Matthew S Kendra1, Kenneth R Weingardt2, Michael A Cucciare3, Christine Timko2. 1. Center for Innovation to Implementation, Veterans Affairs Health Care System, 795 Willow Rd., Menlo Park, CA 94204, USA; Stanford University School of Medicine, Palo Alto, CA 94304, USA. Electronic address: mkendra@stanford.edu. 2. Center for Innovation to Implementation, Veterans Affairs Health Care System, 795 Willow Rd., Menlo Park, CA 94204, USA; Stanford University School of Medicine, Palo Alto, CA 94304, USA. 3. Center for Innovation to Implementation, Veterans Affairs Health Care System, 795 Willow Rd., Menlo Park, CA 94204, USA; Center for Mental Healthcare and Outcomes Research, Central Arkansas, Veterans Affairs Healthcare System, North Little Rock, AR 72205, USA; Department of Psychiatry, University of Arkansas for Medical Sciences, Little Rock, AR 72205, USA.
Abstract
INTRODUCTION: Satisfaction is a critical component of patient-centered care, yet little is known about the degree to which patient satisfaction is linked to subsequent outcomes, especially in substance use disorder (SUD) treatments and 12-step groups. The current study assessed the degree to which satisfaction with Department of Veterans Affairs (VA) outpatient SUD treatment and with 12-step groups, both measured at 6 months after treatment initiation, was associated with additional treatment utilization and better substance-related outcomes during the next 6 months, that is, up to 1 year after treatment initiation. METHODS: Participants were 345 patients entering the VA SUD treatment program. RESULTS: More satisfaction with treatment and with 12-step groups at 6 months was associated with less alcohol use severity and more abstinence at 1 year. More treatment satisfaction was related to less subsequent medical severity, whereas more 12-step group satisfaction was related to less subsequent psychiatric severity. More 12-step group satisfaction was related to subsequent increases in 12-step group attendance and involvement. A single item assessing overall satisfaction appeared best related to subsequent outcomes. CONCLUSIONS: Satisfied SUD treatment patients and 12-step mutual help members appeared to have better subsequent service utilization patterns and treatment outcomes. SUD treatments can improve outcomes by monitoring and enhancing patient satisfaction.
INTRODUCTION: Satisfaction is a critical component of patient-centered care, yet little is known about the degree to which patient satisfaction is linked to subsequent outcomes, especially in substance use disorder (SUD) treatments and 12-step groups. The current study assessed the degree to which satisfaction with Department of Veterans Affairs (VA) outpatient SUD treatment and with 12-step groups, both measured at 6 months after treatment initiation, was associated with additional treatment utilization and better substance-related outcomes during the next 6 months, that is, up to 1 year after treatment initiation. METHODS:Participants were 345 patients entering the VA SUD treatment program. RESULTS: More satisfaction with treatment and with 12-step groups at 6 months was associated with less alcohol use severity and more abstinence at 1 year. More treatment satisfaction was related to less subsequent medical severity, whereas more 12-step group satisfaction was related to less subsequent psychiatric severity. More 12-step group satisfaction was related to subsequent increases in 12-step group attendance and involvement. A single item assessing overall satisfaction appeared best related to subsequent outcomes. CONCLUSIONS: Satisfied SUD treatment patients and 12-step mutual help members appeared to have better subsequent service utilization patterns and treatment outcomes. SUD treatments can improve outcomes by monitoring and enhancing patient satisfaction.
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