What Determinants Affect Inpatient Satisfaction in a Post-Acute Care Rehabilitation Hospital?

Published:August 28, 2022DOI:



      To examine how specific hospital service domains (personal issues domain, discharge domain, rehabilitation doctor domain, nursing domain, physical therapist domain, occupational therapist domain, and food domain) influence final patient satisfaction scores, the overall quality of care, and willingness to recommend the hospital to others among patients in an inpatient rehabilitation hospital.


      Longitudinal study.


      Patient-level data from electronic medical records were joined with Press Ganey ( satisfaction data for a single post-acute care inpatient rehabilitation facility in northeast Florida.


      Patients who participated in the inpatient rehabilitation survey (N=4,785).


      Not applicable.

      Main Outcome Measures

      Main outcome measures included final patient satisfaction scores, overall rating of care during the stay, and willingness to recommend the hospital to others.


      This study found the personal issues domain to be the most important factor in determining the final patient satisfaction score, overall rating of care, and likelihood to recommend the hospital to others, followed by the physical therapist, nurse, discharge, and food domains (P<.0001). Within the personal issues domain score, staff promptness and explanation upon arrival were areas identified as opportunities to make improvements that would result in the greatest positive effect.


      This work represents novel findings by investigating the major determinants of positive patient experience in a rehabilitation hospital setting. These findings provide actionable information to improve patient experience as well as where to focus improvement efforts using limited resources.


      List of abbreviations:

      OT (occupational therapist), PG (Press Ganey), PT (physical therapist)
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        • Elliott MN
        • Lehrman WG
        • Goldstein E
        • Hambarsoomian K
        • Beckett MK
        • Giordano LA.
        Do hospitals rank differently on HCAHPS for different patient subgroups?.
        Med Care Res Rev. 2010; 67: 56-73
        • Deutsch A
        • Heinemann AW
        • Cook KF
        • et al.
        Inpatient rehabilitation quality of care from the patient's perspective: effect of data collection timing and patient characteristics.
        Arch Phys Med Rehabil. 2019; 100: 1032-1041
        • Park S
        • Xu J
        • Smith FS
        • Otani K.
        What factors affect patient perceptions on their hospital experience?.
        Hosp Top. 2020; 98: 127-134
        • Otani K
        • Waterman B
        • Faulkner KM
        • Boslaugh S
        • Dunagan WC.
        How patient reactions to hospital care attributes affect the evaluation of overall quality of care, willingness to recommend, and willingness to return.
        J Healthc Manag. 2010; 55 (discussion 38): 25-37
        • Al-Amin M
        • Schiaffino MK
        • Park S
        • Harman J.
        Sustained hospital performance on hospital consumer assessment of healthcare providers and systems survey measures: what are the determinants?.
        J Healthc Manag. 2018; 63: 15-28
        • Chumbler NR
        • Otani K
        • Desai SP
        • Herrmann PA
        • Kurz RS.
        Hospitalized older adults’ patient satisfaction: inpatient care experiences.
        SAGE Open. 2016; 62158244016645639
        • Tsai TC
        • Orav EJ
        • Jha AK.
        Patient satisfaction and quality of surgical care in US hospitals.
        Ann Surg. 2015; 261: 2-8
        • Tajeu GS
        • Kazley AS
        • Menachemi N.
        Do hospitals that do the right thing have more satisfied patients?.
        Health Care Manage Rev. 2015; 40: 348-355
        • Jha AK
        • Orav EJ
        • Zheng J
        • Epstein AM.
        Patients' perception of hospital care in the United States.
        N Engl J Med. 2008; 359: 1921-1931
        • O'Keeffe M
        • Cullinane P
        • Hurley J
        • et al.
        What influences patient-therapist interactions in musculoskeletal physical therapy? Qualitative systematic review and meta-synthesis.
        Phys Ther. 2016; 96: 609-622
        • Goggins KM
        • Wallston KA
        • Nwosu S
        • et al.
        Health literacy, numeracy, and other characteristics associated with hospitalized patients' preferences for involvement in decision making.
        J Health Commun. 2014; 19: 29-43
        • Malik N
        • Alvaro C
        • Kuluski K
        • Wilkinson AJ.
        Measuring patient satisfaction in complex continuing care/rehabilitation care.
        Int J Health Care Qual Assur. 2016; 29: 324-336
        • Leung J
        • Fereday S
        • Sticpewich B
        • Stroud K.
        Factors influencing the overall satisfaction in patients with severe brain injury with physiotherapy services during inpatient rehabilitation.
        J Head Trauma Rehabil. 2018; 33: E56-E63
        • Hush JM
        • Cameron K
        • Mackey M.
        Patient satisfaction with musculoskeletal physical therapy care: a systematic review.
        Phys Ther. 2011; 91: 25-36
        • Gill SD
        • Dunning T
        • McKinnon F
        • Cook D
        • Bourke J.
        Understanding the experience of inpatient rehabilitation: insights into patient-centred care from patients and family members.
        Scand J Caring Sci. 2014; 28: 264-272
        • Andaleeb SS.
        Determinants of customer satisfaction with hospitals: a managerial model.
        Int J Health Care Qual Assur Inc Leadersh Health Serv. 1998; 11: 181-187
        • Custer MG
        • Huebner RA
        • Howell DM.
        Factors predicting client satisfaction in occupational therapy and rehabilitation.
        Am J Occup Ther. 2015; 696901290040
        • Mazurenko O
        • Zemke D
        • Lefforge N
        • Shoemaker S
        • Menachemi N.
        What determines the surgical patient experience? Exploring the patient, clinical staff, and administration perspectives.
        J Healthc Manag. 2015; 60: 332-346
        • Nápoles AM
        • Santoyo-Olsson J
        • Karliner LS
        • Gregorich SE
        Pérez-Stable EJ. Inaccurate language interpretation and its clinical significance in the medical encounters of Spanish-speaking Latinos.
        Med Care. 2015; 53: 940-947
        • Lee S
        • Groß SE
        • Pfaff H
        • Dresen A.
        Waiting time, communication quality, and patient satisfaction: an analysis of moderating influences on the relationship between perceived waiting time and the satisfaction of breast cancer patients during their inpatient stay.
        Patient Educ Couns. 2020; 103: 819-825
        • Diviani N
        • van den Putte B
        • Giani S
        • van Weert JCM.
        Low health literacy and evaluation of online health information: a systematic review of the literature.
        J Med Internet Res. 2015; 17: e112
        • Aguirrezabal A
        • Duarte E
        • Rueda N
        • Cervantes C
        • Marco E
        • Escalada F.
        Effects of information and training provision in satisfaction of patients and carers in stroke rehabilitation.
        NeuroRehabilitation. 2013; 33: 639-647
        • De Paula DAG
        • Piatti N
        • Costa LM
        • Chiavegato LD.
        Satisfaction levels with physical therapy in hospitalized patients.
        Braz J Phys Ther. 2020; 24: 118-123
        • Keith RA.
        Patient satisfaction and rehabilitation services.
        Arch Phys Med Rehabil. 1998; 79: 1122-1128
        • McAndrew E
        • McDermott S
        • Vitzakovitch S
        • Warunek M
        • Holm MB.
        Therapist and patient perceptions of the occupational therapy goal-setting process.
        Phys Occup Ther Geriatr. 2000; 17: 55-63
        • Kraska RA
        • Weigand M
        • Geraedts M.
        Associations between hospital characteristics and patient satisfaction in Germany.
        Health Expect. 2017; 20: 593-600
        • Al-Amin M
        • Hefner JL
        • Hogan TH
        • Li K.
        Sustainers: hospitals with sustained superior performance.
        Health Care Manage Rev. 2020 Jan 10; ([E-pub ahead of print])
        • Anhang Price R
        • Elliott MN
        • Zaslavsky AM
        • et al.
        Examining the role of patient experience surveys in measuring health care quality.
        Med Care Res Rev. 2014; 71: 522-554
        • Ullrich A
        • Hauer J
        • Farin E.
        Communication preferences in patients with fibromyalgia syndrome: descriptive results and patient characteristics as predictors.
        Patient Prefer Adherence. 2014; 8: 135-145
        • Cheruiyot JC
        • Brysiewicz P.
        Nurses’ perceptions of caring and uncaring nursing encounters in inpatient rehabilitation settings in South Africa: a qualitative descriptive study.
        Int J Afr Nurs Sci. 2019; 11100160
      1. U.S. Census Bureau. Health Insurance Coverage in the United States: 2021 Current Population Reports. 2021. Availiable at: Accessed January 11, 2022.