Dialysis patient ratings of the quality of medical care

Alexander, G. Caleb; Sehgal, AR

doi:10.1053/ajkd.1998.v32.pm9708614

Cited by 15 publications

(19 citation statements)

References 14 publications

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“…Internationally, studies have investigated satisfaction with services among patients on dialysis, but often focused on one type of dialysis or on comparing PD with HD 12–18 . Satisfaction with health professionals has been found to affect adherence to treatment and follow‐up 19 .…”

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confidence: 99%

Older peoples' satisfaction with home‐based dialysis

Derrett¹,

Darmody²,

Williams³

et al. 2010

Nephrology

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mentioning

confidence: 99%

Older peoples' satisfaction with home‐based dialysis

Derrett¹,

Darmody²,

Williams³

et al. 2010

Nephrology

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“…The congruence between individuals' expectations and their experience is one way in which quality of life can be conceptualized (12) and is an important area for study in relation to patient race and ethnicity. Several studies have pointed to the importance of satisfaction with physician interaction as a key component of dialysis patient ratings of satisfaction with care (35,36). A recent study of primary care patients suggested that differences between minority and white patients' satisfaction with care may stem largely from differences in their satisfaction with physician interaction (37).…”

Section: Discussionmentioning

confidence: 99%

Race, Gender, and Incident Dialysis Patients’ Reported Health Status and Quality of Life

Kutner¹,

Zhang²,

Brogan³

2005

Journal of the American Society of Nephrology

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Patient-reported physical and mental health status, along with disease-specific concerns ("quality of life") reported by patients, provide information about experience on dialysis that can help to improve patient care. Among prevalent hemodialysis (HD) patients, blacks have been shown to report higher health status and quality of life scores than whites, but whether similar race differences characterize incident patients who start regular dialysis is not known. Health status and quality of life, measured by the Kidney Disease Quality of Life-Short Form, reported by black men, black women, white men, and white women who initiated HD and peritoneal dialysis (PD) in the Dialysis Morbidity and Mortality Study (DMMS) Wave 2 were examined. After adjustment for patients' sociodemographic and clinical characteristics, the only race differences observed were that among HD patients, black women scored highest on the burden of kidney disease measure (lower perceived burden), and among PD patients, black men had the lowest satisfaction with care scores. It is possible that differences between blacks' and whites' reported health status and quality of life become more evident as patients' dialysis vintage increases, a hypothesis that requires following a well-characterized incident cohort over time. These findings add to existing evidence that minority patients on dialysis report less satisfaction with their care than do white patients, an important area for continued study.J M ultiple studies of prevalent patients who receive hemodialysis (HD) in the United States have found that blacks report better health status and quality of life compared with whites (1-10), but little evidence is available from studies of incident patients. The Choices for Healthy Outcomes in Caring for End-Stage Renal Disease (CHOICE) study of patients who were on dialysis for approximately 3 mo found that nonwhites were less likely than whites to rate their care excellent overall (11), and both satisfaction with care and quality-of-life assessments summarize judgments that individuals make to describe their experiences of health and illness in relation to the expectations that they hold (12). The purpose of our study was to examine health status and quality of life, including satisfaction with care, reported early in treatment by black men, black women, white men, and white women in the Dialysis Morbidity and Mortality Study (DMMS) Wave 2. The DMMS Wave 2 included approximately equal numbers of patients who began peritoneal dialysis (PD) as well as patients who began HD, giving an opportunity to examine race and gender in relation to health status and quality of life reported by patients within both treatment modality groups. Our study therefore extends previous work on racial differences in prevalent HD patients' health status and quality of life by focusing on incident patients who start both HD and PD, as well as by considering the association of health status and quality of life with patients' gender as well as race.Potential explanations for obse...

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“…Associations between patient characteristics and care from specialists and generalists have been demonstrated 14 . However, information about patients' preferences for care provided by generalists versus care provided by specialists is limited 15,16 …”

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Patient preferences for care by general internists and specialists in the ambulatory setting

et al. 2000

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OBJECTIVE:To investigate patients' preferences for care by general internists and specialists for common medical conditions. DESIGN: Telephone interview.SETTING: A convenience sample of general internal medicine practices at 10 eastern academic medical centers.PATIENT/PARTICIPANTS: A probability sample of 314 participants who had at least one visit with their primary care physician during the preceding 2 years. MEASUREMENTS AND MAIN RESULTS:Items addressed patients' attitudes concerning continuity of care, preferences for care by general internists or specialists for common medical problems, and perceptions about the competency of general internists and specialists to manage these problems. Continuity was important to participants, with 63% reporting they preferred having one doctor. Respondents were willing to wait 3 or 4 days to see their regular doctor (85%) and wanted their doctor to see them in the emergency department (77%) and monitor their care while in the hospital (94%). A majority ( Ͼ 60%) preferred care from their regular doctor for a variety of new conditions. Though respondents valued continuity, 84% felt it was important to be able to seek medical care from any type of physician without a referral, and 74% responded that if they needed to see a specialist, they were willing to pay out-ofpocket to do so. Although most participants (98%) thought their regular doctor was able to take care of usual medical problems, the majority thought that specialists were better able to care for allergies (79%) and better able to prescribe medications for depression (65%) and low-back pain (72%). CONCLUSIONS:Participants preferred to see their general internist despite their perceptions that specialists were more competent in caring for the conditions we examined. However, they wanted unrestricted access to specialists to supplement care provided by general internists.

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Dialysis patient ratings of the quality of medical care

Cited by 15 publications

References 14 publications

Older peoples' satisfaction with home‐based dialysis

Older peoples' satisfaction with home‐based dialysis

Race, Gender, and Incident Dialysis Patients’ Reported Health Status and Quality of Life

Patient preferences for care by general internists and specialists in the ambulatory setting

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