(Can’t Get No) Patient Satisfaction: The Predictive Power of Demographic, GI, and Psychological Factors in IBS Patients
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 diagnos...
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| Veröffentlicht in: | Journal of clinical gastroenterology 2018-08, Vol.52 (7), p.614-621 |
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| container_title | Journal of clinical gastroenterology |
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| creator | Quigley, Brian M Sova, Christopher C Brenner, Darren M Keefer, Laurie A Sitrin, Michael D Radziwon, Christopher D Krasner, Susan S Lackner, Jeffrey M |
| description | 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 |
| doi_str_mv | 10.1097/MCG.0000000000000906 |
| format | Article |
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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, R=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.</description><identifier>ISSN: 0192-0790</identifier><identifier>EISSN: 1539-2031</identifier><identifier>DOI: 10.1097/MCG.0000000000000906</identifier><identifier>PMID: 28787357</identifier><language>eng</language><publisher>United States: Copyright Wolters Kluwer Health, Inc. All rights reserved</publisher><subject>Adolescent ; Adult ; Aged ; Chicago - epidemiology ; Cross-Sectional Studies ; Diagnostic Techniques, Digestive System ; Female ; Humans ; Irritable Bowel Syndrome - diagnosis ; Irritable Bowel Syndrome - epidemiology ; Irritable Bowel Syndrome - psychology ; Irritable Bowel Syndrome - therapy ; Male ; Middle Aged ; New York - epidemiology ; Patient Satisfaction ; Personality ; Predictive Value of Tests ; Quality of Life ; Risk Factors ; Severity of Illness Index ; Stress, Psychological - epidemiology ; Stress, Psychological - psychology ; Surveys and Questionnaires ; Young Adult</subject><ispartof>Journal of clinical gastroenterology, 2018-08, Vol.52 (7), p.614-621</ispartof><rights>Copyright © 2018 Wolters Kluwer Health, Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c3606-279478f58deba0de11e75ba0406d49060c7c6f3347c4e407a9973b4b6dec3d7f3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,776,780,881,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28787357$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Quigley, Brian M</creatorcontrib><creatorcontrib>Sova, Christopher C</creatorcontrib><creatorcontrib>Brenner, Darren M</creatorcontrib><creatorcontrib>Keefer, Laurie A</creatorcontrib><creatorcontrib>Sitrin, Michael D</creatorcontrib><creatorcontrib>Radziwon, Christopher D</creatorcontrib><creatorcontrib>Krasner, Susan S</creatorcontrib><creatorcontrib>Lackner, Jeffrey M</creatorcontrib><title>(Can’t Get No) Patient Satisfaction: The Predictive Power of Demographic, GI, and Psychological Factors in IBS Patients</title><title>Journal of clinical gastroenterology</title><addtitle>J Clin Gastroenterol</addtitle><description>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, R=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.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Chicago - epidemiology</subject><subject>Cross-Sectional Studies</subject><subject>Diagnostic Techniques, Digestive System</subject><subject>Female</subject><subject>Humans</subject><subject>Irritable Bowel Syndrome - diagnosis</subject><subject>Irritable Bowel Syndrome - epidemiology</subject><subject>Irritable Bowel Syndrome - psychology</subject><subject>Irritable Bowel Syndrome - therapy</subject><subject>Male</subject><subject>Middle Aged</subject><subject>New York - epidemiology</subject><subject>Patient Satisfaction</subject><subject>Personality</subject><subject>Predictive Value of Tests</subject><subject>Quality of Life</subject><subject>Risk Factors</subject><subject>Severity of Illness Index</subject><subject>Stress, Psychological - epidemiology</subject><subject>Stress, Psychological - psychology</subject><subject>Surveys and Questionnaires</subject><subject>Young Adult</subject><issn>0192-0790</issn><issn>1539-2031</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kcFuEzEQhi0EoqHwBgj5WKRusdfenTWHShBoiFQgUsvZcryzWYOzDvamVW68Bq_Hk2CUtioc8GVm5H--secn5DlnJ5wpePVxOjth949i9QMy4ZVQRckEf0gmjKuyYKDYAXmS0lfGOAjBH5ODsoEGRAUTsjuamuHXj58jneFIP4WXdGFGh8NIL3JMnbGjC8NretkjXURsXa6vchquMdLQ0Xe4DqtoNr2zx3Q2P6ZmaOki7WwffFg5azw9y4wQE3UDnb-9uOWnp-RRZ3zCZzfxkHw5e385_VCcf57Np2_OCytqVhclKAlNVzUtLg1rkXOEKmeS1a3MX2YWbN0JIcFKlAyMUiCWclm3aEULnTgkp3vuZrtcY2vz7Gi83kS3NnGng3H675vB9XoVrnQFCqqyyoCjG0AM37eYRr12yaL3ZsCwTTovGSoFspFZKvdSG0NKEbu7MZzpP67p7Jr-17Xc9uL-E--abm3KgmYvuA5-xJi--W3ev-7R-LH_P_s3RAWkwg</recordid><startdate>201808</startdate><enddate>201808</enddate><creator>Quigley, Brian M</creator><creator>Sova, Christopher C</creator><creator>Brenner, Darren M</creator><creator>Keefer, Laurie A</creator><creator>Sitrin, Michael D</creator><creator>Radziwon, Christopher D</creator><creator>Krasner, Susan S</creator><creator>Lackner, Jeffrey M</creator><general>Copyright Wolters Kluwer Health, Inc. All rights reserved</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>201808</creationdate><title>(Can’t Get No) Patient Satisfaction: The Predictive Power of Demographic, GI, and Psychological Factors in IBS Patients</title><author>Quigley, Brian M ; Sova, Christopher C ; Brenner, Darren M ; Keefer, Laurie A ; Sitrin, Michael D ; Radziwon, Christopher D ; Krasner, Susan S ; Lackner, Jeffrey M</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3606-279478f58deba0de11e75ba0406d49060c7c6f3347c4e407a9973b4b6dec3d7f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Chicago - epidemiology</topic><topic>Cross-Sectional Studies</topic><topic>Diagnostic Techniques, Digestive System</topic><topic>Female</topic><topic>Humans</topic><topic>Irritable Bowel Syndrome - diagnosis</topic><topic>Irritable Bowel Syndrome - epidemiology</topic><topic>Irritable Bowel Syndrome - psychology</topic><topic>Irritable Bowel Syndrome - therapy</topic><topic>Male</topic><topic>Middle Aged</topic><topic>New York - epidemiology</topic><topic>Patient Satisfaction</topic><topic>Personality</topic><topic>Predictive Value of Tests</topic><topic>Quality of Life</topic><topic>Risk Factors</topic><topic>Severity of Illness Index</topic><topic>Stress, Psychological - epidemiology</topic><topic>Stress, Psychological - psychology</topic><topic>Surveys and Questionnaires</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Quigley, Brian M</creatorcontrib><creatorcontrib>Sova, Christopher C</creatorcontrib><creatorcontrib>Brenner, Darren M</creatorcontrib><creatorcontrib>Keefer, Laurie A</creatorcontrib><creatorcontrib>Sitrin, Michael D</creatorcontrib><creatorcontrib>Radziwon, Christopher D</creatorcontrib><creatorcontrib>Krasner, Susan S</creatorcontrib><creatorcontrib>Lackner, Jeffrey M</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of clinical gastroenterology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Quigley, Brian M</au><au>Sova, Christopher C</au><au>Brenner, Darren M</au><au>Keefer, Laurie A</au><au>Sitrin, Michael D</au><au>Radziwon, Christopher D</au><au>Krasner, Susan S</au><au>Lackner, Jeffrey M</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>(Can’t Get No) Patient Satisfaction: The Predictive Power of Demographic, GI, and Psychological Factors in IBS Patients</atitle><jtitle>Journal of clinical gastroenterology</jtitle><addtitle>J Clin Gastroenterol</addtitle><date>2018-08</date><risdate>2018</risdate><volume>52</volume><issue>7</issue><spage>614</spage><epage>621</epage><pages>614-621</pages><issn>0192-0790</issn><eissn>1539-2031</eissn><abstract>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, R=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.</abstract><cop>United States</cop><pub>Copyright Wolters Kluwer Health, Inc. All rights reserved</pub><pmid>28787357</pmid><doi>10.1097/MCG.0000000000000906</doi><tpages>8</tpages></addata></record> |
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| source | MEDLINE; Journals@Ovid Complete |
| subjects | Adolescent Adult Aged Chicago - epidemiology Cross-Sectional Studies Diagnostic Techniques, Digestive System Female Humans Irritable Bowel Syndrome - diagnosis Irritable Bowel Syndrome - epidemiology Irritable Bowel Syndrome - psychology Irritable Bowel Syndrome - therapy Male Middle Aged New York - epidemiology Patient Satisfaction Personality Predictive Value of Tests Quality of Life Risk Factors Severity of Illness Index Stress, Psychological - epidemiology Stress, Psychological - psychology Surveys and Questionnaires Young Adult |
| title | (Can’t Get No) Patient Satisfaction: The Predictive Power of Demographic, GI, and Psychological Factors in IBS Patients |
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