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How can the knowledge of affordable Care Act impact patients satisfaction survey both positively and negatively.

How can the knowledge of affordable Care Act impact patients satisfaction survey both positively and negatively.
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The Affordable Care Act or the Obamacare came into being as a law in 2010. The law encompasses various health related provisions aimed at improving the delivery of quality and affordable healthcare to all Americans.
In April 2011, an initiative was introduced to reward hospitals by enhanced reimbursements that improved patient care and satisfaction. This initiative was effected starting fiscal year 2013.
As a result of this Act coming into being, patient satisfaction has become a key influencer in healthcare and thereby affecting the bottom lines of several health care providers in the country.
The patient satisfaction survey reads into parameters such as-
1.   Access to the healthcare facilities
2.   Effectiveness of service provided
3.   Level of service and communication provided by doctors to the patients
4.   Level of service and communication with the nurses
5.   Pain management by the caregivers
6.   Explanation of the medication by the caregivers
7.   Cleanliness and quiet
8.   Ease of discharge
Positive effects of knowledge of the Affordable Care Act on patient experience surveys-
1.   Provide real time and positive feedback about the quality of healthcare, thus contributing to improvement in the same
2.   Patients will be able to command more respect from the hospital staff
3.   Improving health of the larger population
4.   Reducing the per capita cost of healthcare
Negative effects of knowledge of the Affordable Care Act on patient experience surveys-
1.   Patients might be biased and not provide appropriate feedback owing to minor flaws in the system

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