Patient Satisfaction and Change in Medical Care Provider: A Longitudinal Study

Marquis, M. Susan; Davies, Allyson Ross; Ware, John E.

doi:10.1097/00005650-198308000-00006

Cited by 296 publications

(158 citation statements)

References 16 publications

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“…This suggests that the small percentage of patients who see surgery as their best hope may gravitate to surgeons who are more likely to offer it. So-called ''doctor shopping'' has been studied in other fields and has been associated with decreased patient satisfaction and with opioid addiction [9,13]. Future research should focus on factors associated with seeking a second opinion in the field of hand surgery and the influence on final patient symptoms and disability.…”

Section: Discussionmentioning

confidence: 99%

Medical Services and Associated Costs Vary Widely Among Surgeons Treating Patients With Hand Osteoarthritis

Becker

Teunis

Blauth

et al. 2015

Clinical Orthopaedics &Amp; Related Research

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Background There are substantial variations in medical services that are difficult to explain based on differences in pathophysiology alone. The scale of variation and the number of people affected suggest substantial potential to lower healthcare costs with the reduction of practice variation. Our study assessed practice variation across three affiliated urban sites in one city in the United States and related healthcare costs following the diagnosis of hand osteoarthritis (OA) in patients. Questions/purposes (1) What are the factors associated with increased costs and surgery in the first year after diagnosis of hand OA? (2) How much practice variation exists among hand surgeons in terms of the number of patient visits, use of imaging tests, use of injections, occupational therapy use, and surgery? (3) What proportion of total cost is accounted for by patients who consult with an additional provider? Methods Patients receiving a new diagnosis of primary hand OA between January 1, 2007, and December 31, 2011, were identified from the research database of three affiliated urban hospitals in a single city in the United States. We included 2814 patients (69%, 1929 women) treated by six hand surgeons. We recorded all visits, imaging tests, injections, occupational therapy visits, and surgical procedures in the first year after that diagnosis. Costs were extracted from the Medicare Physician Fee Schedule. Reliability of the database was assessed by manual checking of 120 patient charts (4.3% of all data); reliability was determined to be 94% (113 of 120) for diagnoses, 97% (116 of 120) correct surgeon, 100% (120 of 120) second surgeon, 99% (278 of 282) visits, 99% (132 of 134) imaging procedures, 92% (11 of 12) injections, 95% (21 of 22) surgical procedures, and 85% (102 of 120) prescribing occupational therapy.One of the authors (SJEB) is supported by Dutch research grants from Anna Foundation|NOREF (less than USD 10,000) (Oegstgeest, The Netherlands), Genootschap Noorthey (less than USD 10,000) (Bussum, The Netherlands), Stichting Fonds Doctor Catharine van Tussenbroek (less than USD 10,000) (Amsterdam, The Netherlands), and Stichting Vreedefonds (less than USD 10,000) (Amsterdam, The Netherlands). One of the authors (TT) received research grants from the Prince Bernhard Culture Fund & Kuitse Fung (less than USD 10,000) (Amsterdam, The Netherlands) and Fundatie van de Vrijvrouwe van Renswoude te's-Gravenhage (less than USD 10,000) (The Hague, The Netherlans). One of the authors (DR) certifies that he, or a member of his immediate family, has or may receive payments or benefits, during the study period from Wright Medical (less than USD 10,000) (Memphis, TN, USA); Skeletal Dynamics (less than USD 10,000) (Miami, FL, USA); Biomet (less than USD 10,000) (Warsaw, IN, USA); AO North America (less than USD 10,000) (Paoli, PA, USA); and AO International (less than USD 10,000) (Dubendorf, Switzerland). All ICMJE Conflict of Interest Forms for authors and Clinical Orthopaedics and Related Research 1 editors and boa...

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Section: Discussionmentioning

confidence: 99%

Medical Services and Associated Costs Vary Widely Among Surgeons Treating Patients With Hand Osteoarthritis

Becker

Teunis

Blauth

et al. 2015

Clinical Orthopaedics &Amp; Related Research

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“…While 9 scale scores can be produced, recent research suggests that these scores can be reduced to 3 reliable dimensions: physical disability, psychological disability, and pain (13). The AIMS scores have been standardized to range from 0 (low level of disability) to 10 (high level of disability), Various psychosocial measures were also obtained, including daily stress (14,15), morale (16), social support (17), global satisfaction with health care (18,19), and selfrated health status (i.e., excellent, good, fair, or poor) (20)(21)(22). Finally, self-reported compliance with taking medications was assessed; when asked in a nonthreatening manner, accurate answers can be obtained (23).…”

Section: Methodsmentioning

confidence: 99%

Can the provision of information to patients with osteoarthritis improve functional status?. A randomized, controlled trial

Weinberger

Tierney

Booher

et al. 1989

Arthritis & Rheumatism

128

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After we assessed the functional status of 439 patients with osteoarthritis, we randomly assigned them to 1 of 3 intervention groups or to a control group. The interventions consisted of providing information, and differed only in the method of delivery: by phone, in person at the clinic, or both. Physical health improved (P = 0.02), pain was reduced (P = 0.02), and psychological health improved marginally (P = 0.10) in patients contacted by phone compared with those not contacted by phone. In those contacted only at the clinic, physical health worsened (P = 0.02), but neither pain (P = 0.80) nor psychological health (P = 0.90) differed from the values in patients not contacted at the clinic.

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“…Before implementing a new treatment or model of care such as a web-based followup, it is important to determine patient satisfaction with the method of followup, as evidence suggests that satisfied patients are more likely to comply with treatment protocols [15,16], to use health care services [9,12], and to maintain a relationship with their health care provider [19]. In the current study, we therefore determined (1) patient satisfaction and (2) patients' preferences for followup method (web-based or in-person) after total joint arthroplasty.…”

Section: Introductionmentioning

confidence: 99%

Are Patients Satisfied With a Web-based Followup after Total Joint Arthroplasty?

Marsh

Bryant

MacDonald³

et al. 2014

Clinical Orthopaedics &Amp; Related Research

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Background A web-based followup assessment may be a feasible, cost-saving alternative of tracking patient outcomes after total joint arthroplasty. However, before implementing a web-based program, it is important to determine patient satisfaction levels with the new followup method. Satisfaction with the care received is becoming an increasingly important metric, and we do not know to what degree patients are satisfied with an approach to followup that does not involve an in-person visit with their surgeons. Questions/purposes We determined (1) patient satisfaction and (2) patients' preferences for followup method (web-based or in-person) after total joint arthroplasty.Methods We randomized patients who were at least 12 months after primary THA or TKA to complete a webbased followup or to have their appointment at the clinic. There were 410 eligible patients contacted for the study during the recruitment period. Of these, 256 agreed to participate, and a total of 229 patients completed the study (89% of those enrolled, 56% of those potentially eligible; 111 in the usual-care group, 118 in the web-based group). Their mean age was 69 years (range, 38-86 years). There was no crossover between groups. All 229 patients completed a satisfaction questionnaire at the time of their followup appointments. Patients in the web-based group also completed a satisfaction and preference questionnaire 1 year later. Only patients from the web-based group were asked to indicate preference as they had experienced the web-based and in-person followup methods. We used descriptive statistics to summarize the satisfaction questionnaires and compared results using Pearson's chi-square test. Results Ninety-one patients (82.0%) in the usual-care group indicated that they were either extremely or very satisfied with the followup process compared with 90 patients (75.6%) who were in the web-based group (p \ 0.01; odds ratio [OR] = 3.95; 95% CI, 1.79-8.76). Similarly, patients in the usual care group were more satisfied with the care they received from their surgeon, compared with patients in the web-based group (92.8% versus 73.9%; p\0.01, OR = 1.37; 95% CI, 0.73-2.57). Forty-four percent of patients preferred the web-based method, 36% preferred the usual method, and 16% had no preference (p = 0.01). Conclusions Our results show moderate to high satisfaction levels with a web-based followup assessment. Patients who completed the usual method of in-person followup assessment reported greater satisfaction; however, the difference was small and may not outweigh the

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Patient Satisfaction and Change in Medical Care Provider: A Longitudinal Study

Cited by 296 publications

References 16 publications

Medical Services and Associated Costs Vary Widely Among Surgeons Treating Patients With Hand Osteoarthritis

Medical Services and Associated Costs Vary Widely Among Surgeons Treating Patients With Hand Osteoarthritis

Can the provision of information to patients with osteoarthritis improve functional status?. A randomized, controlled trial

Are Patients Satisfied With a Web-based Followup after Total Joint Arthroplasty?

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