Health-related quality of life and patient reports about care outcomes in a multidisciplinary hospital intervention

Eastwood, Jo‐Ann; Spritzer, Karen; Cowan, Marie J.

doi:10.1207/s15324796abm3102_9

Cited by 19 publications

(14 citation statements)

References 15 publications

(10 reference statements)

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“…Self‐reported health status was weakly associated with patient satisfaction, which supports previous research from the hospital setting (Hays et al. ). An inverse association may be plausible in this case (more satisfied patients could have higher adherence to treatment recommendations and therefore have better health outcomes) and has been observed in a previous longitudinal study (Marshall, Hays, and Mazel ).…”

Section: Discussionsupporting

confidence: 87%

Identifying Primary Care Pathways from Quality of Care to Outcomes and Satisfaction Using Structural Equation Modeling

Ricci‐Cabello

Stevens

Dalton

et al. 2017

Health Services Research

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Objective. To study the relationships between the different domains of quality of primary health care for the evaluation of health system performance and for informing policy decision making. Data Sources. A total of 137 quality indicators collected from 7,607 English practices between 2011 and 2012. Study Design. Cross-sectional study at the practice level. Indicators were allocated to subdomains of processes of care ("quality assurance," "education and training," "medicine management," "access," "clinical management," and "patient-centered care"), health outcomes ("intermediate outcomes" and "patient-reported health status"), and patient satisfaction. The relationships between the subdomains were hypothesized in a conceptual model and subsequently tested using structural equation modeling. Principal Findings. The model supported two independent paths. In the first path, "access" was associated with "patient-centered care" (b = 0.63), which in turn was strongly associated with "patient satisfaction" (b = 0.88). In the second path, "education and training" was associated with "clinical management" (b = 0.32), which in turn was associated with "intermediate outcomes" (b = 0.69). "Patient-reported health status" was weakly associated with "patient-centered care" (b = À0.05) and "patient satisfaction" (b = 0.09), and not associated with "clinical management" or "intermediate outcomes." Conclusions. This is the first empirical model to simultaneously provide evidence on the independence of intermediate health care outcomes, patient satisfaction, and health status. The explanatory paths via technical quality clinical management and patient centeredness offer specific opportunities for the development of quality improvement initiatives.

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Section: Discussionsupporting

confidence: 87%

Identifying Primary Care Pathways from Quality of Care to Outcomes and Satisfaction Using Structural Equation Modeling

Ricci‐Cabello

Stevens

Dalton

et al. 2017

Health Services Research

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“…21 Respondents were asked about VA care since January 1, 2008 at the VA facility where they received most of their caner care. The scale has a Cronbach's alpha coefficient of 0.845.…”

Section: Methodsmentioning

confidence: 99%

Patient characteristics associated with the level of patient‐reported care coordination among male patients with colorectal cancer in the Veterans Affairs health care system

Jackson

Zullig

Phelan

et al. 2015

Cancer

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Background We sought to determine if patient characteristics, including race/ethnicity, were associated with patient-reported care coordination for colorectal cancer (CRC) patients treated in the Veterans Affairs (VA) healthcare system, with the goal of better understanding potential goals of quality improvement efforts aimed at improving coordination. Methods The nationwide Cancer Care Assessment and Responsive Evaluation (C-CARES) survey involved VA CRC patients diagnosed in 2008 (response rate=63%). The survey included a 4-item scale of patient-reported frequency (never, sometimes, usually, always) of care coordination activities (scale score range=1-4). Among 913 CRC patients providing information on care coordination, demographics, and symptoms, multivariable logistic regression was used to examine odds of patients reporting optimal care coordination. Results VA CRC patients report high levels of care coordination (mean scale score=3.50 (standard deviation=0.61). Eighty-five percent of patients report a high level of coordination, including the 43% reporting optimal/highest-level coordination. There was no difference in the odds of reporting optimal coordination by race/ethnicity. Patients with early-stage disease (OR: 0.60; 95% CI: 0.45-0.81), greater pain (OR: 0.97 for 1-point increase in pain scale; 95% CI: 0.96-0.99) and greater levels of depression (OR 0.97 for 1-point increase in depression scale; 95% CI: 0.96-0.99) were less likely to report optimal coordination. Conclusion CRC patients in the VA report high levels of care coordination. Unlike what has been reported in settings outside the VA, there appears to be no racial/ethnic disparity in reported coordination. However, challenges remain in ensuring coordination of care for patients with less advanced disease and high symptom burden.

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“…A review of several studies indicated that multidisciplinary teams produced superior clinical outcomes compared to usual care [5,11]. These include better health outcomes, shorter wait times, better quality of care, greater degree of patient empowerment, increased patient satisfaction, decreased visits to doctors, hospitalizations and emergency room, and reduced use of medications per patient, increased preventive care provision, healthy behaviour, and early detection of diseases [16,18,[27][28][29][30]. Several US studies found evidence of lower overall physician labor costs per visit compared to solo physicians, and improved dimensions of patient outcomes (e.g.…”

Section: Literature Reviewmentioning

confidence: 99%

Does team-based primary health care improve patients’ perception of outcomes? Evidence from the 2007–08 Canadian Survey of Experiences with Primary Health

2012

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Health-related quality of life and patient reports about care outcomes in a multidisciplinary hospital intervention

Cited by 19 publications

References 15 publications

Identifying Primary Care Pathways from Quality of Care to Outcomes and Satisfaction Using Structural Equation Modeling

Identifying Primary Care Pathways from Quality of Care to Outcomes and Satisfaction Using Structural Equation Modeling

Patient characteristics associated with the level of patient‐reported care coordination among male patients with colorectal cancer in the Veterans Affairs health care system

Does team-based primary health care improve patients’ perception of outcomes? Evidence from the 2007–08 Canadian Survey of Experiences with Primary Health

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