Satisfaction with health care providers and preventive care adherence

A national study

Research output: Contribution to journalArticle

21 Citations (Scopus)

Abstract

BACKGROUND:: Prior studies demonstrating associations between patient satisfaction with health care providers and preventive adherence were cross-sectional, limiting causal inferences. In cross-sectional and prospective analyses, we explored 3 hypotheses previously invoked to explain associations between satisfaction with providers and preventive adherence: (1) receiving preventive care increases satisfaction; (2) enhancing satisfaction increases preventive care; (3) satisfaction and adherence reflect patient characteristics, incompletely adjusted for in previous studies. METHODS:: We conducted 3 sets of logistic regression analyses employing 2000-2010 Medical Expenditure Panel Survey data: 1 cross-sectional and 2 prospective (baseline preventive care/follow-up year satisfaction, and baseline satisfaction/follow-up year preventive care), each set cumulatively adjusting for patient demographics, socioeconomics, morbidity, health care access, and medical skepticism. Consumer Assessment of Health Plans Survey items measured satisfaction with care from all providers in the preceding year. Preventive care examined included influenza vaccination and colorectal cancer, Papanicolaou, mammography, and prostate-specific antigen screening. RESULTS:: In cross-sectional analyses adjusted for demographics (N=74,792), highest (vs. lowest) quartile satisfaction was associated with preventive adherence [adjusted odds ratios (95% confidence interval)]: influenza vaccination 1.14 (1.07, 1.22); colorectal cancer screening 1.08 (0.99, 1.18); Papanicolaou screening 1.14 (1.04, 1.24); mammography screening 1.20 (1.11, 1.31); prostate-specific antigen screening 1.38 (1.25, 1.52). With full adjustment, associations of satisfaction with adherence were substantially attenuated, eliminated, or reversed. Prospective analyses yielded findings similar to the cross-sectional analyses. CONCLUSIONS:: Cross-sectional and prospective associations between satisfaction with providers and preventive care adherence were similarly explained by patient characteristics. The findings question previously hypothesized causal relationships between satisfaction and preventive adherence.

Original languageEnglish (US)
Pages (from-to)78-85
Number of pages8
JournalMedical Care
Volume52
Issue number1
DOIs
StatePublished - Jan 2014

Fingerprint

Preventive Medicine
Health Personnel
Cross-Sectional Studies
Mammography
Prostate-Specific Antigen
Human Influenza
Colorectal Neoplasms
Vaccination
Demography
Social Adjustment
Patient Compliance
Health Expenditures
Health Surveys
Patient Satisfaction
Early Detection of Cancer
Logistic Models
Odds Ratio
Regression Analysis
Confidence Intervals
Morbidity

Keywords

  • cancer screening
  • colonoscopy
  • fecal occult blood test
  • influenza vaccination
  • mammography
  • Papanicolaou smear
  • patient acceptance of health care
  • patient satisfaction
  • preventive health services
  • prostate-specific antigen

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

@article{216106e6ad194807875ba4c8996d2a3b,
title = "Satisfaction with health care providers and preventive care adherence: A national study",
abstract = "BACKGROUND:: Prior studies demonstrating associations between patient satisfaction with health care providers and preventive adherence were cross-sectional, limiting causal inferences. In cross-sectional and prospective analyses, we explored 3 hypotheses previously invoked to explain associations between satisfaction with providers and preventive adherence: (1) receiving preventive care increases satisfaction; (2) enhancing satisfaction increases preventive care; (3) satisfaction and adherence reflect patient characteristics, incompletely adjusted for in previous studies. METHODS:: We conducted 3 sets of logistic regression analyses employing 2000-2010 Medical Expenditure Panel Survey data: 1 cross-sectional and 2 prospective (baseline preventive care/follow-up year satisfaction, and baseline satisfaction/follow-up year preventive care), each set cumulatively adjusting for patient demographics, socioeconomics, morbidity, health care access, and medical skepticism. Consumer Assessment of Health Plans Survey items measured satisfaction with care from all providers in the preceding year. Preventive care examined included influenza vaccination and colorectal cancer, Papanicolaou, mammography, and prostate-specific antigen screening. RESULTS:: In cross-sectional analyses adjusted for demographics (N=74,792), highest (vs. lowest) quartile satisfaction was associated with preventive adherence [adjusted odds ratios (95{\%} confidence interval)]: influenza vaccination 1.14 (1.07, 1.22); colorectal cancer screening 1.08 (0.99, 1.18); Papanicolaou screening 1.14 (1.04, 1.24); mammography screening 1.20 (1.11, 1.31); prostate-specific antigen screening 1.38 (1.25, 1.52). With full adjustment, associations of satisfaction with adherence were substantially attenuated, eliminated, or reversed. Prospective analyses yielded findings similar to the cross-sectional analyses. CONCLUSIONS:: Cross-sectional and prospective associations between satisfaction with providers and preventive care adherence were similarly explained by patient characteristics. The findings question previously hypothesized causal relationships between satisfaction and preventive adherence.",
keywords = "cancer screening, colonoscopy, fecal occult blood test, influenza vaccination, mammography, Papanicolaou smear, patient acceptance of health care, patient satisfaction, preventive health services, prostate-specific antigen",
author = "Jerant, {Anthony F} and Fenton, {Joshua J} and Bertakis, {Klea D} and Peter Franks",
year = "2014",
month = "1",
doi = "10.1097/MLR.0000000000000021",
language = "English (US)",
volume = "52",
pages = "78--85",
journal = "Medical Care",
issn = "0025-7079",
publisher = "Lippincott Williams and Wilkins",
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TY - JOUR

T1 - Satisfaction with health care providers and preventive care adherence

T2 - A national study

AU - Jerant, Anthony F

AU - Fenton, Joshua J

AU - Bertakis, Klea D

AU - Franks, Peter

PY - 2014/1

Y1 - 2014/1

N2 - BACKGROUND:: Prior studies demonstrating associations between patient satisfaction with health care providers and preventive adherence were cross-sectional, limiting causal inferences. In cross-sectional and prospective analyses, we explored 3 hypotheses previously invoked to explain associations between satisfaction with providers and preventive adherence: (1) receiving preventive care increases satisfaction; (2) enhancing satisfaction increases preventive care; (3) satisfaction and adherence reflect patient characteristics, incompletely adjusted for in previous studies. METHODS:: We conducted 3 sets of logistic regression analyses employing 2000-2010 Medical Expenditure Panel Survey data: 1 cross-sectional and 2 prospective (baseline preventive care/follow-up year satisfaction, and baseline satisfaction/follow-up year preventive care), each set cumulatively adjusting for patient demographics, socioeconomics, morbidity, health care access, and medical skepticism. Consumer Assessment of Health Plans Survey items measured satisfaction with care from all providers in the preceding year. Preventive care examined included influenza vaccination and colorectal cancer, Papanicolaou, mammography, and prostate-specific antigen screening. RESULTS:: In cross-sectional analyses adjusted for demographics (N=74,792), highest (vs. lowest) quartile satisfaction was associated with preventive adherence [adjusted odds ratios (95% confidence interval)]: influenza vaccination 1.14 (1.07, 1.22); colorectal cancer screening 1.08 (0.99, 1.18); Papanicolaou screening 1.14 (1.04, 1.24); mammography screening 1.20 (1.11, 1.31); prostate-specific antigen screening 1.38 (1.25, 1.52). With full adjustment, associations of satisfaction with adherence were substantially attenuated, eliminated, or reversed. Prospective analyses yielded findings similar to the cross-sectional analyses. CONCLUSIONS:: Cross-sectional and prospective associations between satisfaction with providers and preventive care adherence were similarly explained by patient characteristics. The findings question previously hypothesized causal relationships between satisfaction and preventive adherence.

AB - BACKGROUND:: Prior studies demonstrating associations between patient satisfaction with health care providers and preventive adherence were cross-sectional, limiting causal inferences. In cross-sectional and prospective analyses, we explored 3 hypotheses previously invoked to explain associations between satisfaction with providers and preventive adherence: (1) receiving preventive care increases satisfaction; (2) enhancing satisfaction increases preventive care; (3) satisfaction and adherence reflect patient characteristics, incompletely adjusted for in previous studies. METHODS:: We conducted 3 sets of logistic regression analyses employing 2000-2010 Medical Expenditure Panel Survey data: 1 cross-sectional and 2 prospective (baseline preventive care/follow-up year satisfaction, and baseline satisfaction/follow-up year preventive care), each set cumulatively adjusting for patient demographics, socioeconomics, morbidity, health care access, and medical skepticism. Consumer Assessment of Health Plans Survey items measured satisfaction with care from all providers in the preceding year. Preventive care examined included influenza vaccination and colorectal cancer, Papanicolaou, mammography, and prostate-specific antigen screening. RESULTS:: In cross-sectional analyses adjusted for demographics (N=74,792), highest (vs. lowest) quartile satisfaction was associated with preventive adherence [adjusted odds ratios (95% confidence interval)]: influenza vaccination 1.14 (1.07, 1.22); colorectal cancer screening 1.08 (0.99, 1.18); Papanicolaou screening 1.14 (1.04, 1.24); mammography screening 1.20 (1.11, 1.31); prostate-specific antigen screening 1.38 (1.25, 1.52). With full adjustment, associations of satisfaction with adherence were substantially attenuated, eliminated, or reversed. Prospective analyses yielded findings similar to the cross-sectional analyses. CONCLUSIONS:: Cross-sectional and prospective associations between satisfaction with providers and preventive care adherence were similarly explained by patient characteristics. The findings question previously hypothesized causal relationships between satisfaction and preventive adherence.

KW - cancer screening

KW - colonoscopy

KW - fecal occult blood test

KW - influenza vaccination

KW - mammography

KW - Papanicolaou smear

KW - patient acceptance of health care

KW - patient satisfaction

KW - preventive health services

KW - prostate-specific antigen

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U2 - 10.1097/MLR.0000000000000021

DO - 10.1097/MLR.0000000000000021

M3 - Article

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EP - 85

JO - Medical Care

JF - Medical Care

SN - 0025-7079

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