Patient Satisfaction With Decision Making Does Not Correlate With Patient Centeredness of Surgeons

Matsen, Cindy B.; Ray, David M.; Kaphingst, Kimberly A.; Zhang, Chong; Presson, Angela P.; Finlayson, Samuel R.G.

doi:10.1016/j.jss.2019.09.028

Cited by 3 publications

(7 citation statements)

References 42 publications

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“…Even though we could find some studies with PPOS in surgical specialties, 22,23 we have not found anyone examining PPOS in orthopedics yet.…”

Section: Discussionmentioning

confidence: 90%

Autoavaliação de competências fundamentais e orientação médico durante o primeiro ano de residência ortopédica brasileira

Barbato,

Carvalho,

Barreira Marangoni

et al. 2023

Rev Bras Ortop (Sao Paulo)

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Resumo Objetivo A formação de um médico competente requer direcionar o perfil de pós-graduação residente para atividades práticas. Buscou-se identificar a orientação de relacionamento médico-paciente e a autoavaliação das competências fundamentais que eles apontaram que precisavam ser desenvolvidas. Métodos Todos os 56 residentes em ortopedia admitidos entre 2016 e 2019 participaram do presente estudo observacional prospectivo. A Escala de Orientação Médico-Paciente (Patient Practitioner Orientation Scale [PPOS, na sigla em inglês]) e um questionário de autoavaliação foram respondidos no início e no final do primeiro ano de residência (R1) em Ortopedia e Traumatologia. Calculamos o desvio médio e padrão para itens e pontuações de PPOS e os analisamos através do teste t emparelhado. As opções de resposta do Questionário de Autoavaliação foram "sim" ou "preciso melhorar" e as habilidades foram classificadas na ordem decrescente da frequência das respostas "preciso melhorar" com descrição de número absoluto e percentual. Comparamos frequências usando o teste de Fisher. Consideramos significativos valores-p < 0,05. Os programas GraphPad Prism 8.4.3 (GraphPad Software, San Diego, CA, EUA) e Microsoft Excel (Microsoft Corporation, Redmond, WA, EUA) foram utilizados para análise estatística. Resultados No período entre o início e o final do R1, a média total de PPOS diminuiu significativamente, de 4,63 para 4,50 (p = 0,024), mais focada em biomédica. Cerca de um terço dos residentes identificou competências do cuidado ao paciente, aprendizagem e melhoria baseadas na prática e habilidades interpessoais e de comunicação, como necessitando melhorar. Conclusões As atividades de PPOS e autoavaliação podem promover práticas de reflexão e são possíveis ferramentas para avaliação de competência centrada no aluno. A orientação biomédica tende a prevalecer à medida que a formação dos médicos progride e as autoavaliações periódicas podem ser trabalhadas para construir uma mentalidade de crescimento.

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“…Even though we could find some studies with PPOS in surgical specialties, 22,23 we have not found anyone examining PPOS in orthopedics yet.…”

Section: Discussionmentioning

confidence: 90%

Autoavaliação de competências fundamentais e orientação médico durante o primeiro ano de residência ortopédica brasileira

Barbato,

Carvalho,

Barreira Marangoni

et al. 2023

Rev Bras Ortop (Sao Paulo)

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“…10 More recently, researchers used Press Ganey surveys to evaluate the correlation between patients' ranking of providers' efforts to include them in decision making and evaluation of their surgeon. 11 Of the 86 respondents, they found that the perception that patients were included in SDM correlated with high performance on all other items evaluating the surgeon, including overall ranking. One reason for the difference in findings between studies may be due to the fact that each study described above uses unique methods to evaluate SDM.…”

Section: Discussionmentioning

confidence: 99%

“…8,9 This is critical, since data from general surgery literature show an association between patient reported use of SDM and improved patient outcomes and patient satisfaction. 6,10,11 This study builds on prior work using the Agency for Healthcare Research and Quality S-CAHPS survey results in an adult benign urological surgery population. 12 For this study, we explore the rates of SDM and DA use among patients undergoing benign urological surgery.…”

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confidence: 99%

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Patient Reported Shared Decision Making in Urology from the Surgical Consumer Assessment of Healthcare Providers and Systems (CAHPS) Survey

et al. 2021

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Introduction: Shared decision making balances the best available evidence with patients' preferences and values in order to make a medical decision. The use of shared decision making and its link to clinically meaningful outcomes are not well described in urology. We report the rates of shared decision making among patients undergoing urological surgery, and explore the relationship between shared decision making and patient reported surgeon ranking.Methods: This study uses Consumer Assessment of Healthcare Provider and Systems Surgical Care Survey data from patients undergoing urological surgery between 2011 and 2013. A shared decision making composite score was created from the sum of 3 survey items. We fit an ordinal logistic regression model to evaluate factors that influence patients' overall shared decision making score. In a separate model, we evaluated how shared decision making and use of decision aid impact patients' ranking of surgeons.Results: In this sample, 430 (33.8%) surveys were returned. Of respondents, 71% scored maximum points on the shared decision making composite score and 59% reported that their surgeon used a decision aid. Discussing alternative treatment options was the most often omitted step in shared decision making. Patients who report use of a decision aid had nearly double the odds of selfreported shared decision making (OR 1.84, 95% CI 1.10e3.06, p¼0.02). Shared decision making or decision aid use was not associated with patient reported surgeon ranking. Conclusions:The majority of patients reported shared decision making and decision aid use during preoperative counseling. Patients reporting decision aid use had nearly double the odds of reporting shared decision making. There was no correlation between either shared decision making or decision aid use and patients' ranking of their surgeon.

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“…Besides, they can contribute to establishing directions of redefining methods and instruments for increasing patient satisfaction. However, we should bear in mind the fundamental difference between patient satisfaction and meeting their expectations in terms of their health needs [23][24][25][26][27][28][29].…”

Section: Discussionmentioning

confidence: 99%

Priority Setting in the Polish Health Care System According to Patients’ Perspective

Rybarczyk-Szwajkowska

Rydlewska-Liszkowska

2021

IJERPH

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Identification of health priorities is concerned with equitable distribution of resources and is an important part of strategic planning in the health care system. The aim of this article is to describe health priorities in the Polish health care system from the patients’ perspective. The study included 533 patients hospitalized in the Lodz region. The average age of the respondents was 48.5 years and one third (36.6%) had university education. Most of the respondents (64.9%) negatively assessed the functioning of the health care system in Poland. Most of them claimed the following aspects require improvements: financing health services (85.8%), determining priorities in health care (80.3%), the role of health insurance (80.3%), and medical education (70.8%). Over 70% of the respondents agreed the role of politicians in designing and implementing health system reforms should be limited. The fact that the respondents so negatively assessed the Polish health care system implies there is a need for full discussion on redefining health priorities.

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Patient Satisfaction With Decision Making Does Not Correlate With Patient Centeredness of Surgeons

Cited by 3 publications

References 42 publications

Autoavaliação de competências fundamentais e orientação médico durante o primeiro ano de residência ortopédica brasileira

Autoavaliação de competências fundamentais e orientação médico durante o primeiro ano de residência ortopédica brasileira

Patient Reported Shared Decision Making in Urology from the Surgical Consumer Assessment of Healthcare Providers and Systems (CAHPS) Survey

Priority Setting in the Polish Health Care System According to Patients’ Perspective

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