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Journal article
Assessment of caregiver expectations of physician communication in a pediatric setting
BMC health services research, Vol.20(1), 408
11 May 2020
PMID: 32393244
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
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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Details
- Title
- Assessment of caregiver expectations of physician communication in a pediatric setting
- Creators
- Tyler Lee - Children's Hospital of PhiladelphiaJulie Cui - Children's Hospital of PhiladelphiaHinette Rosario - Children's Hospital of PhiladelphiaDidja Hilmara - Children's Hospital of PhiladelphiaKate Samuelson - Children's Hospital of PhiladelphiaEmery C. Lin - Drexel UniversityVictoria A. Miller - Children's Hospital of PhiladelphiaHenry C. Lin - University of Pennsylvania
- Publication Details
- BMC health services research, Vol.20(1), 408
- Publisher
- BioMed Central
- Grant note
- ;
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- College of Medicine
- Web of Science ID
- WOS:000534341600015
- Scopus ID
- 2-s2.0-85084528204
- Other Identifier
- 991021860779404721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Health Care Sciences & Services