Comparison of Satisfaction With Comorbid Depression Care Models Among Low-Income Patients With Diabetes

Introduction: Patient satisfaction is a patient-reported outcome with the potential to assess and improve the quality of newer care-management models such as remote patient monitoring using telecommunication technology. Objective: To evaluate differences in patient satisfaction among 3 care manageme...

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Main Authors: Olivia Evanson MS, Shinyi Wu PhD
Format: Article
Language:English
Published: SAGE Publishing 2020-10-01
Series:Journal of Patient Experience
Online Access:https://doi.org/10.1177/2374373519884177
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author Olivia Evanson MS
Shinyi Wu PhD
author_facet Olivia Evanson MS
Shinyi Wu PhD
author_sort Olivia Evanson MS
collection DOAJ
description Introduction: Patient satisfaction is a patient-reported outcome with the potential to assess and improve the quality of newer care-management models such as remote patient monitoring using telecommunication technology. Objective: To evaluate differences in patient satisfaction among 3 care management groups in a comparative effectiveness trial. Methods: This study analyzed a comparative effectiveness trial that tested automated remote assessment technology–facilitated comorbid depression care-management (TC, n = 254) in comparison to team-supported depression care (SC, n = 228) and usual primary care (UC, n = 218) among low-income patients with type 2 diabetes. Relationships between patient satisfaction and care group were evaluated at each 6-month phase up to 18 months using linear regression models that controlled for depression status, diabetes symptoms, patient characteristics, and study group differences. Results: While receiving care management, SC and TC patients were significantly more satisfied with depression care than UC patients. No consistently significant associations between patient satisfaction and patient characteristics or disease symptoms were found. Conclusions: Patient satisfaction was found to be influenced by elements of care-management, not by patient characteristics or disease symptoms. Results suggest greater patient satisfaction with depression care in a care-management model than UC, whether through clinician team support or automated remote monitoring technology.
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spelling doaj.art-95fde8f05d3a498281cefff36a0c29da2022-12-22T03:00:36ZengSAGE PublishingJournal of Patient Experience2374-37352374-37432020-10-01710.1177/2374373519884177Comparison of Satisfaction With Comorbid Depression Care Models Among Low-Income Patients With DiabetesOlivia Evanson MS0Shinyi Wu PhD1 Daniel J. Epstein Department of Industrial and Systems Engineering, , Los Angeles, CA, USA Edward R. Roybal Institute on Aging, , Los Angeles, CA, USAIntroduction: Patient satisfaction is a patient-reported outcome with the potential to assess and improve the quality of newer care-management models such as remote patient monitoring using telecommunication technology. Objective: To evaluate differences in patient satisfaction among 3 care management groups in a comparative effectiveness trial. Methods: This study analyzed a comparative effectiveness trial that tested automated remote assessment technology–facilitated comorbid depression care-management (TC, n = 254) in comparison to team-supported depression care (SC, n = 228) and usual primary care (UC, n = 218) among low-income patients with type 2 diabetes. Relationships between patient satisfaction and care group were evaluated at each 6-month phase up to 18 months using linear regression models that controlled for depression status, diabetes symptoms, patient characteristics, and study group differences. Results: While receiving care management, SC and TC patients were significantly more satisfied with depression care than UC patients. No consistently significant associations between patient satisfaction and patient characteristics or disease symptoms were found. Conclusions: Patient satisfaction was found to be influenced by elements of care-management, not by patient characteristics or disease symptoms. Results suggest greater patient satisfaction with depression care in a care-management model than UC, whether through clinician team support or automated remote monitoring technology.https://doi.org/10.1177/2374373519884177
spellingShingle Olivia Evanson MS
Shinyi Wu PhD
Comparison of Satisfaction With Comorbid Depression Care Models Among Low-Income Patients With Diabetes
Journal of Patient Experience
title Comparison of Satisfaction With Comorbid Depression Care Models Among Low-Income Patients With Diabetes
title_full Comparison of Satisfaction With Comorbid Depression Care Models Among Low-Income Patients With Diabetes
title_fullStr Comparison of Satisfaction With Comorbid Depression Care Models Among Low-Income Patients With Diabetes
title_full_unstemmed Comparison of Satisfaction With Comorbid Depression Care Models Among Low-Income Patients With Diabetes
title_short Comparison of Satisfaction With Comorbid Depression Care Models Among Low-Income Patients With Diabetes
title_sort comparison of satisfaction with comorbid depression care models among low income patients with diabetes
url https://doi.org/10.1177/2374373519884177
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