Evanson Olivia, Wu Shinyi
Daniel J. Epstein Department of Industrial and Systems Engineering, University of Southern California, Los Angeles, CA, USA.
Suzanne Dworak-Peck School of Social Work, University of Southern California, Los Angeles, CA, USA.
J Patient Exp. 2020 Oct;7(5):734-741. doi: 10.1177/2374373519884177. Epub 2019 Oct 31.
Patient satisfaction is a patient-reported outcome with the potential to assess and improve the quality of newer care-management models such as remote patient monitoring using telecommunication technology.
To evaluate differences in patient satisfaction among 3 care management groups in a comparative effectiveness trial.
This study analyzed a comparative effectiveness trial that tested automated remote assessment technology-facilitated comorbid depression care-management (TC, n = 254) in comparison to team-supported depression care (SC, n = 228) and usual primary care (UC, n = 218) among low-income patients with type 2 diabetes. Relationships between patient satisfaction and care group were evaluated at each 6-month phase up to 18 months using linear regression models that controlled for depression status, diabetes symptoms, patient characteristics, and study group differences.
While receiving care management, SC and TC patients were significantly more satisfied with depression care than UC patients. No consistently significant associations between patient satisfaction and patient characteristics or disease symptoms were found.
Patient satisfaction was found to be influenced by elements of care-management, not by patient characteristics or disease symptoms. Results suggest greater patient satisfaction with depression care in a care-management model than UC, whether through clinician team support or automated remote monitoring technology.
患者满意度是一种由患者报告的结果，有潜力评估和改善诸如使用电信技术进行远程患者监测等新型护理管理模式的质量。
在一项比较疗效试验中评估3个护理管理组之间患者满意度的差异。
本研究分析了一项比较疗效试验，该试验在低收入2型糖尿病患者中，测试了自动化远程评估技术辅助的共病抑郁症护理管理（TC组，n = 254），并与团队支持的抑郁症护理（SC组，n = 228）及常规初级护理（UC组，n = 218）进行比较。使用线性回归模型在长达18个月的每6个月阶段评估患者满意度与护理组之间的关系，该模型控制了抑郁状态、糖尿病症状、患者特征和研究组差异。
在接受护理管理期间，SC组和TC组患者对抑郁症护理的满意度显著高于UC组患者。未发现患者满意度与患者特征或疾病症状之间存在始终显著的关联。
发现患者满意度受护理管理因素影响，而非患者特征或疾病症状。结果表明，无论是通过临床医生团队支持还是自动化远程监测技术，护理管理模式下患者对抑郁症护理的满意度均高于常规初级护理。
