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Related Experiment Videos

Satisfaction with low back pain care.

Richard J Butler1, William G Johnson

  • 1Department of Economics, Brigham Young University, 183 FOB, BYU, Provo, UT 84602. richard_butler@byu.edu

The Spine Journal : Official Journal of the North American Spine Society
|July 3, 2007
PubMed
Summary
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Patient satisfaction with healthcare providers significantly impacts return-to-work timelines for occupational back pain claims. Higher satisfaction, particularly with care effectiveness, shortens jobless periods.

Area of Science:

  • Occupational Health
  • Health Services Research
  • Pain Management

Background:

  • Prospective study of occupational back pain claims to assess healthcare satisfaction by provider type.
  • Examined the relationship between healthcare satisfaction and return to work outcomes.

Purpose of the Study:

  • Estimate satisfaction differences across healthcare providers (MDs, surgeons, chiropractors, physical therapists).
  • Decompose overall satisfaction into bedside manner and effectiveness of care.
  • Analyze the impact of healthcare satisfaction on the duration of jobless claims.

Main Methods:

  • Prospective cohort study (Arizona State University Healthy Back Study) of 1,831 workers with back pain.
  • Merged demographic, claim data, and self-reported satisfaction/employment data.

Related Experiment Videos

  • Utilized nonparametric descriptive analysis and multivariate regressions for satisfaction and duration analyses.

    • Main Results:

    • Workers reported higher satisfaction with surgeons, chiropractors, and physical therapists compared to MDs.
    • Effectiveness of care was a greater concern for patients than bedside manner.
    • A one standard deviation increase in provider satisfaction reduced claim duration by approximately 25%.

    Conclusions:

    • Healthcare satisfaction significantly influences the length of unemployment spells after injury.
    • Satisfaction levels vary considerably depending on the type of healthcare provider.