TY - JOUR
T1 - (Can't Get No) Patient Satisfaction the Predictive Power of Demographic, GI, and Psychological Factors in IBS Patients
AU - Quigley, Brian M.
AU - Sova, Christopher C.
AU - Brenner, Darren M.
AU - Keefer, Laurie A.
AU - Sitrin, Michael D.
AU - Radziwon, Christopher D.
AU - Krasner, Susan S.
AU - Lackner, Jeffrey M.
N1 - Funding Information:
Received for publication February 27, 2017; accepted July 6, 2017. From the *Department of Medicine; †Research Institute on Addictions, University at Buffalo, SUNY, Buffalo, NY; and ‡Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL. Supported by the National Institutes of Health Grant DK77738. The authors declare that they have nothing to disclose. Address correspondence to: Jeffrey M. Lackner, PsyD, Behavioral Medicine Clinic, Department of Medicine, University at Buffalo School of Medicine, SUNY, ECMC, 462 Grider Street, Buffalo, NY 14215 (e-mail: lackner@buffalo.edu). Copyright © 2017 Wolters Kluwer Health, Inc. All rights reserved. DOI: 10.1097/MCG.0000000000000906
Publisher Copyright:
© 2017 Wolters Kluwer Health, Inc. All rights reserved.
PY - 2018/8/1
Y1 - 2018/8/1
N2 - Goals: The goal of this study is to assess: (1) the relative contribution of patient factors to satisfaction ratings in irritable bowel syndrome (IBS) patients and (2) the relationship between patient satisfaction (PS) and the number of diagnostic tests patients underwent prior to receiving IBS diagnosis. Background: Although PS is regarded as an important indicator of quality of care, little is known about its determinants. Study: A total of 448 Rome III-diagnosed patients (M age=41 y; 79% F), whose GI symptoms were at least moderate in severity completed patient-reported outcome measures as part of pretreatment evaluation of an NIH-funded clinical trial. PS was measured with the 11-point Hospital Consumer Assessment of Healthcare Providers and Systems global rating scale modified to assess for IBS treatments. A series of multiple regression analyses were conducted for demographic, IBS-specific, general physical health, and psychological predictors before running a final model of significant predictors from each domain. Results: The final regression model was significant, F6,419=6.34, P<0.001, R2=0.08, with race, insurance, number of diagnostic tests, and lower neuroticism predicting PS. Medical tests were rendered nonsignificant when history of seeking care from a gastroenterologist was introduced into the equation. Conclusions: Contrary to hypotheses, neither the IBS symptom severity nor quality of life impairment predicted PS. Patient factors such as a neurotic personality style and sociodemographic profile had a significant but modest impact on PS. Pattern of regression analyses suggests that patients may turn to their gastroenterologist for testing for reassurance, which may in the long-term fuel demand for more testing.
AB - Goals: The goal of this study is to assess: (1) the relative contribution of patient factors to satisfaction ratings in irritable bowel syndrome (IBS) patients and (2) the relationship between patient satisfaction (PS) and the number of diagnostic tests patients underwent prior to receiving IBS diagnosis. Background: Although PS is regarded as an important indicator of quality of care, little is known about its determinants. Study: A total of 448 Rome III-diagnosed patients (M age=41 y; 79% F), whose GI symptoms were at least moderate in severity completed patient-reported outcome measures as part of pretreatment evaluation of an NIH-funded clinical trial. PS was measured with the 11-point Hospital Consumer Assessment of Healthcare Providers and Systems global rating scale modified to assess for IBS treatments. A series of multiple regression analyses were conducted for demographic, IBS-specific, general physical health, and psychological predictors before running a final model of significant predictors from each domain. Results: The final regression model was significant, F6,419=6.34, P<0.001, R2=0.08, with race, insurance, number of diagnostic tests, and lower neuroticism predicting PS. Medical tests were rendered nonsignificant when history of seeking care from a gastroenterologist was introduced into the equation. Conclusions: Contrary to hypotheses, neither the IBS symptom severity nor quality of life impairment predicted PS. Patient factors such as a neurotic personality style and sociodemographic profile had a significant but modest impact on PS. Pattern of regression analyses suggests that patients may turn to their gastroenterologist for testing for reassurance, which may in the long-term fuel demand for more testing.
KW - functional GI disorders
KW - outcome
KW - quality
KW - treatment
KW - value-based care
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U2 - 10.1097/MCG.0000000000000906
DO - 10.1097/MCG.0000000000000906
M3 - Article
C2 - 28787357
AN - SCOPUS:85050258701
VL - 52
SP - 614
EP - 621
JO - Journal of Clinical Gastroenterology
JF - Journal of Clinical Gastroenterology
SN - 0192-0790
IS - 7
ER -