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. 2020 Dec;18(13):2945-2951.e1.
doi: 10.1016/j.cgh.2020.01.045. Epub 2020 Feb 11.

Symptom Severity, Mood, and Healthcare Use Are Associated With Satisfaction in Patients With Irritable Bowel Syndrome

Prashant Singh  1 , Sarah Ballou  2 , Jesse Katon  1 , Eve Takazawa  1 , Vikram Rangan  1 , Rupa Mukherjee  1 , Johanna Iturrino  1 , Judy Nee  1 , Anthony Lembo  1
Affiliations

Symptom Severity, Mood, and Healthcare Use Are Associated With Satisfaction in Patients With Irritable Bowel Syndrome

Prashant Singh et al. Clin Gastroenterol Hepatol. 2020 Dec.

Abstract

Background & aims: Patient satisfaction is an important, but largely overlooked, component of management of functional gastrointestinal disorders. We aimed to identify demographic, clinical, psychosocial, and health-care use factors associated with satisfaction of patients with irritable bowel syndrome (IBS).

Methods: We collected data from consecutive patients at an outpatient gastroenterology clinic of a tertiary care center from 2017 through 2019; the patients completed an electronic symptom survey at their initial visit and 3-6 months later. Patients were included in the study if they met Rome IV criteria for IBS with no organic cause for their symptoms. Patient satisfaction was measured using the irritable bowel syndrome satisfaction with care scale. We collected demographic, clinical, psychosocial, and healthcare use information from survey responses and review of medical records.

Results: Of the 137 patients who completed the study, most were satisfied a great deal (34.9%) or completely (18.6%), whereas 6.2% were not satisfied at all and 14.7% were a little satisfied. Among the 5 satisfaction subscales, the highest proportion of patients were satisfied with connection with their provider (93.4%). The subscale benefits of the visit had the lowest satisfaction rate (70.8%). Factors associated with overall satisfaction scores in the 3-6 months after initial consultation included decreased severity of IBS, higher number of follow-up gastroenterology visits, higher number of diagnostic tests during the follow-up period, and higher number of recommendations made at initial visit. Additionally, lower depression score at initial visit associated with higher satisfaction after 3-6 months.

Conclusions: Based on a survey of 137 patients with IBS, factors associated with satisfaction 3-6 months after establishing care with a gastroenterologist include reduced IBS severity, lower depression score at initial visit, higher number of recommendations, and higher number of follow-up gastroenterology visits.

Keywords: FGID; Patient-Reported Outcomes; Psychologic Factors; Treatment.

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Conflict of interest statement

Conflicts of interests: None

Figures

Figure 1:
Figure 1:
Percentage of patients with varying degrees of overall patient satisfaction with the current IBS care
Figure 2.
Figure 2.
Percentage of patients reporting satisfaction (and dissatisfaction) with various subdomains of IBS satisfaction with care scale (IBS-SAT)
See this image and copyright information in PMC

References

    1. Boyer L, Francois P, Doutre E, et al. Perception and use of the results of patient satisfaction surveys by care providers in a French teaching hospital. Int J Qual Health Care 2006;18:359–364. - PubMed
    1. Schoenfelder T, Klewer J, Kugler J. Determinants of patient satisfaction: a study among 39 hospitals in an in-patient setting in Germany. Int J Qual Health Care 2011;23:503–509. - PubMed
    1. Jenkinson C, Coulter A, Bruster S. The Picker Patient Experience Questionnaire: development and validation using data from in-patient surveys in five countries. Int J Qual Health Care 2002;14:353–358. - PubMed
    1. Larsson G, Wilde-Larsson B. Quality of care and patient satisfaction: a new theoretical and methodological approach. Int J Health Care Qual Assur 2010;23:228–247. - PubMed
    1. Alazri MH, Neal RD. The association between satisfaction with services provided in primary care and outcomes in Type 2 diabetes mellitus. Diabet Med 2003;20:486–490. - PubMed

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