Abstract
Introduction:Patient satisfaction is a patient-reported outcome with the potential to assess and improve the quality of newer care-management models such as remote patient monitoring using telecommunication technology.Objective:To evaluate differences in patient satisfaction among 3 care management groups in a comparative effectiveness trial.Methods:This study analyzed a comparative effectiveness trial that tested automated remote assessment technology–facilitated comorbid depression care-management (TC, n = 254) in comparison to team-supported depression care (SC, n = 228) and usual primary care (UC, n = 218) among low-income patients with type 2 diabetes. Relationships between patient satisfaction and care group were evaluated at each 6-month phase up to 18 months using linear regression models that controlled for depression status, diabetes symptoms, patient characteristics, and study group differences.Results:While receiving care management, SC and TC patients were significantly more satisfied with depression care than UC patients. No consistently significant associations between patient satisfaction and patient characteristics or disease symptoms were found.Conclusions:Patient satisfaction was found to be influenced by elements of care-management, not by patient characteristics or disease symptoms. Results suggest greater patient satisfaction with depression care in a care-management model than UC, whether through clinician team support or automated remote monitoring technology.
Highlights
Patient satisfaction is a patient-reported outcome with the potential to assess and improve the quality of newer care-management models such as remote patient monitoring using telecommunication technology
Other noteworthy results include nonsignificant negative associations between satisfaction with depression care and PHQ-9 depression status, with 18-month follow-up being an exception in reaching P
No consistently significant associations between patient satisfaction and disease symptoms or patient characteristics were found. These findings show that patient satisfaction is responsive to the care processes influenced by the interventions as well as the other aspects of care that changed during the study period, without heavy affect by patient characteristics or disease symptoms
Summary
Patient satisfaction is a patient-reported outcome with the potential to assess and improve the quality of newer care-management models such as remote patient monitoring using telecommunication technology. Relationships between patient satisfaction and care group were evaluated at each 6-month phase up to 18 months using linear regression models that controlled for depression status, diabetes symptoms, patient characteristics, and study group differences. Conclusions: Patient satisfaction was found to be influenced by elements of care-management, not by patient characteristics or disease symptoms. Results suggest greater patient satisfaction with depression care in a care-management model than UC, whether through clinician team support or automated remote monitoring technology. We currently need greater knowledge on how patient satisfaction is affected by variations in care-management models and what this tells us about the quality of care experience provided.
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