The Association Between Physicians' Communication and Patient-Reported Outcomes in Spine Surgery

Spine
Nicholas M RabahMichael P Steinmetz

Abstract

Retrospective cohort study using prospectively collected data. Determine the association between satisfaction with physician communication and patient-reported outcomes in the inpatient spine surgery setting. Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) surveys measure the patient experience of care and influence reimbursement for hospital systems and providers in the United States. It is not known whether patient satisfaction with physician communication is associated with better outcomes after spine surgery. Therefore, we evaluated the association between patient satisfaction with physician communication on the HCAHPS survey and improvements in validated patient-reported outcomes measures in a spine surgery population. HCAHPS responses were obtained for patients undergoing elective cervical or lumbar spine surgery from 2013 to 2015. Patient-reported health status measures were the primary outcomes, including EuroQol Five Dimensions (EQ-5D), Pain Disability Questionnaire (PDQ), and Visual Analog Scores for Back and Neck Pain (VAS-BP/NP). The association between satisfaction with communication and preoperative to 1 year postoperative changes in each health status measure was evaluated utilizing mult...Continue Reading

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Citations

Dec 1, 2020·World Neurosurgery·Brandon M LehrichMichael Y Oh

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