Bashour Laura, Razi Amin, Thompson Jada, Looman Rick, Ring David, Brinkman Niels
Department of Surgery and Perioperative Care, Dell Medical School, The University of Texas at Austin, Austin, TX, USA.
Department of Orthopaedic & Trauma Surgery, University Medical Center, Groningen, the Netherlands.
J Patient Exp. 2025 Aug 18;12:23743735251370185. doi: 10.1177/23743735251370185. eCollection 2025.
Among 173 patients seeking musculoskeletal specialty care, we sought patient personal factors associated with patient experiences measured using the 7-item Trust and Experience with Clinicians Scale (TRECS-7) and Jefferson Scale of Patient's Perceptions of Physician Empathy (JSPPPE). Accounting for potential confounders, including demographics, visit-related information, mental health, and social health, we found no factors associated with TRECS-7, and only self-reported Hispanic/Latino ethnicity was associated with lower JSPPPE (regression coefficient = -2.8, 95% confidence interval = -4.9 to -0.63). In posthoc cluster analysis, statistical groupings of patients with generally worse mean social health and mental health were associated with worse patient experience (TRECS-7 and JSPPPE). The combination of an experience measure with lower ceiling effects and wider distribution of scores and cluster analysis may improve the ability to measure associations with patient personal factors.
在173名寻求肌肉骨骼专科护理的患者中，我们探寻了与使用7项临床医生信任与体验量表（TRECS - 7）及杰斐逊医生同理心患者认知量表（JSPPPE）所测量的患者体验相关的患者个人因素。在考虑了包括人口统计学、就诊相关信息、心理健康和社会健康等潜在混杂因素后，我们发现没有因素与TRECS - 7相关，只有自我报告的西班牙裔/拉丁裔种族与较低的JSPPPE相关（回归系数 = -2.8，95%置信区间 = -4.9至-0.63）。在事后聚类分析中，平均社会健康和心理健康总体较差的患者的统计分组与较差的患者体验（TRECS - 7和JSPPPE）相关。具有较低天花板效应和更广泛分数分布的体验测量方法与聚类分析相结合，可能会提高测量与患者个人因素关联的能力。
