Robert M Cronin1,2,3, Manshu Yang4,5, Jane S Hankins6, Jeannie Byrd7, Brandi M Pernell7,8, Adetola Kassim9, Patricia Adams-Graves10, Alexis A Thompson11, Karen Kalinyak12, Michael DeBaun7, Marsha Treadwell13. 1. Department of Biomedical Informatics, Vanderbilt University Medical Center, Nashville, TN, USA. 2. Department of Internal Medicine, Vanderbilt University Medical Center, Nashville, TN, USA. 3. Department of Pediatrics, Vanderbilt University Medical Center, Nashville, TN, USA. 4. Department of Psychology, University of Rhode Island, Kingston, RI, USA. 5. American Institutes for Research, Chapel Hill, NC, USA. 6. Department of Hematology, St Jude Children's Research Hospital, Memphis, TN, USA. 7. Department of Pediatrics, Division of Hematology/Oncology, Vanderbilt-Meharry Center for Excellence in Sickle Cell Disease, Vanderbilt University Medical Center, Nashville, TN, USA. 8. Department of Pediatrics, Division of Hematology, University of Alabama at Birmingham, Birmingham, AL, USA. 9. Department of Hematology/Oncology, Vanderbilt University Medical Center, Nashville, TN, USA. 10. Department of General Internal Medicine and Hematology, University of Tennessee Health Science Center, Memphis, TN, USA. 11. Department of Pediatrics, Department of Medicine, Northwestern University, Chicago, IL, USA. 12. Division of Hematology in Cancer and Blood Diseases Institute, University of Cincinnati, Cincinnati, OH, USA. 13. Department of Hematology/Oncology, UCSF Benioff Children's Hospital Oakland, Oakland, CA, USA.
Abstract
Objective: To test the hypothesis that caregivers' or adult participants' low ratings of provider communication are associated with more hospital admissions among adults and children with sickle cell disease (SCD), respectively. Secondarily, we determined whether there was an association between the caregivers' or participants' health literacy and rating of providers' communication. Methods: Primary data were collected from participants through surveys between 2014 and 2016, across six sickle cell centers throughout the U.S. In this cross-sectional cohort study, 211 adults with SCD and 331 caregivers of children with SCD completed surveys evaluating provider communication using the Consumer Assessment of Healthcare Providers and Systems (CAHPS), healthcare utilization, health literacy, and other sociodemographic and behavioral variables. Analyses included descriptive statistics, bivariate analyses, and logistic regression. Results: Participants with better ratings of provider communication were less likely to be hospitalized (odds ratio (OR) = 0.54, 95% confidence interval (CI) = [0.35, 0.83]). Positive ratings of provider communication were associated with fewer readmissions for children (OR = 0.23, 95% CI = [0.09, 0.57]). Participants with better ratings of provider communication were less likely to rate their health literacy as lower (regression coefficient (B) = -0.28, 95% CI = [-0.46, -0.10]). Conclusions: Low ratings of provider communication were associated with more hospitalizations and readmissions in SCD, suggesting the need for interventions targeted at improving patient-provider communication which could decrease hospitalizations for this population.
Objective: To test the hypothesis that caregivers' or adult participants' low ratings of provider communication are associated with more hospital admissions among adults and children with sickle cell disease (SCD), respectively. Secondarily, we determined whether there was an association between the caregivers' or participants' health literacy and rating of providers' communication. Methods: Primary data were collected from participants through surveys between 2014 and 2016, across six sickle cell centers throughout the U.S. In this cross-sectional cohort study, 211 adults with SCD and 331 caregivers of children with SCD completed surveys evaluating provider communication using the Consumer Assessment of Healthcare Providers and Systems (CAHPS), healthcare utilization, health literacy, and other sociodemographic and behavioral variables. Analyses included descriptive statistics, bivariate analyses, and logistic regression. Results:Participants with better ratings of provider communication were less likely to be hospitalized (odds ratio (OR) = 0.54, 95% confidence interval (CI) = [0.35, 0.83]). Positive ratings of provider communication were associated with fewer readmissions for children (OR = 0.23, 95% CI = [0.09, 0.57]). Participants with better ratings of provider communication were less likely to rate their health literacy as lower (regression coefficient (B) = -0.28, 95% CI = [-0.46, -0.10]). Conclusions: Low ratings of provider communication were associated with more hospitalizations and readmissions in SCD, suggesting the need for interventions targeted at improving patient-provider communication which could decrease hospitalizations for this population.
Entities:
Keywords:
Provider communication; consumer assessment of healthcare providers and systems; health care surveys; shared decision-making; sickle cell anemia; vulnerable populations
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