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Patient-Centered Care: An Examination of Provider-Patient Communication Over Time
Leslie Riggle Miller1, B Mitchell Peck2
1Department of Sociology, University Of Oklahoma, Norman, OK, USA.
Health Services Research and Managerial Epidemiology
|November 2, 2019
Summary
Provider communication quality has not improved despite a focus on patient-centered care (PCC). Patients who had surgery longer ago reported better communication than those more recently operated on.
Area of Science:
- Healthcare communication
- Patient-centered care (PCC)
- Surgical outcomes
Background:
- Patient-centered care (PCC) is increasingly emphasized for its positive impact on health outcomes, patient experiences, quality of life, and cost reduction.
- The growing focus on PCC suggests an expectation of improved provider-patient communication over time.
Purpose of the Study:
- To evaluate trends in provider communication quality in relation to the emphasis on patient-centered care (PCC).
- To determine if provider-patient communication has improved over time.
Main Methods:
- Quantitative retrospective cohort study utilizing a national sample of 353 patients who underwent ostomy surgery.
- Primary data collected via self-report surveys between Summer 2017 and Fall 2018.
- Provider communication quality was measured by the number of reported inadequacies in patient care, derived from open-ended self-reports.
Main Results:
- A positive correlation was found between the time since surgery and the quality of provider communication.
- Patients whose ostomy surgery occurred further in the past reported higher quality provider communication.
- Conversely, patients who had undergone surgery more recently reported lower quality provider communication.
Conclusions:
- The study findings suggest that the quality of provider communication has not improved, despite the increased emphasis on patient-centered care (PCC).
- This indicates a potential disconnect between the focus on PCC and the actual patient experience regarding provider communication.
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