Comparison of patient and provider goals, expectations, and experiences following kidney transplantation
| Autor: | Kayse Lee Maass, Hannah Schapiro, Alan B. Leichtman, Robert M. Merion, Peg Hill-Callahan, Abigail R. Smith, Evelyn S. Gendron, Emily L. Tucker, Mark S. Daskin, Stephen Joel Gill, Sabrina M. Cottrell |
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| Rok vydání: | 2018 |
| Předmět: |
Adult
Male medicine.medical_specialty Activities of daily living Attitude of Health Personnel Health Personnel Logistic regression 03 medical and health sciences 0302 clinical medicine Provider perceptions Quality of life (healthcare) Ambulatory care Surveys and Questionnaires medicine Humans 030212 general & internal medicine Kidney transplantation Aged Motivation business.industry 030503 health policy & services Medical record General Medicine Middle Aged medicine.disease Kidney Transplantation Transplant Recipients Outcome and Process Assessment Health Care Patient Satisfaction Family medicine Quality of Life Female 0305 other medical science business Goals Patient education |
| Zdroj: | Patient education and counseling. 102(5) |
| ISSN: | 1873-5134 |
| Popis: | Objective This study examined whether kidney transplant recipients’ post-transplant goals and expectations align with those as perceived by their healthcare providers. Methods Post-transplant goals and expectations across four domains were assessed via a descriptive survey of healthcare providers (N=72) and kidney transplant recipients (N=476) at the University of Michigan from March 23 - October 1, 2015. Demographic and transplant-related data were collected via a retrospective review of medical records, and survey responses were compared using Chi-square tests, Wilcoxon two-sample tests, and logistic regression. Results Patients expressed higher quality of life (mean Neuro-QOL T-score 60.2 vs. 52.7), were less likely to report that they were currently experiencing complications (11% vs. 24%), and anticipated their transplants to last longer (median 25 vs. 15 years) and to live longer (median 80 vs. 71 years) than providers expected for their typical patient. However, provider perceptions of patients’ future ability to feel well, perform daily activities and work were significantly higher than those expressed by patients (all p Conclusion Kidney transplant patient and provider expectations differ in significant ways. Practice implications Identified areas of discordance may provide opportunities for patients and providers to better evaluate treatment option tradeoffs in post-transplant clinical interactions. |
| Databáze: | OpenAIRE |
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