Patient Satisfaction with Care After Coronary Revascularization
Bridging the Divides (Bridges), a Centers for Medicare and Medicaid Services-funded program, developed a post-hospitalization care management infrastructure integrating information technology-enabled informatics with patient care for ischemic heart disease patients. The objective of this study was to assess patient satisfaction with the Bridges program and determine the patient characteristics associated with higher satisfaction.
All adult English-speaking patients who underwent a percutaneous coronary intervention, coronary artery bypass grafting, or catheterization plus acute myocardial infarction and agreed to participate in the Bridges program were eligible. A survey instrument was administered to address patient satisfaction of care received, aspects of care that patients appreciated, and challenges faced. Descriptive statistics were calculated, and primary analyses included comparisons of overall patient satisfaction after discharge between procedure type, and according to age, sex, race, Elixhauser comorbidity count, and length of stay.
Four hundred and sixty-seven (46%) had complete or partial response rates. There was a statistically significant difference in the overall satisfaction among patients undergoing percutaneous coronary intervention, coronary artery bypass grafting, or catheterization plus acute myocardial infarction (p = 0.023). There were significant procedure by sex (p = 0.052) and procedure by age (p = 0.039) interactions. There were no statistically significant differences in overall satisfaction according to age, sex, race, comorbidity count, or length of stay.
This study identified several important components related to patient satisfaction for patients with ischemic heart disease. Results found that patients who underwent coronary artery bypass grafting were reportedly “very satisfied” when compared with patients who underwent percutaneous coronary intervention and catheterization plus acute myocardial infarction, as well as significant age and sex interactions between procedures.
The authors thank Diane Hess for making thousands of phone calls that were made for this project. Danielle Mosby contributed to the analysis and interpretation of data, drafting of the manuscript, and critical revision; Matthew Manierre contributed to the study conception and design, acquisition of data, analysis and interpretation of data and drafting of the manuscript; Steve Martin contributed to the study conception and design, and acquisition of data as well as the analysis and interpretation of data; Paul Kolm contributed to the analysis and interpretation of data, drafting of the manuscript and critical revision; A. Sami Abuzaid contributed to the analysis and interpretation of data, and drafting of the manuscript; Claudine Jurkovitz contributed to the study conception and design, analysis and interpretation of the data, and drafting of the manuscript; Daniel Elliott contributed to the study conception and design, analysis and interpretation of data, and drafting of the manuscript; and William Weintraub contributed to the study conception and design, analysis and interpretation of data, drafting of the manuscript, and critical revision.
Compliance with Ethical Standards
This study was funded by a Grant from the Centers for Medicare and Medicaid Services Innovation Award (CMS331027-01), and an Institutional Development Award from the National Institute of General Medical Sciences of the National Institutes of Health (U54-GM104941).
Conflict of interest
Danielle L. Mosby, Matthew J. Manierre, Steve S. Martin, Paul Kolm, A. Sami Abuzaid, Claudine T. Jurkovitz, Daniel J. Elliott, and William S. Weintraub have no conflicts of interest directly relevant to the content of this article.
All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.
Consent to Participate
Informed consent was obtained from all individual participants included in the study.
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