Factors associated with patient rating of physician communication effectiveness and satisfaction in musculoskeletal care

Effective communication is associated with adherence to healthy habits. This study sought factors associated with communication effectiveness and satisfaction with musculoskeletal specialty care in order to inform efforts to improve communication effectiveness using measurement, feedback, and coachi...

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Autores principales:	Amirreza Fatehi, Amanda Gonzalez, David Bandell, Joost Kortlever, Léon Rijk, David Ring
Formato:	article
Lenguaje:	EN
Publicado:	The Beryl Institute 2020
Materias:	patient satisfaction patient experience patient-physician communication healthcare psychosocial communication satisfaction mental health upper extremity Medicine (General) R5-920 Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/9ea2b5d307154ff89de7d4c0e8999c70
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spelling	oai:doaj.org-article:9ea2b5d307154ff89de7d4c0e8999c702021-11-15T04:31:28ZFactors associated with patient rating of physician communication effectiveness and satisfaction in musculoskeletal care2372-0247https://doaj.org/article/9ea2b5d307154ff89de7d4c0e8999c702020-11-01T00:00:00Zhttps://pxjournal.org/journal/vol7/iss3/24https://doaj.org/toc/2372-0247Effective communication is associated with adherence to healthy habits. This study sought factors associated with communication effectiveness and satisfaction with musculoskeletal specialty care in order to inform efforts to improve communication effectiveness using measurement, feedback, and coaching. After a new or return upper extremity specialist visit, 146 adult patients completed a survey recording demographics, measures of catastrophic thinking in response to nociception, symptoms of depression, and symptoms of anxiety, and they rated communication effectiveness (5 questions answered on a 4-point Likert scale) and satisfaction with the visit (slider with anchors of 0 and 100). Patients also provided text answers to 4 questions addressing strengths and opportunities for improved communication. We assessed the association of experience measures (communication and overall satisfaction) with patient characteristics. Ratings of “clinician listens carefully” were higher in older patients. Higher rating of "clinician explains in an understandable way" was associated with fewer symptoms of depression. Higher rating of "clinician showed respect" was associated with fewer symptoms of depression and less catastrophic thinking. Higher rating of "clinician used models" was associated with older age. Men had higher overall satisfaction scores. In Factor analysis, the scree plot of eigenvalues showed that the 5 communication questions and the single satisfaction question load onto a single factor. The finding that age and psychological factors are associated with patient experience – which seems to reduce statistically to a single underlying construct – emphasizes a potential to attend to mental health in efforts to improve patient experience. <strong>Experience Framework</strong> This article is associated with the Policy & Measurement lens of The Beryl Institute Experience Framework. (<a href="http://bit.ly/ExperienceFramework">http://bit.ly/ExperienceFramework</a>) <ul> <li><a href="https://www.theberylinstitute.org/page/PXSEARCH#resource-list-all/?view_28_page=1&view_28_filters=%5B%7B%22field%22%3A%22field_38%22%2C%22operator%22%3A%22in%22%2C%22value%22%3A%5B%22PXJ%20Article%22%5D%7D%2C%7B%22field%22%3A%22field_20%22%2C%22operator%22%3A%22is%22%2C%22value%22%3A%5B%22%22%5D%7D%2C%7B%22field%22%3A%22field_40%22%2C%22operator%22%3A%22is%22%2C%22value%22%3A%5B%22%22%2C%22Policy%20%26%20Measurement%22%5D%7D%2C%7B%22field%22%3A%22field_41%22%2C%22operator%22%3A%22is%22%2C%22value%22%3A%5B%22%22%5D%7D%5D">Access other PXJ articles</a> related to this lens.</li> <li><a href="https://www.theberylinstitute.org/page/Ecosystem-PolicyMeasurement">Access other resources</a> related to this lens.</li> </ul>Amirreza FatehiAmanda GonzalezDavid BandellJoost KortleverLéon RijkDavid RingThe Beryl Institutearticlepatient satisfactionpatient experiencepatient-physician communicationhealthcarepsychosocialcommunication satisfactionmental healthupper extremityMedicine (General)R5-920Public aspects of medicineRA1-1270ENPatient Experience Journal (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	patient satisfaction patient experience patient-physician communication healthcare psychosocial communication satisfaction mental health upper extremity Medicine (General) R5-920 Public aspects of medicine RA1-1270
spellingShingle	patient satisfaction patient experience patient-physician communication healthcare psychosocial communication satisfaction mental health upper extremity Medicine (General) R5-920 Public aspects of medicine RA1-1270 Amirreza Fatehi Amanda Gonzalez David Bandell Joost Kortlever Léon Rijk David Ring Factors associated with patient rating of physician communication effectiveness and satisfaction in musculoskeletal care
description	Effective communication is associated with adherence to healthy habits. This study sought factors associated with communication effectiveness and satisfaction with musculoskeletal specialty care in order to inform efforts to improve communication effectiveness using measurement, feedback, and coaching. After a new or return upper extremity specialist visit, 146 adult patients completed a survey recording demographics, measures of catastrophic thinking in response to nociception, symptoms of depression, and symptoms of anxiety, and they rated communication effectiveness (5 questions answered on a 4-point Likert scale) and satisfaction with the visit (slider with anchors of 0 and 100). Patients also provided text answers to 4 questions addressing strengths and opportunities for improved communication. We assessed the association of experience measures (communication and overall satisfaction) with patient characteristics. Ratings of “clinician listens carefully” were higher in older patients. Higher rating of "clinician explains in an understandable way" was associated with fewer symptoms of depression. Higher rating of "clinician showed respect" was associated with fewer symptoms of depression and less catastrophic thinking. Higher rating of "clinician used models" was associated with older age. Men had higher overall satisfaction scores. In Factor analysis, the scree plot of eigenvalues showed that the 5 communication questions and the single satisfaction question load onto a single factor. The finding that age and psychological factors are associated with patient experience – which seems to reduce statistically to a single underlying construct – emphasizes a potential to attend to mental health in efforts to improve patient experience. <strong>Experience Framework</strong> This article is associated with the Policy & Measurement lens of The Beryl Institute Experience Framework. (<a href="http://bit.ly/ExperienceFramework">http://bit.ly/ExperienceFramework</a>) <ul> <li><a href="https://www.theberylinstitute.org/page/PXSEARCH#resource-list-all/?view_28_page=1&view_28_filters=%5B%7B%22field%22%3A%22field_38%22%2C%22operator%22%3A%22in%22%2C%22value%22%3A%5B%22PXJ%20Article%22%5D%7D%2C%7B%22field%22%3A%22field_20%22%2C%22operator%22%3A%22is%22%2C%22value%22%3A%5B%22%22%5D%7D%2C%7B%22field%22%3A%22field_40%22%2C%22operator%22%3A%22is%22%2C%22value%22%3A%5B%22%22%2C%22Policy%20%26%20Measurement%22%5D%7D%2C%7B%22field%22%3A%22field_41%22%2C%22operator%22%3A%22is%22%2C%22value%22%3A%5B%22%22%5D%7D%5D">Access other PXJ articles</a> related to this lens.</li> <li><a href="https://www.theberylinstitute.org/page/Ecosystem-PolicyMeasurement">Access other resources</a> related to this lens.</li> </ul>
format	article
author	Amirreza Fatehi Amanda Gonzalez David Bandell Joost Kortlever Léon Rijk David Ring
author_facet	Amirreza Fatehi Amanda Gonzalez David Bandell Joost Kortlever Léon Rijk David Ring
author_sort	Amirreza Fatehi
title	Factors associated with patient rating of physician communication effectiveness and satisfaction in musculoskeletal care
title_short	Factors associated with patient rating of physician communication effectiveness and satisfaction in musculoskeletal care
title_full	Factors associated with patient rating of physician communication effectiveness and satisfaction in musculoskeletal care
title_fullStr	Factors associated with patient rating of physician communication effectiveness and satisfaction in musculoskeletal care
title_full_unstemmed	Factors associated with patient rating of physician communication effectiveness and satisfaction in musculoskeletal care
title_sort	factors associated with patient rating of physician communication effectiveness and satisfaction in musculoskeletal care
publisher	The Beryl Institute
publishDate	2020
url	https://doaj.org/article/9ea2b5d307154ff89de7d4c0e8999c70
work_keys_str_mv	AT amirrezafatehi factorsassociatedwithpatientratingofphysiciancommunicationeffectivenessandsatisfactioninmusculoskeletalcare AT amandagonzalez factorsassociatedwithpatientratingofphysiciancommunicationeffectivenessandsatisfactioninmusculoskeletalcare AT davidbandell factorsassociatedwithpatientratingofphysiciancommunicationeffectivenessandsatisfactioninmusculoskeletalcare AT joostkortlever factorsassociatedwithpatientratingofphysiciancommunicationeffectivenessandsatisfactioninmusculoskeletalcare AT leonrijk factorsassociatedwithpatientratingofphysiciancommunicationeffectivenessandsatisfactioninmusculoskeletalcare AT davidring factorsassociatedwithpatientratingofphysiciancommunicationeffectivenessandsatisfactioninmusculoskeletalcare
_version_	1718428821997223936

Factors associated with patient rating of physician communication effectiveness and satisfaction in musculoskeletal care

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