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- W4366177300 abstract "How mental health comorbidities and patient satisfaction may be associated is not fully understood in adults with skin cancer. Low satisfaction may explain treatment non-compliance and poor experiences with provider competence. Patient satisfaction can be measured using patients’ perception of patient-provider communication. We sought to determine the association between mental health comorbidities on patients’ perception of patient-provider communication quality among U.S. adult patients with skin cancer. We performed a cross-sectional study using the Medical Expenditure Panel Survey (MEPS) from 2004-2017. Among 4,268,730 (weighted) U.S. adult (≥18 years) patients with melanoma and non-melanoma skin cancers pooled during the 14-year period, 2,512,330 (59%), 1,392,949 (33%), and 363,451 (8%) had no-to-mild, moderate, or severe symptoms of psychological distress, respectively. Additionally, 2,824,645 (66%), 859,936 (20%), and 584,149 (13%) had no-to-mild-to-mild, moderate, or severe symptoms of depression, respectively. We adjusted for socio-demographic characteristics and comorbidities and used validated instruments, patient-provider communication composite score, K6, and PHQ2. Compared to patients with no-to-mild symptoms, patients with moderate psychological distress symptoms reported lower satisfaction with providers [β = -0.6 (-1.1, -0.10; p=0.01] and patients with severe psychological distress symptoms were 12.0 times more likely to report low satisfaction [AOR: 12.0 (4.4-32.9); p<0.001]. Compared to patients with no-to-mild symptoms, patients with moderate depression symptoms reported lower satisfaction with providers [β = -0.84 (-1.4, -0.3); p<0.001] and were 5.5 times more likely to report low satisfaction [AOR: 5.5 (3.3-9.2); p<0.001]. In conclusion, skin cancer patients’ baseline mental health status may be associated with their perception of the healthcare provider." @default.
- W4366177300 created "2023-04-19" @default.
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- W4366177300 date "2023-05-01" @default.
- W4366177300 modified "2023-09-28" @default.
- W4366177300 title "450 The impact of mental health comorbidities on patient satisfaction: A population study among U.S. adults with skin cancer" @default.
- W4366177300 doi "https://doi.org/10.1016/j.jid.2023.03.456" @default.
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