Journals / Celal Bayar Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi / 2024 / Volume: 11 Issue: 4

Determinants of Patient-Centered Communication, Its Impact On Quality of Services, Overall Health Status And Trust In The Healthcare System In The United States

Hasta Merkezli İletişimin Belirleyicileri, Hizmet Kalitesi, Genel Sağlık Durumu ve Amerika Birleşik Devletleri'ndeki Sağlık Sistemine Güven Üzerindeki Etkisi

Cuma Çakmak(DİCLE ÜNİVERSİTESİ)0000-0002-4409-9669
İsmail Biçer(PAMUKKALE ÜNİVERSİTESİ)0000-0003-1878-0546
Pages
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Publication Date
2024-12-29
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Likewise, surveys, comment boxes and digital feedback systems should be established to measure patient satisfaction and receive feedback

📌 3 Key Takeaways

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Objective & Hypothesis:Aim; Within the scope of this study, it is aimed to reveal the factors affecting the level of patient-centred communication of the participants through the data of American cancer patients, and to reveal the effect of patient-centred communication on health service quality, general health status and patients' trust in the health system.
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Key Findings & Data:Multiple regression analyses were performed using the data obtained from 900 cancer patients who were research participants.
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Conclusion & Impact:Likewise, surveys, comment boxes and digital feedback systems should be established to measure patient satisfaction and receive feedback
🔬Design:Survey & Empirical Study
📍Scope:Comprehensive Sample
⚙️Variables:Patient-centered communication · service quality · general health status

Abstract

Aim; Within the scope of this study, it is aimed to reveal the factors affecting the level of patient-centred communication of the participants through the data of American cancer patients, and to reveal the effect of patient-centred communication on health service quality, general health status and patients' trust in the health system. Method; This study was descriptive and cross-sectional. In the study population, t-tests and ANOVA tests were used. Multiple regression analyses were performed using the data obtained from 900 cancer patients who were research participants. Results; Patient-centred communication levels of cancer patients did not differ according to gender, occupation, family history of cancer, marital status and education variables, but PCC levels differed according to income variables. Patient-centred communication positively affects service quality, health status and trust in the health system. Conclusion; Patient-centred communication positively affects health outcomes. Patient-centered communication should be used effectively in healthcare. Various communication channels such as telephone, e-mail, mobile applications and online platforms should be offered to meet patients' needs. Likewise, surveys, comment boxes and digital feedback systems should be established to measure patient satisfaction and receive feedback

Özet

Giriş ve Amaç: Bu çalışma kapsamında Amerikalı kanser hastalarının verileri üzerinden katılımcıların hasta merkezli iletişim düzeyini etkileyen faktörlerin ortaya konulması ve hasta merkezli iletişimin sağlık hizmet kalitesi, genel sağlık durumu ve hastaların sağlık sistemine olan güveni üzerindeki etkisinin ortaya konulması amaçlanmaktadır. Gereç ve Yöntemler: Bu çalışma tanımlayıcı ve kesitseldir. Çalışma evreninde t-testi ve ANOVA testleri kullanılmıştır. Araştırma katılımcısı olan 900 kanser hastasından elde edilen veriler kullanılarak çoklu regresyon analizleri yapılmıştır. Bulgular: Kanser hastalarının hasta merkezli iletişim düzeyleri cinsiyet, meslek, ailede kanser öyküsü, medeni durum ve eğitim değişkenlerine göre farklılaşmazken, gelir değişkenine göre farklılık göstermiştir. Hasta odaklı iletişim, hizmet kalitesini, sağlık durumunu ve sağlık sistemine olan güveni olumlu yönde etkilemektedir. Sonuç: Hasta merkezli iletişim sağlık sonuçlarını olumlu yönde etkiler. Hasta merkezli iletişim sağlık hizmetlerinde etkin bir şekilde kullanılmalıdır. Hastaların ihtiyaçlarını karşılamak için telefon, e-posta, mobil uygulamalar ve çevrimiçi platformlar gibi çeşitli iletişim kanalları sunulmalıdır. Aynı şekilde hasta memnuniyetini ölçmek ve geri bildirim almak için anketler, yorum kutuları ve dijital geri bildirim sistemleri kurulmalıdır.

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Cite This Article

Çakmak, C., Biçer, İ. (2024). Determinants of Patient-Centered Communication, Its Impact On Quality of Services, Overall Health Status And Trust In The Healthcare System In The United States. Celal Bayar Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi, Volume: 11 Issue: 4. https://doi.org/10.34087/cbusbed.1503044

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References (40)

  1. Institute of Medicine. Crossing the Quality Chasm: A New Health System for the 21st Century. Washington (DC): National Academies Press (US); 2001. Avaliable adress: http://www.ncbi.nlm.nih.gov/books/NBK222274/
  2. Epstein RM, Fiscella K, Lesser CS, Stange KC. Why the nation needs a policy push on patient-centered health care. Health affairs. 2010;29(8):1489-95. https://doi.org/10.1377/hlthaff.2009.0888
  3. Reeve BB, Thissen DM, Bann CM, Mack N, Treiman K, Sanoff HK, vd. Psychometric evaluation and design of patient-centered communication measures for cancer care settings. Patient education and counseling. 2017;100(7):1322-8. https://doi.org/10.1016/j.pec.2017.02.011
  4. Naughton CA. Patient-Centered Communication. Pharm Basel Switz. 2018;6(1). https://doi.org/10.3390/pharmacy6010018
  5. Epstein R, Street R. Patient-Centered Communication in Cancer Care: Promoting Healing and Reducing Suffering. Bethesda, MD,: National Cancer Institute; 2007. Report No.: NIH Publication No. 07-6225. https://doi.org/10.1037/e481972008-001
  6. Levinson W. Patient-centred communication: a sophisticated procedure. BMJ Quality & Safety. 2011;20(10):823-5. https://doi.org/10.1136/bmjqs-2011-000323
  7. Hashim MJ. Patient-Centered Communication: Basic Skills. American family physician. 2017;95(1):29-34.
  8. Kourakos M, Fradelos EC, Papathanasiou IV, Saridi M, Kafkia T. Communication as the Basis of Care for Patients with Chronic Diseases. Am J Nurs Sci. 2017;7(3):7. https://doi.org/10.11648/j.ajns.s.2018070301.12
  9. Epstein RM, Franks P, Fiscella K, Shields CG, Meldrum SC, Kravitz RL, vd. Measuring patient-centered communication in patient-physician consultations: theoretical and practical issues. S Social science & medicine. 1982. 2005;61(7):1516-28. https://doi.org/10.1016/j.socscimed.2005.02.001
  10. Spooner KK, Salemi JL, Salihu HM, Zoorob RJ. Disparities in perceived patient–provider communication quality in the United States: Trends and correlates. Patient education and counseling. 2016;99(5):844-54. https://doi.org/10.1016/j.pec.2015.12.007
  11. Blanch-Hartigan D, Chawla N, Moser RP, Finney Rutten LJ, Hesse BW, Arora NK. Trends in cancer survivors’ experience of patient-centered communication: results from the Health Information National Trends Survey (HINTS). Journal of cancer survivorship. 2016;10(6):1067-77. https://doi.org/10.1007/s11764-016-0550-7
  12. Wang J. Examining The Relationship Among Patient-Centered Communication, Patient Engagement, And Patient’s Perception Of Quality Of Care In The General U.S. Adult Population. 2016. Theses Diss. Avaliable adress: https://scholarcommons.sc.edu/etd/3869
  13. Kaplan SH, Greenfield S, Ware JE. Assessing the effects of physician-patient interactions on the outcomes of chronic disease. Medical care, 1989;27(3):110-127.
  14. National Cancer Institute. Health Information National Trends Survey. 2014. Avaliable adress: https://hints.cancer.gov/
  15. Fox J, Weisberg S. car: Companion to Applied Regression. [R package]. 2022. Checklists. Avaliable adress: https://cran.r-project.org/package=car.
  16. The jamovi project. jamovi. (Version 2.4)[Computer Software]. 2023. Avaliable adress: https://www.jamovi.org.
  17. R Core Team. R: A Language and environment for statistical computing. (Version 4.1) [Computer software]. 2022. Avaliable adress: https://cran.r-project.org. (R packages retrieved from CRAN snapshot 2023-04-07).
  18. Treiman K, McCormack L, Olmsted M, Roach N, Reeve BB, Martens CE, vd. Engaging Patient Advocates and Other Stakeholders to Design Measures of Patient-Centered Communication in Cancer Care. Patient-Patient-Centered Outcomes Research. 2017;10(1):93-103. https://doi.org/10.1007/s40271-016-0188-6
  19. Uludağ A. Adana İl Merkezinde Aile Hekimleri ve Hastalarının Hasta Merkezli Bakım Algıları 2016. Avaliable adress: https://avesis.cu.edu.tr/proje/2bd45f3e-6ec5-40b7-a0d3-68e73cf642e5/adana-il-merkezinde-aile-hekimleri-ve-hastalarinin-hasta-merkezli-bakim-algilari
  20. Calo WA, Ortiz AP, Colon V, Krasny S, Tortolero-Luna G. Factors Associated with Perceived Patient-Provider Communication Quality among Puerto Ricans. Journal of health care for the poor and underserved. 2014. 25(2):491-502. https://doi.org/10.1353/hpu.2014.0074
  21. Kim D, Sung NJ. Types of Usual Source of Care and Patient-Centered Communications. Korean journal of family medicine. 43(6):353-60. https://doi.org/10.4082/kjfm.21.0183
  22. Rademakers J, Delnoij D, Nijman J, de Boer D. Educational inequalities in patient-centred care: patients’ preferences and experiences. BMC Health Services Research. 2012;12:261. https://doi.org/10.1186/1472-6963-12-261
  23. Ong LM, Visser MR, Lammes FB, de Haes JC. Doctor-patient communication and cancer patients’ quality of life and satisfaction. Patient education and counseling.2000;41(2):145-56. https://doi.org/10.1016/S0738-3991(99)00108-1
  24. Ruben BD. Communication Theory and Health Communication Practice: The More Things Change, the More They Stay the Same. Health communication.2016;31(1):1-11. https://doi.org/10.1080/10410236.2014.923086
  25. Arora NK. Interacting with cancer patients: the significance of physicians’ communication behavior. Social science & medicine. 2003; 57(5):791-806. https://doi.org/10.1016/S0277-9536(02)00449-5
  26. Baile WF, Aaron J. Patient-physician communication in oncology: past, present, and future. Current opinion in oncology. 2005;17(4):331-5.
  27. Stewart MA. What is a successful doctor-patient interview? A study of interactions and outcomes. Social science & medicine. 1984;19(2):167-175. https://doi.org/10.1016/0277-9536(84)90284-3
  28. Maatouk-Bürmann B, Ringel N, Spang J, Weiss C, Möltner A, Riemann U, vd. Improving patient-centered communication: Results of a randomized controlled trial. Patient education and counseling. 2016;99(1):117-24. https://doi.org/10.1016/j.pec.2015.08.012
  29. Çakmak C, Uğurluoğlu Ö. Hasta merkezli iletişim ve hizmet kalitesi ilişkisi: hizmet sunucuya güvenin aracı etkisi. Dicle Üniversitesi İktisadi ve İdari Bilimler Fakültesi Dergisi. 2023;12(23):93-108. https://doi.org/10.53092/duiibfd.1031256
  30. Çakmak C, Uğurluoğlu Ö. The Effects of Patient-Centered Communication on Patient Engagement, Health-Related Quality of Life, Service Quality Perception and Patient Satisfaction in Patients with Cancer: A Cross-Sectional Study in Türkiye. Cancer Control.2024;31:10732748241236327. https://doi.org/10.1177/10732748241236327
  31. Finney Rutten LJ, Agunwamba AA, Beckjord E, Hesse BW, Moser RP, Arora NK. The Relation Between Having a Usual Source of Care and Ratings of Care Quality: Does Patient-Centered Communication Play a Role? Journal of Health Communication.2015;20(7):759-65. https://doi.org/10.1080/10810730.2015.1018592
  32. Pearson SD, Raeke LH. Patients’ trust in physicians: many theories, few measures, and little data. Journal of general internal medicine.2000;15(7):509-13.
  33. Dang BN, Westbrook RA, Njue SM, Giordano TP. Building trust and rapport early in the new doctor-patient relationship: a longitudinal qualitative study. BMC medical education. 2017;17:32. https://doi.org/10.1186/s12909-017-0868-5
  34. McWhinney IR. Why we need a new clinical method. Scandinavian journal of primary health care. 1993;11(1):3-7. https://doi.org/10.3109/02813439308994894
  35. Hong H, Oh HJ. The Effects of Patient-Centered Communication: Exploring the Mediating Role of Trust in Healthcare Providers. Health communication. 2020;35(4):502-11. https://doi.org/10.1080/10410236.2019.1570427
  36. Rademakers J, Delnoij D, Nijman J, de Boer D. Educational inequalities in patient-centred care: patients’ preferences and experiences. BMC Health Services Research. 2012;12:261. https://doi.org/10.1186/1472-6963-12-261
  37. Ong LM, Visser MR, Lammes FB, de Haes JC. Doctor-patient communication and cancer patients’ quality of life and satisfaction. Patient education and counseling.2000;41(2):145-56. https://doi.org/10.1016/S0738-3991(99)00108-1
  38. Çakmak C, Uğurluoğlu Ö. The Effects of Patient-Centered Communication on Patient Engagement, Health-Related Quality of Life, Service Quality Perception and Patient Satisfaction in Patients with Cancer: A Cross-Sectional Study in Türkiye. Cancer Control.2024;31:10732748241236327. https://doi.org/10.1177/10732748241236327
  39. Finney Rutten LJ, Agunwamba AA, Beckjord E, Hesse BW, Moser RP, Arora NK. The Relation Between Having a Usual Source of Care and Ratings of Care Quality: Does Patient-Centered Communication Play a Role? Journal of Health Communication.2015;20(7):759-65. https://doi.org/10.1080/10810730.2015.1018592
  40. Pearson SD, Raeke LH. Patients’ trust in physicians: many theories, few measures, and little data. Journal of general internal medicine.2000;15(7):509-13.