TY - JOUR
T1 - Association between hospital admissions and healthcare provider communication for individuals with sickle cell disease
AU - Cronin, Robert M.
AU - Yang, Manshu
AU - Hankins, Jane S.
AU - Byrd, Jeannie
AU - Pernell, Brandi M.
AU - Kassim, Adetola
AU - Adams-Graves, Patricia
AU - Thompson, Alexis A.
AU - Kalinyak, Karen
AU - DeBaun, Michael
AU - Treadwell, Marsha
N1 - Funding Information:
This project was part of the Mid-South CDRN [], funded by the Patient-Centered Outcomes Research Institute (PCORI). The Mid-South CDRN survey tool was designed to obtain uniform information across cohorts with obesity, coronary heart disease and SCD. The Institutional Review Boards of the participating sites approved all study procedures and informed consent was obtained from all participants.
Funding Information:
This work was supported by PCORI [grant number CDRN 1501-26498] and research reported in this publication was supported by the National Heart, Lung, And Blood Institute of the National Institutes of Health under Award Number K23HL141447. The authors want to thank the members of the Vanderbilt-Meharry Center of Excellence in Sickle Cell Disease for assisting in manuscript review; Bertha Davis assisting with regulatory matters; Brittany L. Myers, DNP, RN assisting with recruiting patients; and Natasha Dean for her help in manuscript preparation. The authors also thank the individuals with SCD and their caregivers who participated in this study. Contributors: JSH, BMP, AAK, PA, AAT, KK, MRD, and MT conceived the study design. All authors contributed in data collection. MY, RMC and MT performed data analysis and interpretation of the results. All authors contributed to the writing and review of the manuscript.
Publisher Copyright:
© 2020, © 2020 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group.
PY - 2020/1/1
Y1 - 2020/1/1
N2 - Objective: To test the hypothesis that caregivers’ or adult participants’ low ratings of provider communication are associated with more hospital admissions among adults and children with sickle cell disease (SCD), respectively. Secondarily, we determined whether there was an association between the caregivers’ or participants’ health literacy and rating of providers’ communication. Methods: Primary data were collected from participants through surveys between 2014 and 2016, across six sickle cell centers throughout the U.S. In this cross-sectional cohort study, 211 adults with SCD and 331 caregivers of children with SCD completed surveys evaluating provider communication using the Consumer Assessment of Healthcare Providers and Systems (CAHPS), healthcare utilization, health literacy, and other sociodemographic and behavioral variables. Analyses included descriptive statistics, bivariate analyses, and logistic regression. Results: Participants with better ratings of provider communication were less likely to be hospitalized (odds ratio (OR) = 0.54, 95% confidence interval (CI) = [0.35, 0.83]). Positive ratings of provider communication were associated with fewer readmissions for children (OR = 0.23, 95% CI = [0.09, 0.57]). Participants with better ratings of provider communication were less likely to rate their health literacy as lower (regression coefficient (B) = −0.28, 95% CI = [−0.46, −0.10]). Conclusions: Low ratings of provider communication were associated with more hospitalizations and readmissions in SCD, suggesting the need for interventions targeted at improving patient-provider communication which could decrease hospitalizations for this population.
AB - Objective: To test the hypothesis that caregivers’ or adult participants’ low ratings of provider communication are associated with more hospital admissions among adults and children with sickle cell disease (SCD), respectively. Secondarily, we determined whether there was an association between the caregivers’ or participants’ health literacy and rating of providers’ communication. Methods: Primary data were collected from participants through surveys between 2014 and 2016, across six sickle cell centers throughout the U.S. In this cross-sectional cohort study, 211 adults with SCD and 331 caregivers of children with SCD completed surveys evaluating provider communication using the Consumer Assessment of Healthcare Providers and Systems (CAHPS), healthcare utilization, health literacy, and other sociodemographic and behavioral variables. Analyses included descriptive statistics, bivariate analyses, and logistic regression. Results: Participants with better ratings of provider communication were less likely to be hospitalized (odds ratio (OR) = 0.54, 95% confidence interval (CI) = [0.35, 0.83]). Positive ratings of provider communication were associated with fewer readmissions for children (OR = 0.23, 95% CI = [0.09, 0.57]). Participants with better ratings of provider communication were less likely to rate their health literacy as lower (regression coefficient (B) = −0.28, 95% CI = [−0.46, −0.10]). Conclusions: Low ratings of provider communication were associated with more hospitalizations and readmissions in SCD, suggesting the need for interventions targeted at improving patient-provider communication which could decrease hospitalizations for this population.
KW - Provider communication
KW - consumer assessment of healthcare providers and systems
KW - health care surveys
KW - shared decision-making
KW - sickle cell anemia
KW - vulnerable populations
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U2 - 10.1080/16078454.2020.1780737
DO - 10.1080/16078454.2020.1780737
M3 - Article
C2 - 32552526
AN - SCOPUS:85086692057
VL - 25
SP - 229
EP - 240
JO - Hematology
JF - Hematology
SN - 1024-5332
IS - 1
ER -