Objective To quantify the neurologic patient experience with patient-reported outcome measures (PROMs) and identify factors associated with a positive PROMs experience. Methods This retrospective study included all patients seen in 6 neurologic clinics who completed patient experience questions at least once between October 2015 and September 2016. Questions assessed overall satisfaction with PROMs, as well as 4 facets of the PROM experience: usefulness of questions, ease of understanding, effect on communication with provider, and effect on control of their own care. Clinic and patient characteristics were summarized across questions and predictors of response were identified using multivariable proportional odds models. Results A total of 16,157 patients answered generic and condition-specific PROMs, as well as questions on their experience with completing PROMs. The majority of patients agreed/strongly agreed questions were easy to understand (96%), useful (83%), and improved communication (78%) and control (71%). After adjustment for other factors, being younger, black, or depressed, or having lower household income, were independent predictors of high satisfaction with PROMs. Patients who indicated the system improved communication and control of care were more often male, black, and lower income. Variability in responses was shown by clinic. Conclusion Given the growing importance of patient satisfaction in health care, the patient experience with PROMs is a critical component of their successful implementation and utilization. Findings from this study support the feasibility of collecting PROMs in neurologic practice and the potential as a tool to optimize patient-centered neurologic care.
机构:
Univ Rochester, Sch Med & Dent, Dept Family Med, Rochester, NY USA
Univ Rochester, Sch Med & Dent, Dept Community & Prevent Med, Rochester, NY USAUniv Rochester, Sch Med & Dent, Dept Family Med, Rochester, NY USA
Fiscella, Kevin
Ransom, Sean
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机构:
Tulane Univ, Sch Med, Dept Psychiat & Behav Sci, New Orleans, LA 70112 USA
Tulane Univ, Med Ctr, Tulane Canc Ctr, New Orleans, LA 70112 USAUniv Rochester, Sch Med & Dent, Dept Family Med, Rochester, NY USA
Ransom, Sean
Jean-Pierre, Pascal
论文数: 0引用数: 0
h-index: 0
机构:
Univ Miami, Miller Sch Med, Dept Pediat, Miami, FL 33136 USA
Sylvester Comprehens Canc Ctr, Miami, FL USAUniv Rochester, Sch Med & Dent, Dept Family Med, Rochester, NY USA
Jean-Pierre, Pascal
Cella, David
论文数: 0引用数: 0
h-index: 0
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Northwestern Univ, Dept Med Social Sci, Feinberg Sch Med, Chicago, IL 60611 USAUniv Rochester, Sch Med & Dent, Dept Family Med, Rochester, NY USA
Cella, David
Stein, Kevin
论文数: 0引用数: 0
h-index: 0
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Amer Canc Soc, Dept Behav Res Ctr, Atlanta, GA 30329 USAUniv Rochester, Sch Med & Dent, Dept Family Med, Rochester, NY USA
Stein, Kevin
Bauer, Joseph E.
论文数: 0引用数: 0
h-index: 0
机构:
Amer Canc Soc, Stat & Evaluat Ctr, Atlanta, GA 30329 USAUniv Rochester, Sch Med & Dent, Dept Family Med, Rochester, NY USA
Bauer, Joseph E.
Crane-Okada, Rebecca
论文数: 0引用数: 0
h-index: 0
机构:
City Hope Natl Med Ctr, Beckman Res Inst, Dept Populat Sci, Div Nursing Res & Educ, Duarte, CA 91010 USAUniv Rochester, Sch Med & Dent, Dept Family Med, Rochester, NY USA
Crane-Okada, Rebecca
Gentry, Sharon
论文数: 0引用数: 0
h-index: 0
机构:
Derrick L Davis Forsyth Reg Canc Ctr, Acad Oncol Nurse Navigators, Winston Salem, NC USAUniv Rochester, Sch Med & Dent, Dept Family Med, Rochester, NY USA
Gentry, Sharon
Canosa, Rosalie
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h-index: 0
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CancerCare, New York, NY USAUniv Rochester, Sch Med & Dent, Dept Family Med, Rochester, NY USA
Canosa, Rosalie
Smith, Tenbroeck
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h-index: 0
机构:
Amer Canc Soc, Behav Res Ctr, Atlanta, GA 30329 USAUniv Rochester, Sch Med & Dent, Dept Family Med, Rochester, NY USA
Smith, Tenbroeck
Sellers, Jean
论文数: 0引用数: 0
h-index: 0
机构:
Univ N Carolina, Lineberger Comprehens Canc Ctr, Chapel Hill, NC 27599 USAUniv Rochester, Sch Med & Dent, Dept Family Med, Rochester, NY USA
Sellers, Jean
Jankowski, Emilia
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h-index: 0
机构:Univ Rochester, Sch Med & Dent, Dept Family Med, Rochester, NY USA
Jankowski, Emilia
Walsh, Karyn
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h-index: 0
机构:
Natl Assoc Social Workers, Washington, DC USAUniv Rochester, Sch Med & Dent, Dept Family Med, Rochester, NY USA
机构:
Rabin Med Ctr, Belinson Hosp, Petah Tiqwa, Israel
Rabin Med Ctr, Hasharon Hosp, Petah Tiqwa, Israel
Tel Aviv Univ, Fac Med, Tel Aviv, IsraelRabin Med Ctr, Belinson Hosp, Petah Tiqwa, Israel
机构:
Univ Calif San Francisco, Dept Neurol Surg, San Francisco, CA USAUniv Calif San Francisco, Dept Neurol Surg, San Francisco, CA USA
Ramesh, Rithvik
Haddad, Alexander F.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Calif San Francisco, Dept Neurol Surg, San Francisco, CA USAUniv Calif San Francisco, Dept Neurol Surg, San Francisco, CA USA
Haddad, Alexander F.
Letchuman, Vijay
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h-index: 0
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Univ Calif San Francisco, Dept Neurol Surg, San Francisco, CA USAUniv Calif San Francisco, Dept Neurol Surg, San Francisco, CA USA
Letchuman, Vijay
Lee, Young M.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Calif San Francisco, Dept Neurol Surg, San Francisco, CA USAUniv Calif San Francisco, Dept Neurol Surg, San Francisco, CA USA
Lee, Young M.
Rinaldo, Lorenzo
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h-index: 0
机构:
Univ Calif San Francisco, Dept Neurol Surg, San Francisco, CA USAUniv Calif San Francisco, Dept Neurol Surg, San Francisco, CA USA
Rinaldo, Lorenzo
Abla, Adib A.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Calif San Francisco, Dept Neurol Surg, San Francisco, CA USAUniv Calif San Francisco, Dept Neurol Surg, San Francisco, CA USA
Abla, Adib A.
Savastano, Luis E.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Calif San Francisco, Dept Neurol Surg, San Francisco, CA USAUniv Calif San Francisco, Dept Neurol Surg, San Francisco, CA USA
Savastano, Luis E.
Raper, Daniel M. S.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Calif San Francisco, Dept Neurol Surg, San Francisco, CA USA
Univ Calif San Francisco, San Francisco, CA 94143 USAUniv Calif San Francisco, Dept Neurol Surg, San Francisco, CA USA