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M Fabbri, L Finney Rutten, S Manemann, C Boyd, J Wolff, A Chamberlain, S Weston, K Yost, J Griffin, J Killian, V Roger, P902
Patient-centered communication and outcomes in heart failure, European Heart Journal, Volume 39, Issue suppl_1, August 2018, ehy564.P902, https://doi.org/10.1093/eurheartj/ehy564.P902Close - Share Icon Share
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Introduction: Patient-centered communication refers to communication between patients and healthcare providers that acknowledges patients' needs, preferences, experiences, provides patients opportunities to participate in their care, and supports the patient-provider relationship. This construct is not well studied in heart failure (HF); therefore, we analyzed the patient-centered communication and its association with mortality and hospitalization in HF.
Methods: We surveyed 5543 residents of 11 counties in Southeast Minnesota, USA, with incident HF [defined as first-ever ICD-9 code 428 or ICD-10 code I50] between 1/1/2013 and 3/31/2016. Patient-centered communication was assessed with the health care subscale of the Chronic Illness Resources Survey (CIRS), which includes 3 components (each measured on a 5-point scale ranging from 3 to 15). Participants were divided in tertiles: excellent (score ≥14), good (score of 12 or 13) or fair (score <12). The survey was returned by 2866 participants (response rate 52%) and those with complete data on the main items of interest were retained for analysis (N=2212). Cox proportional hazards and Anderson Gill models were used to determine the association of patient-centered communication with death and hospitalization, respectively.
