scholarly journals The Association Between Patient Satisfaction and Patient-Reported Health Outcomes

2018 ◽  
Vol 6 (3) ◽  
pp. 201-209 ◽  
Author(s):  
Qinyu Chen ◽  
Eliza W Beal ◽  
Victor Okunrintemi ◽  
Emily Cerier ◽  
Anghela Paredes ◽  
...  
Keyword(s):  
Mental Health ◽  
Patient Satisfaction ◽  
Health Outcomes ◽  
Medical Expenditure Panel Survey ◽  
Emergency Department Visits ◽  
Medical Expenditure ◽  
Health Score ◽  
Patient Reported ◽  
Relationship Of ◽  
The Relationship

Objective: Although patient satisfaction is increasingly used to rate hospitals, it is unclear how patient satisfaction is associated with health outcomes. We sought to define the relationship of self-reported patient satisfaction and health outcomes. Design: Retrospective cross-sectional analysis using regression analyses and generalized linear modeling. Setting: Utilizing the Medical Expenditure Panel Survey Database (2010-2014), patients who had responses to survey questions related to satisfaction were identified. Participants: Among the 9166 patients, representing 106 million patients, satisfaction was rated as optimal (28.2%), average (61.1%), and poor (10.7%). Main Outcome Measures: We sought to define the relationship of self-reported patient satisfaction and health outcomes. Results: Patients who were younger, male, black/African American, with Medicaid insurance, as well as patients with lower socioeconomic status were more likely to report poor satisfaction (all P < .001). In the adjusted model, physical health score was not associated with an increased odds of poor satisfaction (1.42 95% confidence interval [CI]: 0.88-2.28); however, patients with a poor mental health score or ≥2 emergency department visits were more likely to report poor overall satisfaction (3.91, 95% CI: 2.34-6.5; 2.24, 95% CI: 1.48-3.38, respectively). Conclusion: Poor satisfaction was associated with certain unmodifiable patient-level characteristics, as well as mental health scores. These data suggest that patient satisfaction is a complex metric that can be affected by more than provider performance.

Gender differences in the association between mental health status, hypertension, and emergency department visits in the United States

2020 ◽  
pp. 135910532090987
Author(s):  
Sylvia S Rozario ◽  
Tamala Gondwe ◽  
Juan Lu
Keyword(s):  
Mental Health ◽  
Gender Differences ◽  
Emergency Department ◽  
Medical Expenditure Panel Survey ◽  
The United States ◽  
Emergency Department Visits ◽  
Combined Effect ◽  
Medical Expenditure ◽  
Multivariable Logistic Regression Analysis ◽  
Hypertension Status

Hypertension has been found to be elevated in people with mental illness, and this comorbidity may lead to differential emergency department use by gender. Gender differences in this association were assessed using the 2016 Medical Expenditure Panel Survey ( n = 20,443). A combined effect variable for mental health and hypertension was created for stratified, multivariable logistic regression analysis. The likelihood of emergency department visits was higher for women compared to men in all categories of the combined effect variable. In particular, regardless of hypertension status, women with poor mental health had 35 percent and 39 percent increased likelihood of emergency department visits compared to men.

Mental Health and Women's Multiple Roles

1992 ◽  
Vol 73 (3) ◽  
pp. 131-141 ◽  
Author(s):  
Lisa Drago Piechowski
Keyword(s):  
Mental Health ◽  
Clinical Practice ◽  
Health Outcomes ◽  
Conceptual Framework ◽  
Multiple Roles ◽  
Mental Health Outcomes ◽  
Empirical Literature ◽  
Future Research ◽  
Relationship Of ◽  
The Relationship

The author reviews the empirical literature concerning the relationship of women's multiple roles to mental health. A conceptual framework is proposed postulating that negative mental health outcomes may result from high levels of stress and demands across roles and a low level of agency or control over those demands. Suggestions for future research within this model as well as implications for clinical practice are presented.

scholarly journals Telerehabilitation for musculoskeletal disorders during the COVID-19 pandemic

2021 ◽  
Vol 9 (1) ◽  
pp. 3765-3772
Author(s):  
Mundhada Sheetal ◽  
◽  
Mundhada Preeti ◽  
Khandelwal Rekha ◽  
Shrivastava Divya ◽  
...  
Keyword(s):  
Patient Satisfaction ◽  
Musculoskeletal Disorders ◽  
Rating Scale ◽  
Pain Reduction ◽  
Rank Test ◽  
Functional Score ◽  
Patient Feedback ◽  
Patient Reported ◽  
Relationship Of ◽  
The Relationship

Aim: To evaluate the clinical effectiveness of telerehabilitation for various musculoskeletal disorders during the COVID-19 pandemic. Methods: This is a retrospective analysis of patients who underwent musculoskeletal telerehabilitation at a well-established physiotherapy centre in Central India between 1st April – 30th June 2020. A team of two experienced physiotherapists conducted one-on-one video-based physiotherapy sessions for every patient. The main outcome measures included pain reduction using the Numeric Pain Rating Scale (NPRS), functional goals achieved, and patient satisfaction. The effectiveness of treatment was determined based on the change in NPRS scores using the Wilcoxon signed-rank test. The relationship of percent change in NPRS and the functional score as well as the patient feedback score was obtained using Pearson’s correlation coefficient. Results: Of 77 patients who received telerehabilitation during the study period, 31 patients undergoing musculoskeletal rehabilitation who satisfied the eligibility criteria were included. There was a significant reduction in NPRS scores after rehabilitation (P < 0.0001). However, the median number of sessions and the baseline NPRS scores differed insignificantly for various patient characteristics. The distribution of functional score and change in NPRS demonstrated a moderately positive and significant correlation (P = 0.001). The relationship of patient feedback score with the change in NPRS was low positive. Conclusion: Telerehabilitation resulted in significant pain reduction among patients with various musculoskeletal disorders during the COVID-19 pandemic. A positive correlation was demonstrated between change in NPRS scores, patient-reported functional goals, and patient satisfaction. Hence, telerehabilitation provided by a trained physiotherapist can be an effective approach for conservative management of musculoskeletal pain. KEY WORDS: Telerehabilitation, Musculoskeletal disorder, Back pain, COVID-19.

Health of migrant care-givers across Europe: what is the role of origin and welfare state context?

2018 ◽  
Vol 40 (5) ◽  
pp. 1084-1105
Author(s):  
Judith Kaschowitz
Keyword(s):  
Mental Health ◽  
Health Outcomes ◽  
Informal Care ◽  
Welfare States ◽  
Care Givers ◽  
Care Giving ◽  
Outcomes Of Care ◽  
Dependency Care ◽  
Relationship Of ◽  
The Relationship

AbstractAcross Europe a rising number of migrants are reaching higher ages. As old age is related to care dependency, care-giving within migrant families is becoming more important. To date, little research has focused on health outcomes for migrant care-givers. Theories and empirical evidence suggest differences in the relationship of care-giving and health between migrants and non-migrants due to differences in support, income, norms and values. Furthermore, across Europe the degree of formal care supply and the obligation to provide informal care vary considerably and presumably lead to different health outcomes of care-giving in different countries. Based on data from the Survey of Health, Ageing and Retirement in Europe (Waves 1, 2, 4, 5 and 6) and the English Longitudinal Study of Ageing (Waves 2–6), this paper studies the relationship between informal care-giving inside the household and health for migrant and non-migrant care-givers across Europe and analyses changes in health. In most countries migrant care-givers are in worse self-perceived and mental health compared to non-migrant care-givers. When controlling for important influences no differences in the relationship between health and care-giving for migrants and non-migrants can be found. Moreover, care-giving deteriorates mental health irrespective of origin. The country models showed that for non-migrants care-giving is most detrimental in Southern welfare states whereas for migrants care-giving is also burdening in Nordic welfare states.

Relationship Between Different Types of Violence and Mental Health in High School Students From Northern Mexico

2021 ◽  
pp. 088626052110219
Author(s):  
Oscar Armando Esparza-Del Villar ◽  
Sarah Margarita Chavez-Valdez ◽  
Priscila Montañez-Alvarado ◽  
Marisela Gutiérrez-Vega ◽  
Teresa Gutiérrez-Rosado
Keyword(s):  
Mental Health ◽  
High School ◽  
High School Students ◽  
Partner Violence ◽  
Health Indicators ◽  
School Students ◽  
Social Violence ◽  
Different Types ◽  
Relationship Of ◽  
The Relationship

Different types of violence have been present in Mexico but there have been few studies that have analyzed their relationship with mental health in adolescents, especially in cities with high rates of social violence. It is important to compare different violence types and their relationship with mental health since not all relationships are the same. It appears that social violence has a stronger relationship with mental health, and for this reason it receives more attention, but other types of violence have a stronger relationship and do not receive as much attention. Chihuahua has been one of the most violent states in Mexico, and Juarez has been the most violent city in the world in 2009 and 2010. The purpose of the study is to compare the relationship of different types of violence (social, cyberbullying, partner violence, and child abuse and neglect) with mental health indicators (depression, anxiety, stress, self-esteem, and paranoid thoughts). There were 526 high school students, from the cities of Juarez ( n = 282) and Chihuahua ( n = 244). The mean age was 16.5 ( SD = 1.4) years and 50.6% reported being males. The relationships among the variables were analyzed using Pearson’s correlations and multiple linear regressions. Both cities that have experienced social violence like carjacking, kidnapping, and sexual assault, but they have very small or no relationships with mental health indicators. Other types of violence have stronger correlations. Our findings suggest that interventions should not focus only in preventing and dealing with social violence, but that other types of violence must also be addressed in adolescents.

scholarly journals Relationship of patient shame to working alliance and satisfaction: a preliminary investigation

2019 ◽  
Vol 14 (4) ◽  
pp. 251-263
Author(s):  
Daniel J. Carabellese ◽  
Michael J. Proeve ◽  
Rachel M. Roberts
Keyword(s):  
Patient Satisfaction ◽  
Working Alliance ◽  
Preliminary Investigation ◽  
Community Members ◽  
Content Type ◽  
Mediation Analyses ◽  
External Shame ◽  
Relationship Of ◽  
The Relationship

Purpose The purpose of this paper is to explore the relationship of two distinct variants of dispositional shame (internal and external shame) with collaborative, purpose-driven aspects of the patient–provider relationship (working alliance) and patient satisfaction. The aim of this research was to conduct a preliminary investigation into the relevance of dispositional shame in a general healthcare population. Design/methodology/approach In total, 127 community members (mean age 25.9 years) who reported that they had regularly seen a GP over the past year were recruited at an Australian university. Participants were asked to reflect on their relationship with their GP, and completed instruments assessing various domains of shame, as well as working alliance and patient satisfaction. Findings Non-parametric correlations were examined to determine the direction and strength of relationships, as well as conducting mediation analyses where applicable. Small, negative correlations were evident between external shame and working alliance. Both external and internal shame measures were also negatively correlated with patient satisfaction. Finally, the relationship of external shame to patient satisfaction was partially mediated by working alliance. Practical implications Both the reported quality of patient–provider working alliance, and level of patient satisfaction are related to levels of dispositional shame in patients, and working alliance may act as a mediator for this relationship. Originality/value The findings from this preliminary study suggest that internal and external shame are important factors to consider in the provision of medical care to maximise the quality of patient experience and working alliance.

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