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    Susan Congiusta

    Supplementary Material, Supplementary_File for Clinical Quality and Patient Experience in the Adult Ambulatory Setting by Susan Congiusta, DNP, RN, Philip Solomon, MD, Joseph Conigliaro, MD, MPH, Roseanne O'Gara-Shubinsky, RN, MBA,... more
    Supplementary Material, Supplementary_File for Clinical Quality and Patient Experience in the Adult Ambulatory Setting by Susan Congiusta, DNP, RN, Philip Solomon, MD, Joseph Conigliaro, MD, MPH, Roseanne O'Gara-Shubinsky, RN, MBA, Nina Kohn, MBA, MA, and Ira S. Nash, MD in American Journal of Medical Quality
    Supplemental material, Appendix_A for The Use of Online Physician Training Can Improve Patient Experience and Physician Burnout by Susan Congiusta, Eric M. Ascher, Seungjun Ahn and Ira S. Nash in American Journal of Medical Quality
    Quality and patient experience are important dimensions of care delivery. The extent to which they are related in the adult outpatient setting is unknown. This brief study utilized data from a large integrated health system over a 1-year... more
    Quality and patient experience are important dimensions of care delivery. The extent to which they are related in the adult outpatient setting is unknown. This brief study utilized data from a large integrated health system over a 1-year period in 2015 and measured the degree of correlation between physicians’ patient experience scores and 8 standardized quality metrics. These quality measures were paired into similar groups to create 4 composite measures: outcome, screening, vaccination, and adherence. Measures of outcome ( r = 0.20, P = .06), vaccination ( r = 0.12, P = .26), and adherence ( r = −0.04, P = .75) were not significantly correlated with patient experience; screening ( r = 0.29, P = .006) was minimally correlated with patient experience. Overall, this study found minimal correlation between measures of patient experience and clinical quality in the outpatient setting. Measurement of both of these domains is essential to understanding patterns of care.
    PurposeTo measure the quality of health care services patient satisfaction is used as one of the most important indicators. The study aims to identify factors affecting patient's satisfaction at primary health care... more
    PurposeTo measure the quality of health care services patient satisfaction is used as one of the most important indicators. The study aims to identify factors affecting patient's satisfaction at primary health care clinics.Design/methodology/approachThe data was collected during January 2007 and May 2007 through a randomly‐distributed questionnaire. The questionnaires were distributed in primary healthcare clinics that represent all heath care regions in Kuwait. A total of 426 completed questionnaires, out of 500, were returned resulting in a response rate of 85.2 percent.FindingsThe majority (87 percent) of the patients responded that the time for communication between physician and patient was not enough. Seventy‐nine‐percent of the surveyed patients said they would go to the emergency room of the hospital in future if needed instead of going to the primary care clinic. Regarding the quality of the communication relationship between physician and patients most of the patients ...
    The authors tested the efficacy of an integrated approach to improving patient experience and physician burnout using a 24-week online training program coupled with a physician engagement strategy. Physicians from different disciplines... more
    The authors tested the efficacy of an integrated approach to improving patient experience and physician burnout using a 24-week online training program coupled with a physician engagement strategy. Physicians from different disciplines were randomized to intervention (n = 30) and control (n = 33) groups. Patient experience, physician burnout, and satisfaction data were assessed using patient and provider surveys. Comparisons were made pre and post intervention, and between the groups. Intervention group mean scores increased (+1.40 points) while control group scores dropped (−0.11 points; P = .039). Scores on physician burnout surveys for the intervention group improved in all areas and changes in 2 domains were statistically significant. In all, 73.5% of physicians felt the program was effective. This integrated intervention enhanced patient experience scores and positively affected physicians’ level of burnout, and physicians believed this exercise was useful.