That is because the Affordable Care Act has tied part of federal repayment rates to patient satisfaction survey results.
这是因为《平价医疗法案》将部分联邦还款率与患者满意度调查结果挂钩。
英语百科
Patient satisfaction
Patient satisfaction is a measure of the extent to which a patient is content with the health care which they received from their health care provider.
In evaluations of health care quality, patient satisfaction is a performance indicator measured in a self-report study and a specific type of customer satisfaction metric.