HCPLive

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.

Most Popular

Recommended Reading

Programmed cell death 1 inhibition with pembrolizumab is showing early promise for some patients with advanced non-small-cell lung cancer, according to preliminary findings published online April 19 in the New England Journal of Medicine. The research was published to coincide with the annual meeting of the American Association for Cancer Research, held from April 18 to 22 in Philadelphia.
A gene variation associated with smoking longer and getting lung cancer at a younger age has been identified by researchers. The study was published in the May issue of the Journal of the National Cancer Institute.
Longer nighttime fasting duration is associated with improved glycemic regulation, and in turn, may reduce a woman's risk for breast cancer by improving biomarkers of glycemic control. The findings were published online April 20 in Cancer Epidemiology, Biomarkers & Prevention to coincide with the annual meeting of the American Association for Cancer Research, held from April 18 to 22 in Philadelphia.
Inflammation in the gums and mouth bacteria may be a trigger behind the onset of rheumatoid arthritis, according to findings presented at the 93rd General Session and Exhibition of the International Association for Dental Research.
$vAR$