Miller Leslie Riggle, Peck B Mitchell
Department of Sociology, University Of Oklahoma, Norman, OK, USA.
Department of Sociology, University of Oklahoma, Norman, OK, USA.
Health Serv Res Manag Epidemiol. 2019 Oct 20;6:2333392819882871. doi: 10.1177/2333392819882871. eCollection 2019 Jan-Dec.
To examine the quality of provider communication over time considering the increasing emphasis on patient-centered care (PCC). Patient-centered care has been shown to have a positive impact on health outcomes, care experiences, quality-of-life, as well as decreased costs. Given this emphasis, we expect that provider-patient communication has improved over time.
We collected primary data by self-report surveys between summer 2017 and fall 2018.
We use a quantitative retrospective cohort study of a national sample of 353 patients who had an ostomy surgery.
We measure provider communication from open-ended self-reports from patients of the number of stated inadequacies in their care.
Results show that the time since patients had their surgery is related to higher quality provider communication. That is, patients who had their surgery further back in time reported higher quality provider communication compared with patients who had their surgery performed more recently.
Results suggest that the quality of provider communication has not improved even with an emphasis on PCC.
考虑到对以患者为中心的医疗(PCC)的日益重视,研究随着时间推移医疗服务提供者沟通的质量。以患者为中心的医疗已被证明对健康结果、就医体验、生活质量有积极影响,同时还能降低成本。鉴于这种重视,我们预计随着时间推移医疗服务提供者与患者之间的沟通会有所改善。
我们在2017年夏季至2018年秋季期间通过自我报告调查收集了原始数据。
我们对353名接受造口术的全国样本患者进行了定量回顾性队列研究。
我们通过患者开放式自我报告中提及的护理不足之处数量来衡量医疗服务提供者的沟通情况。
结果显示,患者术后时间与更高质量的医疗服务提供者沟通相关。也就是说,与近期接受手术的患者相比,较早接受手术的患者报告的医疗服务提供者沟通质量更高。
结果表明,即使强调以患者为中心的医疗,医疗服务提供者沟通的质量也没有提高。