Patient satisfaction with care in an urban tertiary referral academic glaucoma clinic in the US

Kristen M Peterson, Carrie E Huisingh, Christopher Girkin, Cynthia Owsley, Lindsay A Rhodes Department of Ophthalmology, School of Medicine, University of Alabama at Birmingham, Birmingham, AL, USA Background: The purpose of this study was to determine the factors associated with glaucoma patients...

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Main Authors: Peterson KM, Huisingh CE, Girkin C, Owsley C, Rhodes LA
Format: Article
Language:English
Published: Dove Medical Press 2018-05-01
Series:Patient Preference and Adherence
Subjects:
Online Access:https://www.dovepress.com/patient-satisfaction-with-care-in-an-urban-tertiary-referral-academic--peer-reviewed-article-PPA
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author Peterson KM
Huisingh CE
Girkin C
Owsley C
Rhodes LA
author_facet Peterson KM
Huisingh CE
Girkin C
Owsley C
Rhodes LA
author_sort Peterson KM
collection DOAJ
description Kristen M Peterson, Carrie E Huisingh, Christopher Girkin, Cynthia Owsley, Lindsay A Rhodes Department of Ophthalmology, School of Medicine, University of Alabama at Birmingham, Birmingham, AL, USA Background: The purpose of this study was to determine the factors associated with glaucoma patients’ satisfaction with their medical care by fellowship-trained glaucoma specialists in an urban tertiary referral clinic in the US.Methods: A total of 110 established patients aged ≥60 years with a diagnosis of either primary open angle glaucoma, glaucoma suspect, or ocular hypertension monitored by an ophthalmologist with fellowship training in glaucoma were enrolled at an academic, urban, tertiary referral eye clinic. Enrolled patients were administered a general demographics questionnaire along with a Patient Satisfaction Questionnaire-18 (PSQ-18), a Likert scale validated tool. The seven dimensions of patient satisfaction from the PSQ-18 were summarized for the sample overall and by the patients’ age, race, employment status, education level, distance travelled from home address to clinic, and glaucoma therapy type. Two-sample t-tests were used to compare group means. Spearman correlation coefficients were used to correlate satisfaction scores with peripheral vision and visual acuity function.Results: Overall, the general satisfaction scores were high (mean 4.62). Patients ≥70 years of age had lower general satisfaction with their care (mean 4.5 vs 4.8, p=0.03), the interpersonal manner of their appointment (mean 4.7 vs 4.9, p=0.009), and with their time spent with their doctor (mean 4.4 vs 4.7, p=0.03) than patients aged 60–69 years. Non-European descent patients (47% African descent and 1% other of sample) were more satisfied with the time they spent with the doctor (mean 4.7 vs 4.4, p=0.04) and with the communication during the appointment (mean 4.8 vs 4.6, p=0.04) than European descent patients (52% of sample). Patients with a higher level of education (>high school degree) were less satisfied with the accessibility and convenience of the appointment (mean 4.3 vs ≤ high school, 4.6, p=0.02). There were no statistically significant differences in patient satisfaction based upon employment status, distance travelled to clinic, prior glaucoma therapy, or visual function.Conclusion: Overall, across all dimensions of the PSQ-18, patients were highly satisfied with the care they received at the urban tertiary care glaucoma clinic. Keywords: patient satisfaction, glaucoma, tertiary care, access to care, adherence, barriers to care
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spelling doaj.art-12ba21578749443197100fd9ee26debd2022-12-21T21:51:47ZengDove Medical PressPatient Preference and Adherence1177-889X2018-05-01Volume 1277578138227Patient satisfaction with care in an urban tertiary referral academic glaucoma clinic in the USPeterson KMHuisingh CEGirkin COwsley CRhodes LAKristen M Peterson, Carrie E Huisingh, Christopher Girkin, Cynthia Owsley, Lindsay A Rhodes Department of Ophthalmology, School of Medicine, University of Alabama at Birmingham, Birmingham, AL, USA Background: The purpose of this study was to determine the factors associated with glaucoma patients’ satisfaction with their medical care by fellowship-trained glaucoma specialists in an urban tertiary referral clinic in the US.Methods: A total of 110 established patients aged ≥60 years with a diagnosis of either primary open angle glaucoma, glaucoma suspect, or ocular hypertension monitored by an ophthalmologist with fellowship training in glaucoma were enrolled at an academic, urban, tertiary referral eye clinic. Enrolled patients were administered a general demographics questionnaire along with a Patient Satisfaction Questionnaire-18 (PSQ-18), a Likert scale validated tool. The seven dimensions of patient satisfaction from the PSQ-18 were summarized for the sample overall and by the patients’ age, race, employment status, education level, distance travelled from home address to clinic, and glaucoma therapy type. Two-sample t-tests were used to compare group means. Spearman correlation coefficients were used to correlate satisfaction scores with peripheral vision and visual acuity function.Results: Overall, the general satisfaction scores were high (mean 4.62). Patients ≥70 years of age had lower general satisfaction with their care (mean 4.5 vs 4.8, p=0.03), the interpersonal manner of their appointment (mean 4.7 vs 4.9, p=0.009), and with their time spent with their doctor (mean 4.4 vs 4.7, p=0.03) than patients aged 60–69 years. Non-European descent patients (47% African descent and 1% other of sample) were more satisfied with the time they spent with the doctor (mean 4.7 vs 4.4, p=0.04) and with the communication during the appointment (mean 4.8 vs 4.6, p=0.04) than European descent patients (52% of sample). Patients with a higher level of education (>high school degree) were less satisfied with the accessibility and convenience of the appointment (mean 4.3 vs ≤ high school, 4.6, p=0.02). There were no statistically significant differences in patient satisfaction based upon employment status, distance travelled to clinic, prior glaucoma therapy, or visual function.Conclusion: Overall, across all dimensions of the PSQ-18, patients were highly satisfied with the care they received at the urban tertiary care glaucoma clinic. Keywords: patient satisfaction, glaucoma, tertiary care, access to care, adherence, barriers to carehttps://www.dovepress.com/patient-satisfaction-with-care-in-an-urban-tertiary-referral-academic--peer-reviewed-article-PPAPatient satisfactionGlaucomaTertiary CareAccess to care
spellingShingle Peterson KM
Huisingh CE
Girkin C
Owsley C
Rhodes LA
Patient satisfaction with care in an urban tertiary referral academic glaucoma clinic in the US
Patient Preference and Adherence
Patient satisfaction
Glaucoma
Tertiary Care
Access to care
title Patient satisfaction with care in an urban tertiary referral academic glaucoma clinic in the US
title_full Patient satisfaction with care in an urban tertiary referral academic glaucoma clinic in the US
title_fullStr Patient satisfaction with care in an urban tertiary referral academic glaucoma clinic in the US
title_full_unstemmed Patient satisfaction with care in an urban tertiary referral academic glaucoma clinic in the US
title_short Patient satisfaction with care in an urban tertiary referral academic glaucoma clinic in the US
title_sort patient satisfaction with care in an urban tertiary referral academic glaucoma clinic in the us
topic Patient satisfaction
Glaucoma
Tertiary Care
Access to care
url https://www.dovepress.com/patient-satisfaction-with-care-in-an-urban-tertiary-referral-academic--peer-reviewed-article-PPA
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