Causal Effect Analysis of Demographic Concordance on Patient Perception of Physician Trust and Respect in an Emergency Care Setting

Author(s):  
Amy F Ho ◽  
Yuan Zhou ◽  
Jessica J Kirby ◽  
Md Mamumur Rahman ◽  
Kathryn Tessitore ◽  
...  

Abstract Objectives: Patient perceptions of physician trust and respect are important factors for patient satisfaction evaluations. We aim to determine the causal effect on patient-physician demographic concordance and patient perceptions of physician trust and respect in an emergency care setting. A near real-time patient satisfaction survey was sent via telephone to patients within 72 hours of discharge from an Emergency Department (ED). Patient-trust-physician (PTP) and physician-show-respect (PSR) scores were measured. Patient and physician demographics (age, gender, race, and ethnicity) were matched. We employed genetic matching to assign patients appropriately to the treatment (demographic concordance) and control (demographic discordance) groups. Causal effect was analyzed to determine the direct effect of patient-physician demographic concordance on PTP/PSR scores. Result: We enrolled 1815 patients. The treatment effect of patient-physician demographic concordance on patient perception of physician trust and respect ranged from -0.02 to -0.2 (p>0.05). In general, patient-physician demographic concordance has minimal effect on patient perceptions of physician trust and respect.

2021 ◽  
Vol Volume 13 ◽  
pp. 503-509
Author(s):  
Amy F Ho ◽  
Yuan Zhou ◽  
Jessica J Kirby ◽  
Md Mamunur Rahman ◽  
Kathryn Tessitore ◽  
...  

2019 ◽  
Vol 69 (6) ◽  
pp. 441-444
Author(s):  
S Lari ◽  
A M S Thompson ◽  
V Spilchuk ◽  
M Afanasyeva ◽  
D L Holness

Abstract Background Patient-centred care (PCC) has been associated with improved patient satisfaction outcomes in a variety of clinical settings. There is a paucity of research addressing the concept of PCC in an occupational medicine context. Aims To assess patient perception and compare physician and patient perceptions of patient centredness of the care at a specialty occupational medicine clinic. Methods An observational study design using the Patient Perception of Patient Centeredness Questionnaire (PPPC) at an ambulatory tertiary care occupational health clinic. Results were analysed using a standardized coding system. Summary scores were compared to results reported in a primary care setting. Patient and physician scores were compared to detect physician–patient differences in perceived patient centredness of care. Results Of 47 eligible patients 37 consented to participate and seven were excluded due to incomplete data. Summary scores of patient perceptions of patient centredness were similar but somewhat better than scores reported in a primary care setting. Perceived patient centredness of care was high and there was minimal discordance between patient and physician scores. Conclusions This study demonstrated that PCC can be measured in an occupational health setting. In an ambulatory tertiary care occupational health clinic there was a high degree of patient centredness of care which may be explained by a variety of factors. Future research should consider whether similar findings exist in other occupational medicine practice settings.


Author(s):  
Daiheng Ni

A fundamental diagram consists of a scatter of traffic flow data sampled at a specific location and aggregated from vehicle trajectories. These trajectories, if presented equivalently, constitute a microscopic version of the (conventional) fundamental diagram. The cross-reference between vehicle trajectories and the microscopic fundamental diagram provides details of vehicle motion dynamics which allow causal-effect analysis on some traffic phenomena and further reveal the microscopic basis of the conventional fundamental diagram. This observation inspires theoretical modeling by a microscopic approach to address traffic phenomena and the conventional fundamental diagram. Derived from the field theory of traffic flow, the longitudinal control model is capable of serving the purpose without the modifications or exceptions used by other approaches.


2021 ◽  
Vol 108 (Supplement_2) ◽  
Author(s):  
M Rafii ◽  
A Freethy ◽  
J Chan

Abstract Introduction The COVID-19 pandemic has witnessed an increased reliance on telemedicine. Patient satisfaction is a key indicator of whether telephone consultations deliver high-quality care. This study evaluates patient perceptions of telephone consultations conducted in a single plastic surgery outpatient department. Method Structured telephone interviews using an adapted Telehealth Usability Questionnaire and the NHS Friends and Family Test were conducted in 98 patients who had undergone outpatient telephone consultations with a plastic surgeon. 13 questions explored domains of usefulness, interaction quality, reliability, patient satisfaction, and future use of telehealth. Results 72 of 98 (73%) completed the survey. Male(49):Female(23). Mean age 59 (range 17-91). 50.4% Strongly agreed (SA) and 24.3% agreed (A) to questions addressing usefulness of the platform. For interaction quality; 63% SA and 21% A. 47% disagreed with questions pertaining to reliability. Overall, 75% were either SA/A for satisfaction and 81% would use telehealth again. No significant difference was found in domain scores when comparing sex or age groups. Conclusions Overall, patient perceptions were positive towards the usefulness and interaction quality of telephone consultations. However, reliability scored poorly. Most patients were satisfied with the care provided. Comparison to other telehealth mediums e.g. video consultation and patient safety studies are needed.


2000 ◽  
Vol 15 (7) ◽  
pp. 457-461 ◽  
Author(s):  
Steven R. Simon ◽  
Antoinette S. Peters ◽  
Cindy L. Christiansen ◽  
Robert H. Fletcher

Author(s):  
Athamaica Ruiz Oropeza ◽  
Annmarie Lassen ◽  
Susanne Halken ◽  
Carsten Bindslev-Jensen ◽  
Charlotte G Mortz

2020 ◽  
Vol 24 (02) ◽  
pp. 54-55
Author(s):  
Arne Vielitz

Schreijenberg M, Lin CC, McLachlan AJ et al. Paracetamol is Ineffective for Acute Low Back Pain even for Patients Who Comply with Treatment: Complier Average Causal Effect Analysis of a Randomized Controlled Trial. Pain 2019; 160: 2848–2854. doi: 10.1097/j.pain.0000000000001685


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