Patient Satisfaction with Care After Coronary Revascularization

Objective Bridging the Divides (Bridges), a Centers for Medicare and Medicaid Services-funded program, developed a post-hospitalization care management infrastructure integrating information technology-enabled informatics with patient care for ischemic heart disease patients. The objective of this s...

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Veröffentlicht in:The patient : patient-centered outcomes research 2018-04, Vol.11 (2), p.217-223
Hauptverfasser: Mosby, Danielle L., Manierre, Matthew J., Martin, Steve S., Kolm, Paul, Abuzaid, A. Sami, Jurkovitz, Claudine T., Elliott, Daniel J., Weintraub, William S.
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container_end_page 223
container_issue 2
container_start_page 217
container_title The patient : patient-centered outcomes research
container_volume 11
creator Mosby, Danielle L.
Manierre, Matthew J.
Martin, Steve S.
Kolm, Paul
Abuzaid, A. Sami
Jurkovitz, Claudine T.
Elliott, Daniel J.
Weintraub, William S.
description Objective Bridging the Divides (Bridges), a Centers for Medicare and Medicaid Services-funded program, developed a post-hospitalization care management infrastructure integrating information technology-enabled informatics with patient care for ischemic heart disease patients. The objective of this study was to assess patient satisfaction with the Bridges program and determine the patient characteristics associated with higher satisfaction. Methods All adult English-speaking patients who underwent a percutaneous coronary intervention, coronary artery bypass grafting, or catheterization plus acute myocardial infarction and agreed to participate in the Bridges program were eligible. A survey instrument was administered to address patient satisfaction of care received, aspects of care that patients appreciated, and challenges faced. Descriptive statistics were calculated, and primary analyses included comparisons of overall patient satisfaction after discharge between procedure type, and according to age, sex, race, Elixhauser comorbidity count, and length of stay. Results Four hundred and sixty-seven (46%) had complete or partial response rates. There was a statistically significant difference in the overall satisfaction among patients undergoing percutaneous coronary intervention, coronary artery bypass grafting, or catheterization plus acute myocardial infarction ( p  = 0.023). There were significant procedure by sex ( p  = 0.052) and procedure by age ( p  = 0.039) interactions. There were no statistically significant differences in overall satisfaction according to age, sex, race, comorbidity count, or length of stay. Conclusions This study identified several important components related to patient satisfaction for patients with ischemic heart disease. Results found that patients who underwent coronary artery bypass grafting were reportedly “very satisfied” when compared with patients who underwent percutaneous coronary intervention and catheterization plus acute myocardial infarction, as well as significant age and sex interactions between procedures.
doi_str_mv 10.1007/s40271-017-0274-4
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Sami ; Jurkovitz, Claudine T. ; Elliott, Daniel J. ; Weintraub, William S.</creator><creatorcontrib>Mosby, Danielle L. ; Manierre, Matthew J. ; Martin, Steve S. ; Kolm, Paul ; Abuzaid, A. Sami ; Jurkovitz, Claudine T. ; Elliott, Daniel J. ; Weintraub, William S.</creatorcontrib><description>Objective Bridging the Divides (Bridges), a Centers for Medicare and Medicaid Services-funded program, developed a post-hospitalization care management infrastructure integrating information technology-enabled informatics with patient care for ischemic heart disease patients. The objective of this study was to assess patient satisfaction with the Bridges program and determine the patient characteristics associated with higher satisfaction. Methods All adult English-speaking patients who underwent a percutaneous coronary intervention, coronary artery bypass grafting, or catheterization plus acute myocardial infarction and agreed to participate in the Bridges program were eligible. A survey instrument was administered to address patient satisfaction of care received, aspects of care that patients appreciated, and challenges faced. Descriptive statistics were calculated, and primary analyses included comparisons of overall patient satisfaction after discharge between procedure type, and according to age, sex, race, Elixhauser comorbidity count, and length of stay. Results Four hundred and sixty-seven (46%) had complete or partial response rates. There was a statistically significant difference in the overall satisfaction among patients undergoing percutaneous coronary intervention, coronary artery bypass grafting, or catheterization plus acute myocardial infarction ( p  = 0.023). There were significant procedure by sex ( p  = 0.052) and procedure by age ( p  = 0.039) interactions. There were no statistically significant differences in overall satisfaction according to age, sex, race, comorbidity count, or length of stay. Conclusions This study identified several important components related to patient satisfaction for patients with ischemic heart disease. Results found that patients who underwent coronary artery bypass grafting were reportedly “very satisfied” when compared with patients who underwent percutaneous coronary intervention and catheterization plus acute myocardial infarction, as well as significant age and sex interactions between procedures.</description><identifier>ISSN: 1178-1653</identifier><identifier>EISSN: 1178-1661</identifier><identifier>DOI: 10.1007/s40271-017-0274-4</identifier><identifier>PMID: 28875457</identifier><language>eng</language><publisher>Cham: Springer International Publishing</publisher><subject>Age ; Cardiovascular disease ; Comorbidity ; Coronary vessels ; Gender differences ; Health Administration ; Health care ; Health Economics ; Heart attacks ; Heart surgery ; Hospitals ; Informatics ; Information technology ; Intervention ; Intubation ; Medicaid ; Medical personnel ; Medicine ; Medicine &amp; Public Health ; Mortality ; Original Research Article ; Patient satisfaction ; Pharmacoeconomics and Health Outcomes ; Public Health ; Quality of life ; Quality of Life Research ; Rehabilitation ; Veins &amp; arteries</subject><ispartof>The patient : patient-centered outcomes research, 2018-04, Vol.11 (2), p.217-223</ispartof><rights>Springer International Publishing AG 2017</rights><rights>Copyright Springer Science &amp; Business Media Apr 2018</rights><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c324t-c4c4b82d230e0bcea825853812dee55a06ce5a4822825e3e15ed9161dd99dd7e3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s40271-017-0274-4$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s40271-017-0274-4$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27903,27904,41467,42536,51297</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28875457$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Mosby, Danielle L.</creatorcontrib><creatorcontrib>Manierre, Matthew J.</creatorcontrib><creatorcontrib>Martin, Steve S.</creatorcontrib><creatorcontrib>Kolm, Paul</creatorcontrib><creatorcontrib>Abuzaid, A. Sami</creatorcontrib><creatorcontrib>Jurkovitz, Claudine T.</creatorcontrib><creatorcontrib>Elliott, Daniel J.</creatorcontrib><creatorcontrib>Weintraub, William S.</creatorcontrib><title>Patient Satisfaction with Care After Coronary Revascularization</title><title>The patient : patient-centered outcomes research</title><addtitle>Patient</addtitle><addtitle>Patient</addtitle><description>Objective Bridging the Divides (Bridges), a Centers for Medicare and Medicaid Services-funded program, developed a post-hospitalization care management infrastructure integrating information technology-enabled informatics with patient care for ischemic heart disease patients. The objective of this study was to assess patient satisfaction with the Bridges program and determine the patient characteristics associated with higher satisfaction. Methods All adult English-speaking patients who underwent a percutaneous coronary intervention, coronary artery bypass grafting, or catheterization plus acute myocardial infarction and agreed to participate in the Bridges program were eligible. A survey instrument was administered to address patient satisfaction of care received, aspects of care that patients appreciated, and challenges faced. Descriptive statistics were calculated, and primary analyses included comparisons of overall patient satisfaction after discharge between procedure type, and according to age, sex, race, Elixhauser comorbidity count, and length of stay. Results Four hundred and sixty-seven (46%) had complete or partial response rates. There was a statistically significant difference in the overall satisfaction among patients undergoing percutaneous coronary intervention, coronary artery bypass grafting, or catheterization plus acute myocardial infarction ( p  = 0.023). There were significant procedure by sex ( p  = 0.052) and procedure by age ( p  = 0.039) interactions. There were no statistically significant differences in overall satisfaction according to age, sex, race, comorbidity count, or length of stay. Conclusions This study identified several important components related to patient satisfaction for patients with ischemic heart disease. 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There was a statistically significant difference in the overall satisfaction among patients undergoing percutaneous coronary intervention, coronary artery bypass grafting, or catheterization plus acute myocardial infarction ( p  = 0.023). There were significant procedure by sex ( p  = 0.052) and procedure by age ( p  = 0.039) interactions. There were no statistically significant differences in overall satisfaction according to age, sex, race, comorbidity count, or length of stay. Conclusions This study identified several important components related to patient satisfaction for patients with ischemic heart disease. Results found that patients who underwent coronary artery bypass grafting were reportedly “very satisfied” when compared with patients who underwent percutaneous coronary intervention and catheterization plus acute myocardial infarction, as well as significant age and sex interactions between procedures.</abstract><cop>Cham</cop><pub>Springer International Publishing</pub><pmid>28875457</pmid><doi>10.1007/s40271-017-0274-4</doi><tpages>7</tpages></addata></record>
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subjects Age
Cardiovascular disease
Comorbidity
Coronary vessels
Gender differences
Health Administration
Health care
Health Economics
Heart attacks
Heart surgery
Hospitals
Informatics
Information technology
Intervention
Intubation
Medicaid
Medical personnel
Medicine
Medicine & Public Health
Mortality
Original Research Article
Patient satisfaction
Pharmacoeconomics and Health Outcomes
Public Health
Quality of life
Quality of Life Research
Rehabilitation
Veins & arteries
title Patient Satisfaction with Care After Coronary Revascularization
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