The Relationships Between Patient Experience and Quality and Utilization of Primary Care Services
We lack knowledge on how patient-reported experience relates to both quality of care services and visit attendance in the primary care setting. Therefore, in a cross-sectional analysis of 8355 primary care patients from 22 primary care practices, we examined the associations between visit-triggered...
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doaj-1c832573a2224ef089be1f45462bd08b2021-01-05T02:04:29ZengSAGE PublishingJournal of Patient Experience2374-37352374-37432020-12-01710.1177/2374373520924190The Relationships Between Patient Experience and Quality and Utilization of Primary Care ServicesJaya Aysola MD, MPH0Chang Xu MS1Hairong Huo PhD2Rachel M Werner MD, PhD3 Leonard Davis Institute of Health Economics, , PA, USA Division of General Internal Medicine, Department of Medicine, Perelman School of Medicine, , PA, USA Division of General Internal Medicine, Department of Medicine, Perelman School of Medicine, , PA, USA Crescenz VA Medical Center, Philadelphia, PA, USAWe lack knowledge on how patient-reported experience relates to both quality of care services and visit attendance in the primary care setting. Therefore, in a cross-sectional analysis of 8355 primary care patients from 22 primary care practices, we examined the associations between visit-triggered patient-reported experience measures and both (1) quality of care measures and (2) number of missed primary care appointment (no shows). Our independent variables included both overall patient experience and its subdomains. Our outcomes included the following measures: smoking cessation discussion, diabetes eye examination referral, mammography, colonoscopy screening, current smoking status (nonsmoker vs smoker), diabetes control Hemoglobin A1c (HbA 1c [<8]), blood pressure control, cholesterol control Low Density Lipoprotein (LDL) among patients with diabetes (LDL < 100), and visit no shows 2 and 5 years after the index visit that triggered the completed patient-experience survey. We found that patient experience, while an important stand-alone metric of care quality, may not relate to clinical outcomes or process measures in the outpatient setting. However, patient-reported experiences with their primary care provider appear to influence their future visit attendance.https://doi.org/10.1177/2374373520924190 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Jaya Aysola MD, MPH Chang Xu MS Hairong Huo PhD Rachel M Werner MD, PhD |
spellingShingle |
Jaya Aysola MD, MPH Chang Xu MS Hairong Huo PhD Rachel M Werner MD, PhD The Relationships Between Patient Experience and Quality and Utilization of Primary Care Services Journal of Patient Experience |
author_facet |
Jaya Aysola MD, MPH Chang Xu MS Hairong Huo PhD Rachel M Werner MD, PhD |
author_sort |
Jaya Aysola MD, MPH |
title |
The Relationships Between Patient Experience and Quality and Utilization of Primary Care Services |
title_short |
The Relationships Between Patient Experience and Quality and Utilization of Primary Care Services |
title_full |
The Relationships Between Patient Experience and Quality and Utilization of Primary Care Services |
title_fullStr |
The Relationships Between Patient Experience and Quality and Utilization of Primary Care Services |
title_full_unstemmed |
The Relationships Between Patient Experience and Quality and Utilization of Primary Care Services |
title_sort |
relationships between patient experience and quality and utilization of primary care services |
publisher |
SAGE Publishing |
series |
Journal of Patient Experience |
issn |
2374-3735 2374-3743 |
publishDate |
2020-12-01 |
description |
We lack knowledge on how patient-reported experience relates to both quality of care services and visit attendance in the primary care setting. Therefore, in a cross-sectional analysis of 8355 primary care patients from 22 primary care practices, we examined the associations between visit-triggered patient-reported experience measures and both (1) quality of care measures and (2) number of missed primary care appointment (no shows). Our independent variables included both overall patient experience and its subdomains. Our outcomes included the following measures: smoking cessation discussion, diabetes eye examination referral, mammography, colonoscopy screening, current smoking status (nonsmoker vs smoker), diabetes control Hemoglobin A1c (HbA 1c [<8]), blood pressure control, cholesterol control Low Density Lipoprotein (LDL) among patients with diabetes (LDL < 100), and visit no shows 2 and 5 years after the index visit that triggered the completed patient-experience survey. We found that patient experience, while an important stand-alone metric of care quality, may not relate to clinical outcomes or process measures in the outpatient setting. However, patient-reported experiences with their primary care provider appear to influence their future visit attendance. |
url |
https://doi.org/10.1177/2374373520924190 |
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