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Evaluating patient experience with a surgical navigation program for under-resourced patients.

Authors :
Saikali LM
Herrera CD
Chen AT
Lepore G
Ramadan OI
Lam D
Anandarajah A
Morales CZ
Goldshore M
Morris JB
Guerra CE
Source :
American journal of surgery [Am J Surg] 2024 Sep 07; Vol. 238, pp. 115955. Date of Electronic Publication: 2024 Sep 07.
Publication Year :
2024
Publisher :
Ahead of Print

Abstract

Background: This study aimed to characterize patient satisfaction with navigators and surgical care accessed through a novel navigation program for under-resourced communities.<br />Methods: PSN-I and PSQ-18 questionnaires assessed satisfaction with navigators and care, respectively. Primary outcomes were PSN-I and PSQ-18 scores. Secondary analyses tested associations between satisfaction and patient factors and between PSN-I and PSQ-18 scores.<br />Results: Of 294 patients contacted, 88 (29.9 ​%) responded. Most were Hispanic/Latinx (76.1 ​%), Spanish-speaking (71.5 ​%), and uninsured (85.2 ​%). Participants were highly satisfied with navigators (mean 38.5, SD 7.6; max. 45) and most care domains except Financial Aspects (mean 3.2, SD 1.0; max. 5) and Accessibility/Convenience (mean 3.5, SD 0.6; max. 5). Higher navigator satisfaction was associated with post-consultation need for surgery (coeff. 5.6, 95 ​% CI[0.9, 10.3]) and increased the odds of care satisfaction (OR 1.1, 95 ​% CI[1.0, 1.2]).<br />Conclusions: Patients are satisfied with navigation services-a previously unstudied aspect of this unique surgical equity program.<br />Competing Interests: Declaration of competing interest None.<br /> (Copyright © 2024 Elsevier Inc. All rights reserved.)

Details

Language :
English
ISSN :
1879-1883
Volume :
238
Database :
MEDLINE
Journal :
American journal of surgery
Publication Type :
Academic Journal
Accession number :
39276488
Full Text :
https://doi.org/10.1016/j.amjsurg.2024.115955