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Erschienen in: The Patient - Patient-Centered Outcomes Research 2/2018

01.04.2018 | Original Research Article

Patient Satisfaction with Care After Coronary Revascularization

verfasst von: Danielle L. Mosby, Matthew J. Manierre, Steve S. Martin, Paul Kolm, A. Sami Abuzaid, Claudine T. Jurkovitz, Daniel J. Elliott, William S. Weintraub

Erschienen in: The Patient - Patient-Centered Outcomes Research | Ausgabe 2/2018

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Abstract

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.
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Metadaten
Titel
Patient Satisfaction with Care After Coronary Revascularization
verfasst von
Danielle L. Mosby
Matthew J. Manierre
Steve S. Martin
Paul Kolm
A. Sami Abuzaid
Claudine T. Jurkovitz
Daniel J. Elliott
William S. Weintraub
Publikationsdatum
01.04.2018
Verlag
Springer International Publishing
Erschienen in
The Patient - Patient-Centered Outcomes Research / Ausgabe 2/2018
Print ISSN: 1178-1653
Elektronische ISSN: 1178-1661
DOI
https://doi.org/10.1007/s40271-017-0274-4

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