Determinants of Health Care Dissatisfaction Among a US Population-Based Cohort of Women With Polycystic Ovary Syndrome
Authors' conclusion
Satisfaction and trust in care is overall poor among US patients with PCOS. Higher scores among those diagnosed within the past 5 years, compared to those with a more remote diagnosis, may indicate an improving trend in care.
Study context
- Population
- US women with confirmed polycystic ovary syndrome (PCOS); aged 23 ± 6 years at diagnosis
- Participants
- 1,056 respondents
- Outcome
- Care patterns and patient attitudes (trust, satisfaction)
Methodological detailspopulation-based community sample, standardized questionnaires
- Population-based community sample
- Standardized questionnaires
Main finding
As reported in the abstract
Waited ≥ 1 year prior to diagnosis
69.2%
Saw > 1 provider prior to diagnosis
72.9%
Strongly agreed or agreed with statements on trusting their doctor
Less than 45%
Very or somewhat satisfied with care across all questions
< 27%
Observational data: associations, not effects.
Further findings
| Outcome | OR (95% CI) | P value | |
|---|---|---|---|
| Composite outcome of trusting your physician: determinants (multivariable analyses)Uninsuredvs Private insuranceMultivariable analyses | 0.5 (0.3–0.9) | P = 0.020 | |
| Composite outcome of trusting your physician: determinants (multivariable analyses)Hispanicvs CaucasianMultivariable analyses | 0.6 (0.5–0.9) | P = 0.007 | |
| Composite outcome of trusting your physician: determinants (multivariable analyses)Blackvs CaucasianMultivariable analyses | 1.6 (1.0–2.4) | P = 0.045 | |
| Composite outcome of trusting your physician: determinants (multivariable analyses)Diagnosis within 5 yearsvs Diagnosis > 5 yearsMultivariable analyses | 1.3 (1.0–1.7) | P = 0.038 | |
| Care satisfaction: determinants (multivariable analyses)Public insurancevs Private insuranceMultivariable analyses | 0.6 (0.4–0.9) | P = 0.010 | |
| Care satisfaction: determinants (multivariable analyses)Uninsuredvs Private insuranceMultivariable analyses | 0.5 (0.3–0.9) | P = 0.021 | |
| Care satisfaction: determinants (multivariable analyses)Diagnosis within 5 yearsvs Diagnosis > 5 yearsMultivariable analyses | 1.4 (1.1–1.9) | P = 0.010 | |
| 0.20.5125Odds ratio (log scale) |
Original publication
Determinants of Health Care Dissatisfaction Among a US Population-Based Cohort of Women With Polycystic Ovary Syndrome. J Clin Endocrinol Metab. Published 12 August 2024. doi:10.
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