Date of Conferral

4-22-2024

Date of Award

4-22-2024

Degree

Doctor of Healthcare Administration (D.H.A.)

School

Health Services

Advisor

Fawzi Awad

Abstract

Understanding effective provider communication may help improve shared decision-making and overall patient satisfaction using telemedicine among older patients. Using Donabedian’s lasting framework for healthcare quality as the theoretical framework, the purpose of this quantitative study was to examine the association between effective provider communication and shared decision-making and overall patient satisfaction with the healthcare system among older patients aged 65 years and older who were treated with telemedicine in Dallas–Fort Worth, Texas. Although researchers have studied patient satisfaction, the literature on the role of patient satisfaction in telemedicine is limited, and healthcare organizations have little evidence relating to how effective provider communication impacts healthcare quality measures: shared decision-making and overall patient satisfaction with the healthcare system. Patient satisfaction information was obtained through a secondary dataset consisting of 4,700 patient surveys. Data were analyzed using simple linear regression. While the results indicated that effective provider communication had a strongly positive relationship to both shared decision-making and overall patient satisfaction, researchers should judge the results with caution as several assumptions for the linear regression analyses were violated. The study may contribute to positive social change by arming healthcare administrators, providers, and health educators with knowledge to make targeted interventions regarding provider communication. This may lead to improvements in quality healthcare to meet the needs of older patients using telemedicine and improve overall patient satisfaction.

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