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    Amputation Care Quality and Satisfaction With Prosthetic Limb Services: A Longitudinal Study of Veterans With Upper Limb Amputation

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    Authors
    Resnik, Linda
    Borgia, Matthew
    Ekerholm, Sarah
    Highsmith, M. Jason
    Randolph, Billie Jane
    Webster, Joseph
    Clark, Melissa A.
    UMass Chan Affiliations
    Department of Population and Quantitative Health Sciences
    Document Type
    Journal Article
    Publication Date
    2021-03-01
    Keywords
    veterans
    prosthetic limb care
    amputation care
    Health Services Administration
    Health Services Research
    Military and Veterans Studies
    Surgical Procedures, Operative
    
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    Link to Full Text
    https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8040957/
    Abstract
    Purpose: This study sought to measure and identify factors associated with satisfaction with care among veterans. The metrics were colelcted for those receiving prosthetic limb care at the US Department of Veterans Affairs (VA) and US Department of Defense (DoD) care settings and at community-based care providers. Methods: A longitudinal cohort of veterans with major upper limb amputation receiving any VA care from 2010 to 2015 were interviewed by phone twice, 1 year apart. Care satisfaction was measured by the Orthotics and Prosthetics User's Survey (OPUS) client satisfaction survey (CSS), and prosthesis satisfaction was measured by the OPUS client satisfaction with device (CSD), and the Trinity Amputation and Prosthetic Experience Scale satisfaction scales. The Quality of Care index, developed for this study, assessed care quality. Bivariate analyses and multivariable linear regressions identified factors associated with CSS. Wilcoxon Mann-Whitney rank tests and Fisher exact tests compared CSS and Quality of Care items at follow-up for those with care within and outside of the VA and DoD. Results: The study included 808 baseline participants and 585 follow-up participants. Device satisfaction and receipt of amputation care in the prior year were associated with greater satisfaction with care quality. Persons with bilateral amputation were significantly less satisfied with wait times. Veterans who received amputation care in the VA or DoD had better, but not statistically different, mean (SD) CSS scores: 31.6 (22.6) vs 39.4 (16.9), when compared with those who received care outside the VA or DoD. Those with care inside the VA or DoD were also more likely to have a functional assessment in the prior year (33.7% vs 7.1%, P = .06), be contacted by providers (42.7% vs 18.8%, P = .07), and receive amputation care information (41.6% vs 0%, P =.002). No statistically significant differences in CSS, Quality of Care scores, or pain measures were observed between baseline and follow-up. In regression models, those with higher CSD scores and with prior year amputation care had higher satisfaction when compared to those who had not received care. Conclusions: Satisfaction with prosthetic limb care is associated with device satisfaction and receipt of care within the prior year. Veterans receiving amputation care within the VA or DoD received better care quality scores than those receiving prosthetic care outside of the VA or DoD. Satisfaction with care and quality of care were stable over the 12 months of this study. Findings from this study can serve as benchmarks for future work on care satisfaction and quality of amputation rehabilitative care.
    Source

    Resnik L, Borgia M, Ekerholm S, Highsmith MJ, Randolph BJ, Webster J, Clark MA. Amputation Care Quality and Satisfaction With Prosthetic Limb Services: A Longitudinal Study of Veterans With Upper Limb Amputation. Fed Pract. 2021 Mar;38(3):110-120. doi: 10.12788/fp.0096. PMID: 33859462; PMCID: PMC8040957. Link to article on publisher's site

    DOI
    10.12788/fp.0096
    Permanent Link to this Item
    http://hdl.handle.net/20.500.14038/41830
    PubMed ID
    33859462
    Related Resources

    Link to Article in PubMed

    ae974a485f413a2113503eed53cd6c53
    10.12788/fp.0096
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    UMass Chan Faculty and Researcher Publications
    Population and Quantitative Health Sciences Publications

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