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Satisfaction scores can be used to assess the quality of care and service in spinal rehabilitation


Study design

Cohort comparative study.


Evaluate the suitability of satisfaction scores for the assessment of quality of care and service in spinal rehabilitation.


Spinal rehabilitation department.


Fifty-two inpatients participated anonymously in a large satisfaction survey, in 2017. A questionnaire containing the same questions was completed by 96 other inpatients, whose personal details were known, admitted to the same department between 2017 and 2019. Differences in satisfaction scores were compared between the two groups, between years, and between identified patients with differences in perceived progress and satisfaction with progress, using Mann–Whitney tests. In the identified patients, the association between satisfaction and patient demographic, neurological, and functional characteristics was evaluated using Pearson correlations. Analysis of variance and t test assessed the effect of comorbidities on satisfaction. T test assessed gender differences between groups. The effect of associated factors on satisfaction was examined using a stepwise linear regression.


The total satisfaction score was 86.05 ± 16.99 for the anonymous group and 88.75 ± 12.45 for the identified patients (p > 0.05). The only patient characteristics that were associated with satisfaction were years of education, the perception of progress during rehabilitation, and the satisfaction with progress (p < 0.02). Their contribution to the total satisfaction variance, however, was relatively small (R2 = 0.211).


The small effect of patient characteristics on total satisfaction indicates that satisfaction scores can be used to assess the quality of care and service in spinal rehabilitation. This and the similarity in findings between the groups supports the validity of the questionnaires.

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Fig. 1: Satisfaction of the identified participants: 2017 (N = 32), 2018 (N = 39), and 2019 (N = 25).
Fig. 2: Satisfaction of anonymous participants (N = 52), and identified participants: 2017 (N = 32) and 2017–2019 (N = 96).

Data availability

The datasets generated and/or analysed during the current study are available from the corresponding author on reasonable request.


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We would like to thank Ms. Aida Dinia from Loewenstein Rehabilitation Medical Center, Ms. Polina Mikshevski from the service division of Clalit Health Services, and Ms. Zina Shatz, for their valuable assistance with the data analysis.


This study was supported by Loewenstein Rehabilitation Medical Center research fund KM600010275.

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Correspondence to Amiram Catz.

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The authors declare no competing interests.

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The study (0036-16-LOE) was approved by the local ethics committee, in accordance with the principles of the Declaration of Helsinki.

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Michaeli, D., Kfir, A., Elkayam, K. et al. Satisfaction scores can be used to assess the quality of care and service in spinal rehabilitation. Spinal Cord (2022).

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