HCPLive Network

Patient Satisfaction Linked to Varied Health Care Utilization

Higher patient satisfaction is associated with less emergency department use, but with greater inpatient admissions, expenditures, and higher mortality, according to a study published online Feb. 13 in the Archives of Internal Medicine.

Joshua J. Fenton, M.D., M.P.H., of the University of California-Davis in Sacramento, and colleagues conducted a prospective analysis of 36,428 participants of a subsample of the 2000 to 2007 Medical Expenditure Panel Survey to determine how year-one patient satisfaction scores related to year-two health care utilization and expenditures and to mortality, during a mean follow-up of 3.9 years.

After adjusting for confounding variables, the researchers found that, compared to respondents in the lowest quartile, respondents in the highest quartile for patient satisfaction were less likely to visit an emergency department (adjusted odds ratio [aOR], 0.92). However, they did have higher odds for any inpatient admission (aOR, 1.12), as well as 8.8 percent increased expenditures, 9.1 percent increased prescription drug costs, and increased mortality (adjusted hazard ratio, 1.26).

"These associations warrant cautious interpretation and further evaluation, but they suggest that we may not fully understand the factors associated with patient satisfaction," the authors write. "Without additional measures to ensure that care is evidence based and patient centered, an overemphasis on patient satisfaction could have unintended adverse effects on health care utilization, expenditures, and outcomes."

Abstract
Full Text
Editorial

Copyright © 2012 HealthDay. All rights reserved.


Further Reading
Researchers at Hong Kong University and the Wellcome Trust Sanger Institute have identified a link between the influenza A viruses’ genetic diversity and severity of the infection.
Carol Burke, MD, FACG, FASGE, talks about her phase-3 placebo-controlled trial of Celecoxib in pediatric subjects with familial adenomatous polyposis (FAP) at the 2014 ACG Annual Meeting in Philadelphia, PA.
Carol Burke, MD, FACG, FASGE, discusses pediatric familial adenomatous polyposis (FAP) and colorectal cancer at the 2014 ACG Annual Scientific Meeting in Philadelphia, PA.
The immune system is the new focus of much work on traumatic brain injury (TBI). In a challenge to the paradigm that the blood brain barrier prevents harmful leukocytes from entering the brain, a Texas team tried to neutralize the impact of these cells. Peripheral lymphocytes are activated after TBI. They may then act as potential antigen presenting cells and get into the brain, causing cells there to degenerate.
Black women undergoing in vitro fertilization are only about half as likely as white women to become pregnant, and the racial disparity persists even when donor eggs are used. These findings are being presented at the annual meeting of the American Society for Reproductive Medicine, held from Oct. 18 to 22 in Honolulu.
Hospital conversion to for-profit status is associated with improvements in financial margins, but has no effect on process quality metrics or mortality rates, according to a study published in the Oct. 22/29 issue of the Journal of the American Medical Association
Drinking sugar-sweetened sodas may affect cellular aging by shortening telomere length, according to research published online Oct. 16 in the American Journal of Public Health.
More Reading