The Relation between Having a Usual Source of Care and Ratings of Care Quality

Does Patient-Centered Communication Play a Role?

Lila J Rutten, Amenah A. Agunwamba, Ellen Beckjord, Bradford W. Hesse, Richard P. Moser, Neeraj K. Arora

Research output: Contribution to journalArticle

16 Citations (Scopus)

Abstract

Having a usual source of health care has been consistently associated with greater use of preventive services, decreased use of emergency services, and with patients ratings of quality and satisfaction with care. Ongoing patient-provider relationships may be, in part, fostered by patient-centered communication. Growing evidence demonstrates that positive patient-centered communication improves adherence to treatment recommendations, management of chronic disease, quality of life, and disease-related outcomes. We aimed to determine how patient-centered communication between patients and physicians might mediate the relation between having a source of usual care and ratings of health care quality. We analyzed data from Cycle 1 of the fourth iteration of the Health Information National Trends Survey. Data were collected through mailed questionnaire in October 2011 through February 2012 (N = 3,959). Overall, individuals with a usual source of care reported more patient-centered communication experiences and had higher ratings of quality of care. Parameter estimates for each pathway in the mediation model were estimated through regression analysis. Results confirm the importance of patient-centered communication in shaping patients perceptions of the quality of their care, accounting for a significant portion of the observed relation between having a usual source of care and ratings of quality.

Original languageEnglish (US)
Pages (from-to)759-765
Number of pages7
JournalJournal of Health Communication
Volume20
Issue number7
DOIs
StatePublished - Jul 3 2015

Fingerprint

Quality of Health Care
rating
Communication
communication
Health care
Emergency services
health care
Disease
Regression analysis
health information
mediation
Health
quality of life
regression analysis
physician
questionnaire
Emergencies
Chronic Disease
trend
Regression Analysis

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Health(social science)
  • Library and Information Sciences
  • Communication

Cite this

The Relation between Having a Usual Source of Care and Ratings of Care Quality : Does Patient-Centered Communication Play a Role? / Rutten, Lila J; Agunwamba, Amenah A.; Beckjord, Ellen; Hesse, Bradford W.; Moser, Richard P.; Arora, Neeraj K.

In: Journal of Health Communication, Vol. 20, No. 7, 03.07.2015, p. 759-765.

Research output: Contribution to journalArticle

Rutten, Lila J ; Agunwamba, Amenah A. ; Beckjord, Ellen ; Hesse, Bradford W. ; Moser, Richard P. ; Arora, Neeraj K. / The Relation between Having a Usual Source of Care and Ratings of Care Quality : Does Patient-Centered Communication Play a Role?. In: Journal of Health Communication. 2015 ; Vol. 20, No. 7. pp. 759-765.
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