Evaluating patient experience with a surgical navigation program for under-resourced patients - 21/11/24

Doi : 10.1016/j.amjsurg.2024.115955

Linda M. Saikali ^a,^b,^c, Christopher D. Herrera ^a,^c,^d, Angela T. Chen ^a,^b,^c, Gina Lepore ^a,^b, Omar I. Ramadan ^a,^c,^e, Doreen Lam ^a,^b, Aaron Anandarajah ^a, Carrie Z. Morales ^a,^f, Matthew Goldshore ^a,^e, Jon B. Morris ^a,^e, Carmen E. Guerra ^c,^g,^h,^⁎
^a Center for Surgical Health, Department of Surgery, University of Pennsylvania, 3400 Spruce Street, Philadelphia, PA, USA
^b University of Pennsylvania Perelman School of Medicine, 3400 Civic Center Boulevard, Philadelphia, PA, USA
^c Leonard Davis Institute of Health Economics, University of Pennsylvania, 3641 Locust Walk, Philadelphia, PA, USA
^d Division of Urology, Department of Surgery, University of Pennsylvania, 3400 Civic Center Boulevard, Philadelphia, PA, USA
^e Department of Surgery, University of Pennsylvania, 3400 Spruce Street, Philadelphia, PA, USA
^f Division of Plastic Surgery, Department of Surgery, University of Pennsylvania, 3400 Civic Center Boulevard, Philadelphia, PA, USA
^g Department of Medicine, University of Pennsylvania Perelman School of Medicine, 3400 Spruce Street, Philadelphia, PA, USA
^h Abramson Cancer Center, University of Pennsylvania, 3400 Civic Center Boulevard, Philadelphia, PA, USA

^⁎Corresponding author. 3400 Civic Center Boulevard, Philadelphia, 19104, PA, USA.3400 Civic Center BoulevardPhiladelphiaPA19104USA

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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Highlights

•	The Center for Surgical Health (CSH) is a surgical equity intervention.
•	Participants were highly satisfied with CSH patient navigators.
•	Participants highlighted continued financial and accessibility barriers to care.
•	Patient navigation may impact overall satisfaction with surgical care.

Le texte complet de cet article est disponible en PDF.

Keywords : Surgical navigation, Surgical patient satisfaction, Surgical disparities, Underserved populations

Plan

Introduction

Material and methods

CSH patient navigators

Participant characteristics

PSN-I results: satisfaction with patient navigation

PSQ-18 results: satisfaction with surgical care

Discussion

Conclusions

Funding

CRediT authorship contribution statement

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Article 115955- décembre 2024 Retour au numéro

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Evaluating patient experience with a surgical navigation program for under-resourced patients - 21/11/24

Abstract

Background

Methods

Results

Conclusions

Highlights

Plan

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