Association between hospital admissions and healthcare provider communication for individuals with sickle cell disease.
Association between hospital admissions and healthcare provider communication for individuals with sickle cell disease.
复制标题
镰状细胞病患者入院与医疗保健提供者沟通之间的关联。
DOI：
10.1080/16078454.2020.1780737
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发表时间：
2020
期刊：
影响因子：
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通讯作者：
Treadwell,Marsha
中科院分区：
文献类型：
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作者：
Cronin,RobertM;Yang,Manshu;Hankins,JaneS;Byrd,Jeannie;Pernell,BrandiM;Kassim,Adetola;Adams-Graves,Patricia;Thompson,AlexisA;Kalinyak,Karen;DeBaun,Michael;Treadwell,Marsha
目的：检验这一假设，照顾者或成年参与者的低评级的供应商沟通与更多的住院治疗的成年人和儿童的镰状细胞病（SCD），分别。其次，我们确定是否有照顾者或参与者的健康素养和供应商的communication.Methods评级之间的关联：主要数据收集从参与者通过2014年和2016年之间的调查，在整个美国的六个镰状细胞中心在这个横断面队列研究中，211名成人与SCD和331名儿童与SCD的照顾者完成了调查评估供应商的沟通使用消费者评估医疗保健提供者和系统（CAHPS），医疗保健利用，健康素养，和其他社会人口和行为变量。分析包括描述性统计，双变量分析，和logistic regression.Results：参与者更好的评级提供者沟通不太可能住院（比值比（OR）= 0.54，95%置信区间（CI）= [0.35，0.83]）。提供者沟通的积极评价与儿童再入院率降低相关（OR = 0.23，95%CI = [0.09，0.57]）。参与者与更好的供应商沟通评级不太可能将他们的健康素养评为较低（回归系数（B）=-0.28，95% CI = [-0.46，-0.10]）。结论：供应商沟通的低评级与SCD中更多的住院和再入院相关，这表明需要针对改善患者-供应商沟通的干预措施，这可能会减少该人群的住院。
Objective:To test the hypothesis that caregivers’ or adult participants’ low ratings of provider communication are associated with more hospital admissions among adults and children with sickle cell disease (SCD), respectively. Secondarily, we determined whether there was an association between the caregivers’ or participants’ health literacy and rating of providers’ communication.Methods:Primary data were collected from participants through surveys between 2014 and 2016, across six sickle cell centers throughout the U.S. In this cross-sectional cohort study, 211 adults with SCD and 331 caregivers of children with SCD completed surveys evaluating provider communication using the Consumer Assessment of Healthcare Providers and Systems (CAHPS), healthcare utilization, health literacy, and other sociodemographic and behavioral variables. Analyses included descriptive statistics, bivariate analyses, and logistic regression.Results:Participants with better ratings of provider communication were less likely to be hospitalized (odds ratio (OR) = 0.54, 95% confidence interval (CI) = [0.35, 0.83]). Positive ratings of provider communication were associated with fewer readmissions for children (OR = 0.23, 95% CI = [0.09, 0.57]). Participants with better ratings of provider communication were less likely to rate their health literacy as lower (regression coefficient (B) = −0.28, 95% CI = [−0.46, −0.10]).Conclusions:Low ratings of provider communication were associated with more hospitalizations and readmissions in SCD, suggesting the need for interventions targeted at improving patient-provider communication which could decrease hospitalizations for this population.