A qualitative inquiry of patient-reported outcomes: the case of lower urinary tract symptoms.

Nursing Research
Lisa C WelchSharon L Tennstedt

Abstract

Patient-reported outcomes are a valuable tool for assessing healthcare, particularly for symptom-based conditions that lack definitive physiological measures of treatment efficacy. To explore the value of qualitative methods for understanding and developing patient-reported outcomes of medical care for symptom-based conditions by examining the case of lower urinary tract symptoms. Semistructured interviews were conducted with a diverse community sample of 90 respondents who had spoken with a provider about their urinary symptoms. Content and thematic analyses were conducted for the areas of symptom relief, patient adherence, and satisfaction with care according to gender, race or ethnicity, and socioeconomic status. Across social groups, most patients experienced either no symptom relief or partial relief, reported that they adhered to recommendations, and were satisfied with the care received. The primary reason for no symptom relief was not receiving a treatment recommendation. For patients, even partial relief made symptoms more manageable both physically and emotionally. Satisfaction with care was mediated by the quality of the patient-provider relationship as well as expectations other than symptom relief, particularly for...Continue Reading

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Citations

Aug 14, 2012·The American Journal of Bioethics : AJOB·Adrian GutaJean Daniel Jacob
Oct 11, 2019·International Journal of Environmental Research and Public Health·María Zahara Pintos-DíazDomingo Palacios-Ceña
Jun 8, 2021·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Sarah MilosevicAdrian Edwards

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