Elsevier

Value in Health

Volume 22, Issue 5, May 2019, Pages 555-563
Value in Health

Notions of “Value” in Healthcare
Association Between Patient Experience With Patient-Reported Outcome Measurements and Overall Satisfaction With Care in Neurology

https://doi.org/10.1016/j.jval.2019.02.007Get rights and content
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Highlights

  • Over the past 2 decades, patient-centered care has been at the forefront of discussions of healthcare quality, with patient-reported outcome measurements (PROMs) being increasingly used in the clinical management and evaluation of patient outcomes, and patient ratings of visit satisfaction serving as quality metrics. Nevertheless, little attention has been paid to the relationship between PROMs and visit satisfaction.

  • This study demonstrates a significant association between PROM experience and visit satisfaction. The potential influence of PROM collection on visit satisfaction should be further considered when defining the value of PROMs.

  • Our research provides preliminary support for the use of PROMs as a mechanism for improving patient-provider communication and potentially visit satisfaction in minorities and socioeconomically disadvantaged patients by removing barriers to communication.

Abstract

Background

There has been increasing focus on both patient-reported outcome measurement (PROM) collection and patient satisfaction ratings; nevertheless, little is known about their relationship.

Objectives

To determine the association between patient experience with PROM collection and visit satisfaction and to identify characteristics of better ratings for each.

Methods

This cross-sectional observational study included all patients seen in 15 neurological clinics who completed PROMs as well as 6 questions on the patient experience with PROMs at least once from October 1, 2015 to December 31, 2016. Visit satisfaction was evaluated using a composite measure of physician communication, overall physician rating, and the likelihood of recommending that physician as indicated on the Clinician and Group Consumer Assessment of Healthcare Providers and Systems survey. Predictors of PROM experience and satisfaction were identified using proportional odds and logistic regression models, respectively.

Results

There were 6454 patients (average age 58 ± 15 years, 59% women) who completed PROMs and responded to the Clinician and Group Consumer Assessment of Healthcare Providers and Systems survey. There were significant positive associations between each PROM experience question and visit satisfaction (r = 0.11-0.19; P<.010), although factors predicting visit satisfaction differed from those predicting PROM experience. A differential effect of PROMs on visit satisfaction was identified for patients who were nonwhite, had lower income, and had more comorbidities.

Conclusions

Although there was a significant association between better PROM experience and higher visit satisfaction, relationships with clinical characteristics differed, providing insights into how PROMs may be associated with patients' visit satisfaction. Further research is necessary to confirm whether PROMs can be used to improve visit satisfaction, particularly in patients who historically have reported lower quality of care.

Keywords

patient-provider communication
patient satisfaction

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