Outcomes decide
High levels of U.S. patient satisfaction are mainly associated with hospitality (greeters at the door, empathetic staff, comfortable rooms) – but also with more treatments, high costs, and substantially higher mortality even after adjusting for baseline health and comorbidities. Several plausible stories explain these big n and replicated observational findings. Whatever the case, post-treatment patient satisfaction/gratitude does not measure whether a treatment works or not. Patient outcomes decide.