Patient–Provider Communication and Health Outcomes Among Individuals With Atherosclerotic Cardiovascular Disease in the United States

作者：Victor Okunrintemi, Erica S. Spatz, Paul Di Capua, Joseph Salami, Javier Valero‐Elizondo, Haider J. Warraich, Salim S. Virani, Michael J. Blaha, Ron Blankstein, Adeel A. Butt, William B. Borden, Kumar Dharmarajan, Henry H. Ting, Harlan M. Krumholz, Khurram Nasir · 发表于：Circulation Cardiovascular Quality and Outcomes · 年份：2017 · DOI：10.1161/circoutcomes.117.003635 · 被引用次数：79 · 研究领域：Patient-Provider Communication in Healthcare、Patient Satisfaction in Healthcare、Primary Care and Health Outcomes

BACKGROUND: Consumer-reported patient-provider communication (PPC) assessed by Consumer Assessment of Health Plans Survey in ambulatory settings is incorporated as a complementary value metric for patient-centered care of chronic conditions in pay-for-performance programs. In this study, we examine the relationship of PPC with select indicators of patient-centered care in a nationally representative US adult population with established atherosclerotic cardiovascular disease. METHODS AND RESULTS: The study population consisted of a nationally representative sample of 6810 individuals (aged ≥18 years), representing 18.3 million adults with established atherosclerotic cardiovascular disease (self-reported or International Classification of Diseases, Ninth Edition diagnosis) reporting a usual source of care in the 2010 to 2013 pooled Medical Expenditure Panel Survey cohort. Participants responded to questions from Consumer Assessment of Health Plans Survey that assessed PPC, and we developed a weighted PPC composite score using their responses, categorized as 1 (poor), 2 (average), and 3 (optimal). Outcomes of interest were (1) patient-reported outcomes: 12-item Short Form physical/mental health status, (2) quality of care measures: statin and ASA use, (3) healthcare resource utilization: emergency room visits and hospital stays, and (4) total annual and out-of-pocket healthcare expenditures. Atherosclerotic cardiovascular disease patients reporting poor versus optimal were over ...