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Volume 5
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10.1080/20016689.2017.1345586
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Journal of Market Access & Health Policy (JMAHP) is published by MDPI from Volume 12 Issue 1 (2024). Previous articles were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence, and they are hosted by MDPI on mdpi.com as a courtesy and upon agreement with Taylor & Francis.
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Article

Development of an Instrument Evaluating the Impact of Surgeon-Patient Relationship in Patients on Sick Leave

by
Thierry Dubert
1,2,3,
Cedric Girault
3,
Alexandre Kilink
1,
Marc Rozenblat
3,
Yves Lebellec
4,
Anne-Lise Vataire
5,
Myriam Vilasco
6 and
Gregory Katz
7,*
1
Ramsay Générale de Santé, Clinique Jouvenet, Paris, France
2
Ramsay Générale de Santé, Hôpital Privé Paul d’Egine, Champigny, France
3
Groupement de Coopération Sanitaire du Réseau Prévention Main Ile de France, Paris, France
4
Clinique de l’Yvette, Longjumeau, France
5
Creativ-Ceutical, Paris, France
6
ESSEC Business School, Paris-Singapore, France
7
Paris-Descartes University, School of Medicine, Chair of Innovation Management & Healthcare Performance, 15 rue de l’Ecole de Médecine, 75006 Paris, France
*
Author to whom correspondence should be addressed.
J. Mark. Access Health Policy 2017, 5(1), 1345586; https://doi.org/10.1080/20016689.2017.1345586
Submission received: 6 February 2017 / Revised: 1 January 2017 / Accepted: 20 June 2017 / Published: 11 August 2017

Abstract

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.
Keywords: surgery; return to work; musculoskeletal disorders; hand trauma; instrument validation; patient-surgeon relationship; Value-Based Health Care; PROM surgery; return to work; musculoskeletal disorders; hand trauma; instrument validation; patient-surgeon relationship; Value-Based Health Care; PROM

Share and Cite

MDPI and ACS Style

Dubert, T.; Girault, C.; Kilink, A.; Rozenblat, M.; Lebellec, Y.; Vataire, A.-L.; Vilasco, M.; Katz, G. Development of an Instrument Evaluating the Impact of Surgeon-Patient Relationship in Patients on Sick Leave. J. Mark. Access Health Policy 2017, 5, 1345586. https://doi.org/10.1080/20016689.2017.1345586

AMA Style

Dubert T, Girault C, Kilink A, Rozenblat M, Lebellec Y, Vataire A-L, Vilasco M, Katz G. Development of an Instrument Evaluating the Impact of Surgeon-Patient Relationship in Patients on Sick Leave. Journal of Market Access & Health Policy. 2017; 5(1):1345586. https://doi.org/10.1080/20016689.2017.1345586

Chicago/Turabian Style

Dubert, Thierry, Cedric Girault, Alexandre Kilink, Marc Rozenblat, Yves Lebellec, Anne-Lise Vataire, Myriam Vilasco, and Gregory Katz. 2017. "Development of an Instrument Evaluating the Impact of Surgeon-Patient Relationship in Patients on Sick Leave" Journal of Market Access & Health Policy 5, no. 1: 1345586. https://doi.org/10.1080/20016689.2017.1345586

APA Style

Dubert, T., Girault, C., Kilink, A., Rozenblat, M., Lebellec, Y., Vataire, A. -L., Vilasco, M., & Katz, G. (2017). Development of an Instrument Evaluating the Impact of Surgeon-Patient Relationship in Patients on Sick Leave. Journal of Market Access & Health Policy, 5(1), 1345586. https://doi.org/10.1080/20016689.2017.1345586

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