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Evaluating patient experience with a surgical navigation program for under-resourced patients.
Saikali, Linda M; Herrera, Christopher D; Chen, Angela T; Lepore, Gina; Ramadan, Omar I; Lam, Doreen; Anandarajah, Aaron; Morales, Carrie Z; Goldshore, Matthew; Morris, Jon B; Guerra, Carmen E.
Afiliação
  • Saikali LM; Center for Surgical Health, Department of Surgery, University of Pennsylvania, 3400 Spruce Street, Philadelphia, PA, USA; University of Pennsylvania Perelman School of Medicine, 3400 Civic Center Boulevard, Philadelphia, PA, USA; Leonard Davis Institute of Health Economics, University of Pennsylvani
  • Herrera CD; Center for Surgical Health, Department of Surgery, University of Pennsylvania, 3400 Spruce Street, Philadelphia, PA, USA; Leonard Davis Institute of Health Economics, University of Pennsylvania, 3641 Locust Walk, Philadelphia, PA, USA; Division of Urology, Department of Surgery, University of Pennsy
  • Chen AT; Center for Surgical Health, Department of Surgery, University of Pennsylvania, 3400 Spruce Street, Philadelphia, PA, USA; University of Pennsylvania Perelman School of Medicine, 3400 Civic Center Boulevard, Philadelphia, PA, USA; Leonard Davis Institute of Health Economics, University of Pennsylvani
  • Lepore G; Center for Surgical Health, Department of Surgery, University of Pennsylvania, 3400 Spruce Street, Philadelphia, PA, USA; University of Pennsylvania Perelman School of Medicine, 3400 Civic Center Boulevard, Philadelphia, PA, USA.
  • Ramadan OI; Center for Surgical Health, Department of Surgery, University of Pennsylvania, 3400 Spruce Street, Philadelphia, PA, USA; Leonard Davis Institute of Health Economics, University of Pennsylvania, 3641 Locust Walk, Philadelphia, PA, USA; Department of Surgery, University of Pennsylvania, 3400 Spruce S
  • Lam D; Center for Surgical Health, Department of Surgery, University of Pennsylvania, 3400 Spruce Street, Philadelphia, PA, USA; University of Pennsylvania Perelman School of Medicine, 3400 Civic Center Boulevard, Philadelphia, PA, USA.
  • Anandarajah A; Center for Surgical Health, Department of Surgery, University of Pennsylvania, 3400 Spruce Street, Philadelphia, PA, USA.
  • Morales CZ; Center for Surgical Health, Department of Surgery, University of Pennsylvania, 3400 Spruce Street, Philadelphia, PA, USA; Division of Plastic Surgery, Department of Surgery, University of Pennsylvania, 3400 Civic Center Boulevard, Philadelphia, PA, USA.
  • Goldshore M; Center for Surgical Health, Department of Surgery, University of Pennsylvania, 3400 Spruce Street, Philadelphia, PA, USA; Department of Surgery, University of Pennsylvania, 3400 Spruce Street, Philadelphia, PA, USA.
  • Morris JB; Center for Surgical Health, Department of Surgery, University of Pennsylvania, 3400 Spruce Street, Philadelphia, PA, USA; Department of Surgery, University of Pennsylvania, 3400 Spruce Street, Philadelphia, PA, USA.
  • Guerra CE; Leonard Davis Institute of Health Economics, University of Pennsylvania, 3641 Locust Walk, Philadelphia, PA, USA; Department of Medicine, University of Pennsylvania Perelman School of Medicine, 3400 Spruce Street, Philadelphia, PA, USA; Abramson Cancer Center, University of Pennsylvania, 3400 Civic
Am J Surg ; 238: 115955, 2024 Sep 07.
Article em En | MEDLINE | ID: mdl-39276488
ABSTRACT

BACKGROUND:

This study aimed to characterize patient satisfaction with navigators and surgical care accessed through a novel navigation program for under-resourced communities.

METHODS:

PSN-I and PSQ-18 questionnaires assessed satisfaction with navigators and care, respectively. Primary outcomes were PSN-I and PSQ-18 scores. Secondary analyses tested associations between satisfaction and patient factors and between PSN-I and PSQ-18 scores.

RESULTS:

Of 294 patients contacted, 88 (29.9 â€‹%) responded. Most were Hispanic/Latinx (76.1 â€‹%), Spanish-speaking (71.5 â€‹%), and uninsured (85.2 â€‹%). Participants were highly satisfied with navigators (mean 38.5, SD 7.6; max. 45) and most care domains except Financial Aspects (mean 3.2, SD 1.0; max. 5) and Accessibility/Convenience (mean 3.5, SD 0.6; max. 5). Higher navigator satisfaction was associated with post-consultation need for surgery (coeff. 5.6, 95 â€‹% CI[0.9, 10.3]) and increased the odds of care satisfaction (OR 1.1, 95 â€‹% CI[1.0, 1.2]).

CONCLUSIONS:

Patients are satisfied with navigation services-a previously unstudied aspect of this unique surgical equity program.
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Texto completo: 1 Base de dados: MEDLINE Idioma: En Ano de publicação: 2024 Tipo de documento: Article
Texto completo
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Base de dados: MEDLINE Idioma: En Ano de publicação: 2024 Tipo de documento: Article