Timmer, Antje and Sordi, Dominik de and Menke, Elise and Peplies, Jenny and Claßen, Martin and Koletzko, Sibylle and Otto-Sobotka, Fabian (2018) Modeling determinants of satisfaction with health care in youth with inflammatory bowel disease: a cross-sectional survey. Clinical epidemiology, 10. pp. 1289-1305. ISSN 1179-1349

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Official URL: http://dx.doi.org/10.2147/CLEP.S165554

Abstract

Purpose: Patient satisfaction is frequently used as a health care quality measure despite methodological challenges. By the example of pediatric inflammatory bowel disease (IBD), we assessed factors associated with low satisfaction and examined differences by type of provider. Patients and methods: In a cross-sectional design, a 32-item questionnaire and global questioning were used to assess satisfaction in patients aged 15–25 years. Determinants of low satisfaction were identified by logistic regression (OR with 95% CI). Separate models were calculated for patient-related variables such as age, socioeconomic status (SES), health status (emotional, somatic, quality of life) or region of residence (step 1), and impact of provider (pediatric specialist, adult specialist, no specialist) (step 2). As secondary analysis, we studied the effect of additional indicators such as waiting time, consultation time, and an IBD Management Quality Index (IMQI) on effect estimates (step 3). Results: A total of 567 cases were available for analysis (response 48.2%). The strongest predictors of low satisfaction were anxiety symptoms (OR 2.49, CI 1.14 to 5.45). In step 2, not being seen by a specialist (1.89, 1.16 to 3.10) and having been with the new provider for less than 12 months (1.71, 1.03 to 2.83) were associated with low satisfaction. Satisfaction with adult care provider was similar to pediatric care if adjusted for anxiety, health status, and time with provider (0.95, 0.59 to 1.51). Presence of other quality indicators (step 3), waiting time >30 minutes, consultation time <15 minutes, and low IMQI were all associated with low satisfaction. Age, SES, and region of residence were not found to affect satisfaction in any of the models. Conclusion: Anxiety symptoms were most strongly associated with low patient satisfaction. The relevance of recent provider change and not being seen by a specialist underlines the importance of well-planned transition in this age group.

Item Type: Article
Additional Information: Publiziert mit Hilfe des DFG-geförderten Open Access-Publikationsfonds der Carl von Ossietzky Universität Oldenburg.
Uncontrolled Keywords: inflammatory bowel disease, patient-reported outcomes, outcomes research, regression analysis, patient satisfaction, health services research
Subjects: Technology, medicine, applied sciences > Medicine and health
Divisions: Faculty of Medicine and Health Sciences > Department of Public Health and Medical Education
Date Deposited: 11 Sep 2019 14:27
Last Modified: 25 Sep 2019 07:29
URI: https://oops.uni-oldenburg.de/id/eprint/4149
URN: urn:nbn:de:gbv:715-oops-42309
DOI: doi:10.2147/CLEP.S165554
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