Patient-Centered Communication and Outcomes in Heart Failure

Matteo Fabbri, Lila J. Finney Rutten, Sheila M. Manemann, Cynthia Boyd, Jennifer Wolff, Alanna M. Chamberlain, Susan A. Weston, Kathleen J. Yost, Joan M. Griffin, Jill M. Killian, Véronique L. Roger

Research output: Contribution to journalArticlepeer-review

Abstract

OBJECTIVES: To measure the impact of patient-centered communication on mortality and hospitalization among patients with heart failure (HF).

STUDY DESIGN: This was a survey study of 6208 residents of 11 counties in southeast Minnesota with incident HF (first-ever International Classification of Diseases, Ninth Revision code 428 or International Classification of Diseases, Tenth Revision code I50) between January 1, 2013, and March 31, 2016.

METHODS: Perceived patient-centered communication was assessed with the health care subscale of the Chronic Illness Resources Survey and measured as a composite score on three 5-point scales. We divided our cohort into tertiles and defined them as having fair/poor (score<12), good (score of 12 or 13), and excellent (score≥14) patient-centered communication. The survey was returned by 2868 participants (response rate: 45%), and those with complete data were retained for analysis (N=2398). Cox and Andersen-Gill models were used to determine the association of patient-centered communication with death and hospitalization, respectively.

RESULTS: Among 2398 participants (median age, 75 years; 54% men), 233 deaths and 1194 hospitalizations occurred after a mean (SD) follow-up of 1.3 (0.6) years. Compared with patients with fair/poor patient-centered communication, those with good (HR, 0.70; 95% CI, 0.51-0.97) and excellent (HR, 0.70; 95% CI, 0.51-0.96) patient-centered communication experienced lower risks of death after adjustment for various confounders (Ptrend=.020). Patient-centered communication was not associated with hospitalization.

CONCLUSIONS: Among community patients living with HF, excellent and good patient-centered communication is associated with a reduced risk of death. Patient-centered communication can be easily assessed, and consideration should be given toward implementation in clinical practice.

Original languageEnglish (US)
Pages (from-to)425-430
Number of pages6
JournalAmerican Journal of Managed Care
Volume26
Issue number10
DOIs
StatePublished - 2020

ASJC Scopus subject areas

  • Health Policy

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