Mary Catherine Beach
Do Patients Treated With Dignity Report Higher Satisfaction, Adherence, and Receipt of Preventive Care?
General Department of Preventive Medicine|Johns Hopkins Medicine|Johns Hopkins University|Johns Hopkins Berman Institute of Bioethics
although involving patients health care known associated improved outcomes study conducted determine whether respecting persons broadly treating dignity additional positive effectsusing data commonwealth fund 2001 health care quality survey 6722 adults living united states performed surveyweighted logistic regression analysis evaluate independent associations 2 measures respect involvement decisions treatment dignity patient outcomes satisfaction adherence receipt optimal preventive care calculated adjusted probabilities outcomes performed stratified analyses examine results across racialethnic groupsafter adjustment respondents demographic characteristics probability reporting high level satisfaction higher treated dignity vs treated dignity 070 vs 038 p 001 involved versus involved decisions 070 vs 039 p 001 associations consistent across racialethnic groups involved decisions significantly associated adherence whites whereas treated dignity significantly associated adherence racialethnic minorities probability receiving optimal preventive care marginally greater treated dignity 068 vs 063 p 054 differ respect involvement decisions 067 vs 067 p 95being treated dignity involved decisions independently associated positive outcomes although involving patients decisions important part respecting patient autonomy also important respect patients broadly treating dignity