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Assessment of caregiver expectations of physician communication in a pediatric setting

BACKGROUND: In pediatrics, communication often occurs through an intermediary such as a caregiver. The goal of this study is to assess caregiver communication expectations and determine if meeting expectations influences caregiver satisfaction or instruction retention. METHODS: A survey study was pe...

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Autores principales: Lee, Tyler, Cui, Julie, Rosario, Hinette, Hilmara, Didja, Samuelson, Kate, Lin, Emery C., Miller, Victoria A., Lin, Henry C.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7212563/
https://www.ncbi.nlm.nih.gov/pubmed/32393244
http://dx.doi.org/10.1186/s12913-020-05262-x
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author Lee, Tyler
Cui, Julie
Rosario, Hinette
Hilmara, Didja
Samuelson, Kate
Lin, Emery C.
Miller, Victoria A.
Lin, Henry C.
author_facet Lee, Tyler
Cui, Julie
Rosario, Hinette
Hilmara, Didja
Samuelson, Kate
Lin, Emery C.
Miller, Victoria A.
Lin, Henry C.
author_sort Lee, Tyler
collection PubMed
description BACKGROUND: In pediatrics, communication often occurs through an intermediary such as a caregiver. The goal of this study is to assess caregiver communication expectations and determine if meeting expectations influences caregiver satisfaction or instruction retention. METHODS: A survey study was performed at the Children’s Hospital of Philadelphia. Before the visit, caregivers completed a survey on communication expectations, Caregiver Expected Kalamazoo Essential Elements Communication Checklist (Caregiver Expected KEECC). After the visit, caregivers were surveyed on their perception of physician communication (Caregiver Perceived KEECC) and satisfaction. Caregivers were contacted 1 week after the clinic visit to assess instruction retention. Meeting of caregiver expectation was calculated by the difference between Caregiver Expected and Caregiver Perceived KEECC scores. RESULTS: 112 caregivers participated in the study. There was no significant difference in Caregiver Expected KEECC versus Caregiver Perceived KEECC score (4.39 vs 4.56). Caregiver communication expectations were exceeded in 51.5% of the visits. Communication expectations were exceeded more among caregivers with at a college education (p <  0.01) and more among White caregivers (p <  0.01). The average caregiver satisfaction score with the clinic visit was 4.67. Higher satisfaction scores were observed in caregivers who had their communication expectations met or exceeded (p <  0.01). Caregivers with communication expectations exceeded had higher percentage recall of physician instructions (p <  0.01). CONCLUSIONS: Caregiver communication expectations may be influenced by demographic factors. Communication expectation affects visit outcomes including caregiver satisfaction and instruction retention. Therefore, physicians need to be cognizant of caregiver communication expectations, which can impact quality of the healthcare experience.
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spelling pubmed-72125632020-05-18 Assessment of caregiver expectations of physician communication in a pediatric setting Lee, Tyler Cui, Julie Rosario, Hinette Hilmara, Didja Samuelson, Kate Lin, Emery C. Miller, Victoria A. Lin, Henry C. BMC Health Serv Res Research Article BACKGROUND: In pediatrics, communication often occurs through an intermediary such as a caregiver. The goal of this study is to assess caregiver communication expectations and determine if meeting expectations influences caregiver satisfaction or instruction retention. METHODS: A survey study was performed at the Children’s Hospital of Philadelphia. Before the visit, caregivers completed a survey on communication expectations, Caregiver Expected Kalamazoo Essential Elements Communication Checklist (Caregiver Expected KEECC). After the visit, caregivers were surveyed on their perception of physician communication (Caregiver Perceived KEECC) and satisfaction. Caregivers were contacted 1 week after the clinic visit to assess instruction retention. Meeting of caregiver expectation was calculated by the difference between Caregiver Expected and Caregiver Perceived KEECC scores. RESULTS: 112 caregivers participated in the study. There was no significant difference in Caregiver Expected KEECC versus Caregiver Perceived KEECC score (4.39 vs 4.56). Caregiver communication expectations were exceeded in 51.5% of the visits. Communication expectations were exceeded more among caregivers with at a college education (p <  0.01) and more among White caregivers (p <  0.01). The average caregiver satisfaction score with the clinic visit was 4.67. Higher satisfaction scores were observed in caregivers who had their communication expectations met or exceeded (p <  0.01). Caregivers with communication expectations exceeded had higher percentage recall of physician instructions (p <  0.01). CONCLUSIONS: Caregiver communication expectations may be influenced by demographic factors. Communication expectation affects visit outcomes including caregiver satisfaction and instruction retention. Therefore, physicians need to be cognizant of caregiver communication expectations, which can impact quality of the healthcare experience. BioMed Central 2020-05-11 /pmc/articles/PMC7212563/ /pubmed/32393244 http://dx.doi.org/10.1186/s12913-020-05262-x Text en © The Author(s) 2020 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research Article
Lee, Tyler
Cui, Julie
Rosario, Hinette
Hilmara, Didja
Samuelson, Kate
Lin, Emery C.
Miller, Victoria A.
Lin, Henry C.
Assessment of caregiver expectations of physician communication in a pediatric setting
title Assessment of caregiver expectations of physician communication in a pediatric setting
title_full Assessment of caregiver expectations of physician communication in a pediatric setting
title_fullStr Assessment of caregiver expectations of physician communication in a pediatric setting
title_full_unstemmed Assessment of caregiver expectations of physician communication in a pediatric setting
title_short Assessment of caregiver expectations of physician communication in a pediatric setting
title_sort assessment of caregiver expectations of physician communication in a pediatric setting
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7212563/
https://www.ncbi.nlm.nih.gov/pubmed/32393244
http://dx.doi.org/10.1186/s12913-020-05262-x
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