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Patient satisfaction scores in adults with psoriasis

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Abstract

Patient satisfaction is associated with improved patient retention and clinical outcomes. Previous studies investigated the impact of disease severity and mental health conditions on patient satisfaction among psoriasis patients. However, associations with healthcare utilization were not studied. Moreover, socio-demographic differences in patient satisfaction among adults with psoriasis are not well-delineated. The objectives of this study were to determine the impact of psoriasis disease on patient satisfaction among US adults and examine associations of satisfaction with healthcare utilization and socio-demographic characteristics. We analyzed the 2000–2016 Medical Expenditure Panel Surveys, representative surveys of US population health status and perceptions. Patient satisfaction was evaluated by the Consumer Assessment of Healthcare Providers and Systems (CAHPS) survey. Adults with psoriasis were compared to a control group of all adults without current diagnosis of psoriasis. Multivariable linear and logistic regression models were constructed to examine associations of satisfaction among those with psoriasis. Overall, data were analyzed from 1419 adults with psoriasis who completed the entire CAHPS survey. Adults with psoriasis had similar patient satisfaction compared to healthy controls (LS-means: 86.0 vs 85.6, adjusted β [CI 95]: 0.38 [− 0.45, 1.22]). Based on sensitivity analysis, adults with vs without psoriasis had similar rates of high satisfaction in each CAHPS domain: time spent, clear explanations, listening, and respect demonstrated. Among those with psoriasis, high satisfaction was associated with ≥ 1 office visit (adjusted OR [CI 95]: 2.50 [1.63, 3.84]), and consultation with a specialist was associated with increased satisfaction (adjusted β [CI 95]: 1.36 [0.95, 1.77]). Overall satisfaction score among psoriasis adults was associated with increased age and black race, and inversely associated with lower income, public or no insurance, other race or multiracial, and multimorbidity. In conclusion, psoriasis diagnosis was not associated with difference in satisfaction. However, lower-income adults with public or no insurance and multimorbidity had lower satisfaction. Moreover, specialist consultation was associated with higher satisfaction. Multidisciplinary and increased healthcare access are needed to optimize patient satisfaction.

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Abbreviations

ICD-9-CM:

International Classification of Disease 9th edition Clinical Modification

ICD-10-CM:

International Classification of Disease 10th edition Clinical Modification

CAHPS:

Consumer Assessment of Healthcare Providers and Systems

MEPS:

Medical Expenditure Panel Survey

FPL:

Federal poverty level

OR:

Odds ratio

CI:

Confidence interval

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Funding

This publication was made possible with support from the Dermatology Foundation. Design and conduct of the study: No. Collection, management, analysis, and interpretation of data: No. Preparation, review, or approval of the manuscript: No. Decision to submit the manuscript for publication: No.

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Authors and Affiliations

  1. Department of Allergy and Immunology, Northwestern University Feinberg School of Medicine, Chicago, IL, 60611, USA

    Brian T. Cheng

  2. Department of Dermatology, The George Washington University School of Medicine and Health Sciences, Suite 2B-430, 2150 Pennsylvania Avenue NW, Washington, DC, 20037, USA

    Jonathan I. Silverberg

Authors
  1. Brian T. Cheng
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  2. Jonathan I. Silverberg
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Contributions

JIS had full access to all the data in the study and takes responsibility for the integrity of the data and accuracy of the data analysis. Study concept and design: JIS. Acquisition of data: JIS and BTC. Analysis and interpretation of data: BTC and JIS. Drafting of the manuscript: BTC and JIS. Critical revision of the manuscript for important intellectual content: BTC and JIS. Statistical analysis: JIS and BTC. Obtained funding: JIS. Administrative technical or material support: none. Study supervision: none.

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Correspondence to Jonathan I. Silverberg.

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Cheng, B.T., Silverberg, J.I. Patient satisfaction scores in adults with psoriasis. Arch Dermatol Res 314, 573–581 (2022). https://doi.org/10.1007/s00403-021-02260-9

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  • DOI: https://doi.org/10.1007/s00403-021-02260-9

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