Evaluating patient experience with a surgical navigation program for under-resourced patients

IF 2.7 3区医学 Q1 SURGERY American journal of surgery Pub Date : 2024-09-07 DOI:10.1016/j.amjsurg.2024.115955

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Abstract

Background

This study aimed to characterize patient satisfaction with navigators and surgical care accessed through a novel navigation program for under-resourced communities.

Methods

PSN-I and PSQ-18 questionnaires assessed satisfaction with navigators and care, respectively. Primary outcomes were PSN-I and PSQ-18 scores. Secondary analyses tested associations between satisfaction and patient factors and between PSN-I and PSQ-18 scores.

Results

Of 294 patients contacted, 88 (29.9 %) responded. Most were Hispanic/Latinx (76.1 %), Spanish-speaking (71.5 %), and uninsured (85.2 %). Participants were highly satisfied with navigators (mean 38.5, SD 7.6; max. 45) and most care domains except Financial Aspects (mean 3.2, SD 1.0; max. 5) and Accessibility/Convenience (mean 3.5, SD 0.6; max. 5). Higher navigator satisfaction was associated with post-consultation need for surgery (coeff. 5.6, 95 % CI[0.9, 10.3]) and increased the odds of care satisfaction (OR 1.1, 95 % CI[1.0, 1.2]).

Conclusions

Patients are satisfied with navigation services—a previously unstudied aspect of this unique surgical equity program.

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评估为资源不足的患者提供手术导航计划的患者体验

背景本研究旨在了解患者对导航员的满意度，以及通过一项针对资源匮乏社区的新型导航计划获得的手术护理的特点。方法PSN-I 和 PSQ-18 问卷分别评估患者对导航员和护理的满意度。主要结果为 PSN-I 和 PSQ-18 分数。二次分析检验了满意度与患者因素之间以及 PSN-I 和 PSQ-18 分数之间的关联。大多数患者为西班牙/拉美裔（76.1%）、讲西班牙语（71.5%）、无保险（85.2%）。参与者对导航员（平均值 38.5，标准差 7.6；最高值 45）以及除财务方面（平均值 3.2，标准差 1.0；最高值 5）和可及性/便利性（平均值 3.5，标准差 0.6；最高值 5）以外的大多数护理领域都非常满意。较高的导航员满意度与会诊后的手术需求相关（系数为 5.6，95 % CI[0.9，10.3]），并增加了护理满意度的几率（OR 1.1，95 % CI[1.0，1.2]）。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

American journal of surgery 医学-外科

CiteScore

5.00

自引率

6.70%

发文量

570

审稿时长

56 days

期刊介绍： The American Journal of Surgery® is a peer-reviewed journal designed for the general surgeon who performs abdominal, cancer, vascular, head and neck, breast, colorectal, and other forms of surgery. AJS is the official journal of 7 major surgical societies* and publishes their official papers as well as independently submitted clinical studies, editorials, reviews, brief reports, correspondence and book reviews.