The Association between Patient-Centered Attributes of Care and Patient Satisfaction

Tak, Hyojung; Ruhnke, Gregory W.; Shih, Ya Chen Tina

doi:10.1007/s40271-014-0073-0

Cited by 14 publications

(9 citation statements)

References 43 publications

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“…Optimal surgeon behaviors noted by parents have been previously evaluated. Both “thoroughness” of care (question-answering, explanation of treatment/follow-up) and engagement with the child are prioritized and greatly valued by parents 20, 21 . These findings emphasize that physician communication, including multimodal information, accessibility, and interpersonal style is important to parents and improves their experience of care, which may augment their ability to make higher quality decisions 20, 22 .…”

Section: Discussionmentioning

confidence: 99%

Parent Experience of Care and Decision Making for Children Who Snore

Boss

Links

Saxton

et al. 2017

JAMA Otolaryngol Head Neck Surg

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Importance-Sleep-disordered breathing (SDB) is prevalent and impacts physical and behavioral health of children. Adenotonsillectomy (AT), the primary treatment, is subject to unexplained variation in utilization which may be reduced by improving physician-patient communication and decision quality for this elective procedure.Objectives-We aimed to learn factors that influence parental experience and decision-making in pediatric SDB and AT surgery.Design-Parents of children with prior SDB evaluation participated in semi-structured interviews. Open-ended questions regarded experiences of having a child with SDB, communication with pediatric clinicians and surgeons, and experiences with AT surgery. Recordings were transcribed and analyzed for emergent themes using grounded theory methodology.Address correspondence to: Emily F Boss, MD, MPH (erudnic2@jhmi.edu), 601 N Caroline St., Baltimore MD. Phone: 410 955 9772. Fax: 410 955 0035. Author Contributions: Emily F Boss, MD, MPH: Dr. Boss conceptualized and designed the study, contributed to analysis, drafted the initial manuscript, revised the manuscript, and approved the final manuscript as submitted. Anne R Links, MS, MHS: Ms. Links carried out analysis and interpretation of the data, drafted the initial manuscript, revised the manuscript, and approved the final manuscript as submitted. Ron Saxton, MS: Mr. Saxton coordinated data collection, drafted the initial manuscript, and approved the final manuscript as submitted. Tina L Cheng, MD, MPH: Dr. Cheng contributed to the conception nd design of the study, revised the manuscript, and approved the final manuscript as submitted. Mary Catherine Beach, MD, MPH: Dr. Beach contributed to the conception and design of the study, revised the manuscript, and approved the final manuscript as submitted All authors approved the final manuscript as submitted and agree to be accountable for all aspects of the work.Financial Disclosure: Authors have no financial relationships relevant to this article to disclose. Conflict of Interest:Authors have no conflicts of interest to disclose. There was no involvement by sponsors in design, data collection, analysis, drafting of the manuscript, or decision to submit for publication. No honorarium or payment was given to authors to produce this manuscript.Access to data: Dr. Boss and Ms. Links had full access to all the data in the study, and take responsibility for the integrity of the data and the accuracy of the data analysis. HHS Public Access Author Manuscript Author Manuscript Author Manuscript Author ManuscriptSetting-Interviews were conducted at locations convenient for participants and separate from the pediatric clinic.Participants-Parents (N = 11) of children aged 2-17 who had previously been diagnosed or treated for SDB.Main Measures-Themes of parental experiences and treatment decision-making processes with pediatric SDB.Results-Overarching themes related to clinical factors of SDB/AT and clinician interpersonal behaviors/communication. Parents described an urgency that ...

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Section: Discussionmentioning

confidence: 99%

Parent Experience of Care and Decision Making for Children Who Snore

Boss

Links

Saxton

et al. 2017

JAMA Otolaryngol Head Neck Surg

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“…A meaningful conversation between a patient and a surgeon prior to surgery was not initially hypothesized as a meaningful endpoint by the research team, given the highly biomedical nature of surgical care. Physician discussion is a relevant endpoint as communication skills with patients (inherent for good ACP conversations) are positively associated with patient satisfaction, 35 and patients often prefer doctors who participate in communication-based shared decision making. 36 Studies specifically highlight potential challenges for ACP communication in the preoperative setting as surgeons and patients may enact an implicit “covenant of care” during the consent process in which patients transfer decision making about life-sustaining perioperative treatments to the surgeon.…”

Section: Discussionmentioning

confidence: 99%

A patient and community-centered approach selecting endpoints for a randomized trial of a novel advance care planning tool

Bridges¹,

Crossnohere²,

Schuster³

et al. 2018

PPA

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BackgroundDespite a movement toward patient-centered outcomes, best practices on how to gather and refine patients’ perspectives on research endpoints are limited. Advanced care planning (ACP) is inherently patient centered and would benefit from patient prioritization of endpoints for ACP-related tools and studies.ObjectiveThis investigation sought to prioritize patient-centered endpoints for the content and evaluation of an ACP video being developed for patients undergoing major surgery. We also sought to highlight an approach using complementary engagement and research strategies to document priorities and preferences of patients and other stakeholders.Materials and methodsEndpoints identified from a previously published environmental scan were operationalized following rating by a caregiver co-investigator, refinement by a patient co-investigator, review by a stakeholder committee, and validation by patients and family members. Finalized endpoints were taken to a state fair where members of the public who indicated that they or a loved one had undergone major surgery prioritized their most relevant endpoints and provided comments.ResultsOf the initial 50 ACP endpoints identified from the review, 12 endpoints were selected for public prioritization. At the state fair, 359 individuals prioritized the endpoints, the highest ranking of which was having a meaningful conversation with a physician before surgery (57%).ConclusionUsing a novel combination of engagement and research techniques provided the opportunity to understand which endpoints were most important to patients and families and fostered framework development clarifying the differential contributions of engagement and research. Results from this study ultimately changed the content and evaluation of the ACP video.

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“…Evidence for the effectiveness of various patient-centered care constructs are difficult to measure given the variety of metrics available; some rely on patient satisfaction and/or patient experience, while others measure patient outcomes [43].…”

Section: Towards Theoretical Consistencymentioning

confidence: 99%

Defining elements of patient-centered care for therapeutic relationships: a literature review of common themes

Clarke¹,

Ells²,

Thombs³

et al. 2017

EJPCH

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Rationale and aims: Patient-centered care is a recognized clinical method and ideal for patient -health professional relationships. Many definitions have influenced its evolution. For this research, our aim was: (1) to assess definitions and descriptions of patient-centered care to draw out elements of patient-centered care that are considered to be important markers of successful patient-centered care in the patient -health professional relationship and (2) to propose a set of elements that collectively reflect the diversity of 'patient-centered' definitions that describe the patient-professional relationship in this literature. A secondary aim was (3) to provide elements that could be used for development of a quality assessment tool. Methods: We conducted a critical interpretive review of patient-centered care and patient-centered communication literature, beginning with a critical synthesis that yielded 12 articles that introduced new theoretical and definitional work on patient-centered care and patient-centered communication. We used an inductive and iterative analysis process to identify and group common themes. We used operational language to describe these themes. Results: We identified 6 elements (each with 2 or more sub-elements) of the patient -health professional relationship that are considered important markers of successful patient-centered care (as found in this literature). The 6 elements are: (1) Engaging the Patient as a Whole Person, (2) Recognizing and Responding to Emotions, (3) Fostering a Therapeutic Alliance, (4) Promoting an Exchange of Information, (5) Sharing Decision-Making and (6) Enabling Continuity of Care, Self-Management and Patient Navigation. Conclusions: Comparable fundamental elements were common among most authors within this literature: we found that variation in theory was typically a matter of degree and language. This work contributes analyses towards greater theoretical consistency for conceptions of patient-centered care. It also provides avenues for future development of quality assurance benchmarks.

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The Association between Patient-Centered Attributes of Care and Patient Satisfaction

Cited by 14 publications

References 43 publications

Parent Experience of Care and Decision Making for Children Who Snore

Parent Experience of Care and Decision Making for Children Who Snore

A patient and community-centered approach selecting endpoints for a randomized trial of a novel advance care planning tool

Defining elements of patient-centered care for therapeutic relationships: a literature review of common themes

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