (−1.2 to 0.8)
Patients' confidence in CP −1.6 (−3.1 to -0.1) −1.8 (−3.9 to 0.3) −2.0 (−4.3 to 0.3) −1.6 (−3.1 to -0.1) −0.3 (−1.5 to 0.9) −0.5 (−1.5 to 0.6)
Time CP spent with patient −3.1 (−4.8 to -1.4) −2.4 (−4.9 to 0.1) −3.3 (−5.7 to -0.9) −2.8 (−4.4 to -1.3) −0.9 (−2.3 to 0.5) −0.8 (−1.9 to 0.2)
Moving through your visit (2 individual question responses below combined) −8.4 (−10.8 to -6.0) −8.0 (−11.0 to -4.9) −9.1 (−12.2 to -5.9) −6.9 (−8.9 to -4.8) −6.6 (−8.6 to -4.6) −3.4 (−5.0 to -1.8)
Information about delays −9.1 (−11.8 to -6.4) −7.0 (−10.2 to -3.8) −9.7 (−13.4 to -5.9) −6.8 (−9.0 to -4.7) −6.9 (−9.2 to -4.7) −3.8 (−5.6 to -2.0)
Wait time at clinic −7.9 (−10.3 to -5.4) −8.5 (−11.7 to -5.4) −8.4 (−11.7 to -5.2) −6.8 (−9.0 to -4.7) −6.3 (−8.4 to -4.3) −3.0 (−4.6 to -1.4)
Nurse/assistant (2 individual question responses below combined) −4.1 (−5.5 to -2.7) −2.8 (−4.7 to -1.0) −3.2 (−5.7 to -0.8) −3.4 (−5.1 to -1.6) −1.9 (−3.2 to -0.6) −0.2 (−1.3 to 0.9)
Concern of nurse/assistant for problem −4.7 (−6.3 to -3.0) −2.8 (−4.9 to -0.7) −3.6 (−6.4 to -0.9) −3.4 (−5.2 to -1.5) −2.2 (−3.8 to -0.6) −0.4 (−1.7 to 0.9)
Friendliness/courtesy of nurse/assistant −3.5 (−5.0 to -2.1) −2.9 (−4.9 to -0.8) −2.9 (−5.5 to -0.4) −3.3 (−5.2 to -1.5) −1.6 (−2.8 to -0.4) 0.0 (−1.0 to 1.0)
Practice assessment (2 individual question responses below combined) −5.0 (−6.5 to -3.4) −3.7 (−5.6 to -1.7) −4.1 (−6.8 to -1.5) −4.4 (−6.1 to -2.7) −2.2 (−3.5 to -0.9) −0.9 (−2.0 to 0.2)
Likelihood of recommending practice −4.7 (−6.4 to -3.1) −3.9 (−6.0 to -1.8) −4.0 (−6.7 to -1.3) −4.5 (−6.3 to -2.6) −2.0 (−3.2 to -0.8) −0.6 (−1.8 to 0.5)
Staff worked together −5.3 (−6.9 to -3.6) −3.4 (−5.5 to -1.3) −4.2 (−7.1 to -1.3) −4.3 (−6.1 to -2.5) −2.4 (−4.0 to -0.8) −1.1 (−2.3 to 0.1)
Personal issues (4 responses below combined) −3.5 (−4.8 to -2.2) −2.3 (−4.0 to -0.6) −4.2 (−6.5 to -1.9) −2.5 (−4.0 to -1.0) −1.9 (−3.0 to -0.7) −0.6 (−1.6 to 0.3)
Cleanliness of our practice −3.1 (−4.7 to -1.4) −1.9 (−3.9 to 0.1) −3.8 (−6.2 to -1.5) −2.6 (−4.1 to -1.1) −1.2 (−2.1 to -0.2) −0.6 (−1.6 to 0.3)
How well staff protect safety −3.9 (−5.5 to -2.3) −1.9 (−3.6 to -0.2) −3.6 (−6.2 to -1.0) −2.9 (−4.7 to -1.2) −2.0 (−3.2 to -0.8) −0.8 (−2.0 to 0.4)
Our concern for patients' privacy −2.9 (−4.3 to -1.4) −2.6 (−4.5 to -0.7) −4.6 (−7.1 to -2.2) −2.5 (−4.1 to -0.9) −1.9 (−3.3 to -0.6) −0.8 (−1.8 to 0.2)
Our sensitivity to patients' needs −4.1 (−5.6 to -2.6) −2.8 (−4.8 to -0.8) −4.6 (−7.2 to -2.0) −2.9 (−4.5 to -1.3) −1.9 (−3.3 to -0.5) −0.9 (−2.1 to 0.4)

Calculated from linear regression estimates from the best fit piecewise regressions before and after go-live.

CI: confidence interval; CP: care provider.

a

Difference measured between linear regression mid-confidence estimate before and after go-live.