Development of an instrument evaluating the impact of surgeon-patient relationship in patients on sick leave

Background: To date, no specific instruments exist to measure the quality of the patient-surgeon relationship despite its potential to influence clinical and economic outcomes in patients undergoing surgery for musculoskeletal disorders (MSDs). Objective: The objective was to develop and validate an...

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Main Authors: Thierry Dubert, Cedric Girault, Alexandre Kilink, Marc Rozenblat, Yves Lebellec, Anne-Lise Vataire, Myriam Vilasco, Gregory Katz
Format: Article
Language:English
Published: MDPI AG 2017-01-01
Series:Journal of Market Access & Health Policy
Subjects:
Online Access:http://dx.doi.org/10.1080/20016689.2017.1345586
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author Thierry Dubert
Cedric Girault
Alexandre Kilink
Marc Rozenblat
Yves Lebellec
Anne-Lise Vataire
Myriam Vilasco
Gregory Katz
author_facet Thierry Dubert
Cedric Girault
Alexandre Kilink
Marc Rozenblat
Yves Lebellec
Anne-Lise Vataire
Myriam Vilasco
Gregory Katz
author_sort Thierry Dubert
collection DOAJ
description Background: To date, no specific instruments exist to measure the quality of the patient-surgeon relationship despite its potential to influence clinical and economic outcomes in patients undergoing surgery for musculoskeletal disorders (MSDs). Objective: The objective was to develop and validate an instrument to assess the quality of the patient-surgeon relationship, taking into account the return to work after functional restoration surgery. Methods: The instrument development was based on literature review, cognitive interviews and expert examinations. The instrument’s psychometric properties were explored in a sample of 50 French patients on sick leave with musculoskeletal disorders or hand injuries. Face validity, internal consistency and test-retest reliability were evaluated. The dimensionality of the instrument was studied using an exploratory principal component analysis. Results: The 11-item instrument showed good psychometric properties. The cognitive interviews allowed enhancing the validity of the instrument content by capturing patients’ point of view. The exploratory principal component analysis demonstrated the uni-dimensionality of the instrument with the first factor accounting for 83% of the total explained variance. Conclusion:This study has developed the first instrument capable of the specific assessment of the impact of the surgeon-patient relationship on recovery, in patients with hand traumas and MSDs.
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institution Kabale University
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series Journal of Market Access & Health Policy
spelling doaj-art-19ca301a96094bc4bb6585851779db902025-08-20T03:55:45ZengMDPI AGJournal of Market Access & Health Policy2001-66892017-01-015110.1080/20016689.2017.13455861345586Development of an instrument evaluating the impact of surgeon-patient relationship in patients on sick leaveThierry Dubert0Cedric Girault1Alexandre Kilink2Marc Rozenblat3Yves Lebellec4Anne-Lise Vataire5Myriam Vilasco6Gregory Katz7Clinique JouvenetGroupement de Coopération Sanitaire du Réseau Prévention Main Ile de FranceClinique JouvenetGroupement de Coopération Sanitaire du Réseau Prévention Main Ile de FranceClinique de l’YvetteCreativ-CeuticalESSEC Business SchoolChair of Innovation Management & Healthcare PerformanceBackground: To date, no specific instruments exist to measure the quality of the patient-surgeon relationship despite its potential to influence clinical and economic outcomes in patients undergoing surgery for musculoskeletal disorders (MSDs). Objective: The objective was to develop and validate an instrument to assess the quality of the patient-surgeon relationship, taking into account the return to work after functional restoration surgery. Methods: The instrument development was based on literature review, cognitive interviews and expert examinations. The instrument’s psychometric properties were explored in a sample of 50 French patients on sick leave with musculoskeletal disorders or hand injuries. Face validity, internal consistency and test-retest reliability were evaluated. The dimensionality of the instrument was studied using an exploratory principal component analysis. Results: The 11-item instrument showed good psychometric properties. The cognitive interviews allowed enhancing the validity of the instrument content by capturing patients’ point of view. The exploratory principal component analysis demonstrated the uni-dimensionality of the instrument with the first factor accounting for 83% of the total explained variance. Conclusion:This study has developed the first instrument capable of the specific assessment of the impact of the surgeon-patient relationship on recovery, in patients with hand traumas and MSDs.http://dx.doi.org/10.1080/20016689.2017.1345586Surgeryreturn to workmusculoskeletal disordershand traumainstrument validationpatient-surgeon relationshipValue-Based Health CarePROM
spellingShingle Thierry Dubert
Cedric Girault
Alexandre Kilink
Marc Rozenblat
Yves Lebellec
Anne-Lise Vataire
Myriam Vilasco
Gregory Katz
Development of an instrument evaluating the impact of surgeon-patient relationship in patients on sick leave
Journal of Market Access & Health Policy
Surgery
return to work
musculoskeletal disorders
hand trauma
instrument validation
patient-surgeon relationship
Value-Based Health Care
PROM
title Development of an instrument evaluating the impact of surgeon-patient relationship in patients on sick leave
title_full Development of an instrument evaluating the impact of surgeon-patient relationship in patients on sick leave
title_fullStr Development of an instrument evaluating the impact of surgeon-patient relationship in patients on sick leave
title_full_unstemmed Development of an instrument evaluating the impact of surgeon-patient relationship in patients on sick leave
title_short Development of an instrument evaluating the impact of surgeon-patient relationship in patients on sick leave
title_sort development of an instrument evaluating the impact of surgeon patient relationship in patients on sick leave
topic Surgery
return to work
musculoskeletal disorders
hand trauma
instrument validation
patient-surgeon relationship
Value-Based Health Care
PROM
url http://dx.doi.org/10.1080/20016689.2017.1345586
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