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  1. Artikel ; Online: The Impact of Dynamic Real-Time Feedback on Patient Satisfaction Scores.

    Surani, Asif / Hammad, Muhammad / Agarwal, Nitendra / Segon, Ankur

    Journal of general internal medicine

    2022  Band 38, Heft 2, Seite(n) 361–365

    Abstract: Introduction: Providers' communication skills have a significant impact on patients' satisfaction. Improved patients' satisfaction has been positively correlated with various healthcare and financial outcomes. Patients' satisfaction in the inpatient ... ...

    Abstract Introduction: Providers' communication skills have a significant impact on patients' satisfaction. Improved patients' satisfaction has been positively correlated with various healthcare and financial outcomes. Patients' satisfaction in the inpatient setting is measured using the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey. In this study, we evaluated the impact of dynamic real-time feedback to the providers on the HCAHPS scores.
    Methods: This was a randomized study conducted at our 550-bed level-1 tertiary care center. Twenty-six out of 27 hospitalists staffing our 12 medicine teams (including teams containing advanced practice providers (APPs) and house-staff teams) were randomized into intervention and control groups. Our research assistant interviewed 1110 patients over a period of 7 months and asked them the three provider communication-specific questions from the HCAHPS survey. Our intervention was a daily computer-generated email which alerted providers to their performance on HCAHPS questions (proportions of "always" responses) along with the performance of their peers and Medicare benchmarks.
    Results: The intervention and control groups were similar with regard to baseline HCAHPS scores and clinical experience. The proportion of "always" responses to the three questions related to provider communication was statistically significantly higher in the intervention group compared to the control group (86% vs 80.5%, p-value 0.00001). It was also noted that the HCAHPS scores were overall lower on the house-staff teams and higher on the teams with APPs.
    Conclusion: Real-time patients' feedback to inpatient providers with peer comparison via email has a positive impact on the provider-specific HCAHPS scores.
    Mesh-Begriff(e) Aged ; Humans ; Feedback ; Medicare ; Patient Satisfaction ; Surveys and Questionnaires ; Tertiary Care Centers ; United States
    Sprache Englisch
    Erscheinungsdatum 2022-04-27
    Erscheinungsland United States
    Dokumenttyp Journal Article ; Randomized Controlled Trial
    ZDB-ID 639008-0
    ISSN 1525-1497 ; 0884-8734
    ISSN (online) 1525-1497
    ISSN 0884-8734
    DOI 10.1007/s11606-022-07614-1
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  2. Artikel ; Online: Effect of cervical dystonia on employment: A retrospective analysis of the ability of treatment to restore premorbid employment status.

    Molho, Eric S / Agarwal, Nitendra / Regan, Katy / Higgins, Donald S / Factor, Stewart A

    Movement disorders : official journal of the Movement Disorder Society

    2009  Band 24, Heft 9, Seite(n) 1384–1387

    Abstract: Using a structured interview method, we sought to address the following questions regarding cervical dystonia (CD) and employment: (1) what is the frequency and severity of job impairment in CD; (2) what are the clinical features that contribute to job ... ...

    Abstract Using a structured interview method, we sought to address the following questions regarding cervical dystonia (CD) and employment: (1) what is the frequency and severity of job impairment in CD; (2) what are the clinical features that contribute to job impairment; (3) how does the effectiveness of botulinum toxin (BTx) compare to oral medications in restoring employment status. In our population of 155 CD patients, employment was affected by CD in 53.3% (31.2% reduced hours or responsibilities, 3.3% changed to different job, 18.9% loss of employment) and 68.9% of patients reported reduced overall productivity. The likelihood of altered employment (P < 0.0006), reduced productivity (P < 0.0001), and seeking disability benefits (P < 0.003) was significantly associated with the presence of neck pain, but not type of employment, spasmodic head motions, or duration of CD symptoms before treatment with BTx. Treatment with BTx was more likely to improve employment status than oral medications (66.1 vs. 18.5%) and much more likely to restore full employment with normal productivity (12.9 vs. 0.0%). These findings suggest that employment status is frequently affected by CD, particularly in patients withneck pain. BTx is significantly more effective than oral medications in restoring premorbid employment status.
    Mesh-Begriff(e) Anti-Dyskinesia Agents/therapeutic use ; Botulinum Toxins/therapeutic use ; Disability Evaluation ; Employment ; Female ; Humans ; Male ; Middle Aged ; Pain Measurement ; Retrospective Studies ; Torticollis/drug therapy ; Torticollis/economics ; Torticollis/epidemiology
    Chemische Substanzen Anti-Dyskinesia Agents ; Botulinum Toxins (EC 3.4.24.69)
    Sprache Englisch
    Erscheinungsdatum 2009-07-15
    Erscheinungsland United States
    Dokumenttyp Clinical Trial ; Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 607633-6
    ISSN 1531-8257 ; 0885-3185
    ISSN (online) 1531-8257
    ISSN 0885-3185
    DOI 10.1002/mds.22622
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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