Patient satisfaction with cardiac rehabilitation: association with utilization, functional capacity, and heart-health behaviors

Abstract

BackgroundCardiac rehabilitation (CR) societies recommend assessment of patient satisfaction given its association with health care utilization and outcomes. Recently, the Patient Assessment of Chronic Illness Care (PACIC, Glasgow) was recommended as an appropriate tool for the CR setting. The objectives of this study were to 1) describe patient satisfaction with CR, 2) test the psychometric properties of the PACIC in the CR setting, and 3) assess the association of patient satisfaction with CR utilization and outcomes.MethodsSecondary analysis was conducted on an observational, prospective CR program evaluation cohort. A convenience sample of patients from 1 of 3 CR programs was approached at their first CR visit, and consenting participants completed a survey. Clinical data were extracted from charts pre- and post-program. Participants were e-mailed surveys again 6 months (including the PACIC) and 1 and 2 years later.ResultsOf 411 consenting patients, 247 (60.2%) completed CR. The mean PACIC score was 2.8±1.1/5. Internal reliability was α=0.95. The total PACIC score varied significantly by site (F=3.12, P=0.046), indicating discriminant validity. Patient satisfaction was significantly related to greater CR adherence (r=0.22, P<0.01) and completion (t=2.63, P<0.01), greater functional status at CR discharge (r=0.17, P=0.03) and 2 years post-intake (r=0.19, P=0.03), greater physical activity at discharge (r=0.18, P=0.02), as well as lower depressive symptoms at discharge (r=−0.16, P=0.02) and 1-year follow-up (r=−0.19, P=0.03). These associations sustained adjustment for sex.ConclusionPatients were relatively satisfied with their care. The PACIC is a psychometrically validated scale, which could serve as a useful tool to assess patient satisfaction with CR.

Clients’ Experience and Satisfaction of Utilizing Healthcare Services in a Community Based Health Insurance Program in Bangladesh

“…The earlier study observed that client’s satisfaction level is positively linked with the enrolment of health insurance scheme which could be enhanced by maintaining a better patient-doctor relationship [ 17 ]. It has been noted that the satisfied patients often utilize more the healthcare services and followed the treatment regime properly [ 21 , 43 ], however poor quality of healthcare is often considered as a major source of dissatisfaction, particularly in CBHI programs [ 31 ].…”

“…However, none of the studies focused on benefit packages as well as client experiences and satisfactions toward health care services organized by this scheme although clients’ satisfactions are as important measures of health system performance [ 17 , 18 ]. Patient satisfaction is an important indicator of health care quality and often associated with greater adherence to medical technology, health service utilization, and health outcomes [ 19 , 20 , 21 ]. Huy and colleagues observed that satisfaction has a significant impact on patient retention, patient loyalty and influences the efficient delivery of quality in health care [ 22 ].…”

Areas and factors associated with patients&rsquo; dissatisfaction with glaucoma care

“… 8 , 9 In addition, patients’ greater satisfaction with their cardiac care for those with all forms of atherosclerotic cardiac diseases has been shown to be associated with greater adherence and completion rates to their cardiac rehabilitation, greater physical activity, and lower depressive symptoms at discharge. 10 However, an earlier study has also noted inconsistent findings where better clinical outcomes were not associated with higher patient satisfaction scores. 11 …”

Psychosocial well-being over the two years following cardiac rehabilitation initiation & association with heart-health behaviors

“…As reported elsewhere [30], there were some differences in the characteristics of participants retained at 2 years (N = 192) versus those lost-to-follow-up. With regard to sociodemographic characteristics, retained participants were more likely to self-report "North American" ethnocultural background compared to those lost to followup.…”