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Liebmann EP, Resnick SG, Hoff RA, et al. Associations between patient experience and clinical outcomes in substance use disorder clinics: Findings from the veterans outcomes assessment survey. J Subst Abuse Treat. 2021;108505doi: 10.1016/j.jsat.2021.108505.
Liebmann, E. P., Resnick, S. G., Hoff, R. A., & Katz, I. R. (2021). Associations between patient experience and clinical outcomes in substance use disorder clinics: Findings from the veterans outcomes assessment survey. Journal of substance abuse treatment, 108505. https://doi.org/10.1016/j.jsat.2021.108505
Liebmann, Edward P, et al. "Associations between patient experience and clinical outcomes in substance use disorder clinics: Findings from the veterans outcomes assessment survey." Journal of substance abuse treatment vol. (2021): 108505. doi: https://doi.org/10.1016/j.jsat.2021.108505
Liebmann EP, Resnick SG, Hoff RA, Katz IR. Associations between patient experience and clinical outcomes in substance use disorder clinics: Findings from the veterans outcomes assessment survey. J Subst Abuse Treat. 2021 May 29;108505. doi: 10.1016/j.jsat.2021.108505. Epub 2021 May 29. PMID: 34148757.
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J Subst Abuse Treat. 2021 May 29;108505. doi: 10.1016/j.jsat.2021.108505. Epub 2021 May 29.

Associations between patient experience and clinical outcomes in substance use disorder clinics: Findings from the veterans outcomes assessment survey.

Journal of substance abuse treatment

Edward P Liebmann, Sandra G Resnick, Rani A Hoff, Ira R Katz

Affiliations

  1. VA Connecticut Healthcare System, West Haven, CT, USA; Yale University, School of Medicine, Department of Psychiatry, New Haven, CT, USA. Electronic address: [email protected].
  2. Yale University, School of Medicine, Department of Psychiatry, New Haven, CT, USA; Northeast Program Evaluation Center, VA Office of Mental Health and Suicide Prevention, West Haven VA Medical Center, West Haven, CT, USA.
  3. VA Office of Mental Health and Suicide Prevention, Department of Veterans Affairs, Washington, DC, USA; Philadelphia VA Medical Center, Philadelphia, PA, USA.

PMID: 34148757 DOI: 10.1016/j.jsat.2021.108505

Abstract

BACKGROUND: Patient-centeredness is a cornerstone of substance use disorder (SUD) treatment. Patient-experience measures are potential tools for the routine assessment of patient-centered SUD care and may be valuable measures to inform quality monitoring improvement efforts. Little research exists on the predictive validity of patient-experience measures in SUD care.

PURPOSE: We report on findings from the Veterans Outcome Assessment (VOA) survey that provides information on Veterans Health Administration SUD specialty care at treatment initiation and approximately 3-months post-initiation.

METHODS: The VOA includes patient-reported outcomes across multiple domains, including the Brief Addiction Monitor (BAM-R), the Short-Form-12 (SF-12) and the Experience of Care and Health Outcome Survey (ECHO), and provides patient reports of the quality of provider communication and overall quality of SUD care.

RESULTS: Nearly 40% of veterans in SUD care gave the highest possible ratings for communication and quality at both baseline and follow-up. Ratings of communication at 3-months were associated with treatment discontinuation and both ratings of communication and quality at 3-months and were independently associated with SUD symptoms and with mental well-being at 3-months.

CONCLUSIONS: This study provides preliminary support for the inclusion of patient experience measures, particularly ratings of provider communication, as part of routine assessment in SUD care. However, further work on the validity of ratings of provider communication using additional methodologies is likely important before piloting the inclusion of such measures in routine assessment, such as in measurement base care.

Published by Elsevier Inc.

Keywords: Measurement-based care; Patient-reported experience measures; Patient-reported outcome measures; Substance use disorder treatment; Veterans

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