Total Joint Arthroplasty Patients’ Education on Financial Issues and Its Connection to Reported Out-of-Pocket Costs: A European Study

Panagiota Copanitsanou; Kirsi Valkeapää; Esther Cabrera; Jouko Katajisto; Helena Leino-Kilpi; Arun K. Sigurdardottir; Mitra Unosson; Adelaida Zabalegui; Chryssoula Lemonidou

doi:10.1111/nuf.12171

Total Joint Arthroplasty Patients’ Education on Financial Issues and Its Connection to Reported Out-of-Pocket Costs: A European Study

Panagiota Copanitsanou, Kirsi Valkeapää, Esther Cabrera, Jouko Katajisto, Helena Leino-Kilpi, Arun K. Sigurdardottir, Mitra Unosson, Adelaida Zabalegui, Chryssoula Lemonidou

School of Health, Business and Natural Sciences

University of Akureyri

Research output: Contribution to journal › Article › peer-review

Abstract

PURPOSE: Total joint arthroplasty is accompanied by significant costs. In nursing, patient education on financial issues is considered important. Our purpose was to examine the possible association between the arthroplasty patients’ financial knowledge and their out-of-pocket costs. METHODS: Descriptive correlational study in five European countries. Patient data were collected preoperatively and at 6 months postoperatively, with structured, self-administered instruments, regarding their expected and received financial knowledge and out-of-pocket costs. FINDINGS: There were 1,288 patients preoperatively, and 352 at 6 months. Patients’ financial knowledge expectations were higher than knowledge received. Patients with high financial knowledge expectations and lack of fulfillment of these expectations had lowest costs. CONCLUSION: There is need to establish programs for improving the financial knowledge of patients. Patients with fulfilled expectations reported higher costs and may have followed and reported their costs in a more precise way. In the future, this association needs multimethod research.

Original language	English
Pages (from-to)	97-106
Number of pages	10
Journal	Nursing Forum
Volume	52
Issue number	2
DOIs	https://doi.org/10.1111/nuf.12171
Publication status	Published - 21 Jul 2016

Bibliographical note

Funding Information: KV and HL-K were responsible for the study conception and design. KV, EC, PC, and AKS performed the data collection and JK the data analysis. PC and CL were responsible for the drafting of the manuscript. Translation of the questionnaires and obtaining ethical permissions for the data collection in their own country was performed by KV, PC, MU, AKS, EC, and AZ, and cultural adaptation by CL, AKS, MU, EC, and AZ. All authors have made their critical revisions and approved the final version. This study was financially supported by University of Turku, The Academy of Finland, The Finnish Association of Nursing Research, The Finnish Foundation of Nursing Education, Colegio Oficial de Enfermeria de Barcelona, The Swedish Rheumatism Association, The Landspitali Science Fund, The Akureyri Hospital Science Fund, The University of Akureyri Science Fund, the KEA fund, Akureyri, and The Icelandic Nurses? Association Science Fund. The study was approved by the ethical authorities based on national standards in each country (reference numbers of ethical approvals: Iceland 09-084-SI; Spain 2010/5955; Sweden Dnr. M69-09; Greece 3029/17.08.2010; Finland ETMK:102/180/2008). Publisher Copyright: © 2016 Wiley Periodicals, Inc.

Other keywords

Costs
patient education
patient expectations
surgery
total joint arthroplasty

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10.1111/nuf.12171

Cite this

@article{4d16d653bccd4976ab40589fcbd35342,

title = "Total Joint Arthroplasty Patients{\textquoteright} Education on Financial Issues and Its Connection to Reported Out-of-Pocket Costs: A European Study",

abstract = "PURPOSE: Total joint arthroplasty is accompanied by significant costs. In nursing, patient education on financial issues is considered important. Our purpose was to examine the possible association between the arthroplasty patients{\textquoteright} financial knowledge and their out-of-pocket costs. METHODS: Descriptive correlational study in five European countries. Patient data were collected preoperatively and at 6 months postoperatively, with structured, self-administered instruments, regarding their expected and received financial knowledge and out-of-pocket costs. FINDINGS: There were 1,288 patients preoperatively, and 352 at 6 months. Patients{\textquoteright} financial knowledge expectations were higher than knowledge received. Patients with high financial knowledge expectations and lack of fulfillment of these expectations had lowest costs. CONCLUSION: There is need to establish programs for improving the financial knowledge of patients. Patients with fulfilled expectations reported higher costs and may have followed and reported their costs in a more precise way. In the future, this association needs multimethod research.",

keywords = "Costs, patient education, patient expectations, surgery, total joint arthroplasty",

author = "Panagiota Copanitsanou and Kirsi Valkeap{\"a}{\"a} and Esther Cabrera and Jouko Katajisto and Helena Leino-Kilpi and Sigurdardottir, \{Arun K.\} and Mitra Unosson and Adelaida Zabalegui and Chryssoula Lemonidou",

note = "Funding Information: KV and HL-K were responsible for the study conception and design. KV, EC, PC, and AKS performed the data collection and JK the data analysis. PC and CL were responsible for the drafting of the manuscript. Translation of the questionnaires and obtaining ethical permissions for the data collection in their own country was performed by KV, PC, MU, AKS, EC, and AZ, and cultural adaptation by CL, AKS, MU, EC, and AZ. All authors have made their critical revisions and approved the final version. This study was financially supported by University of Turku, The Academy of Finland, The Finnish Association of Nursing Research, The Finnish Foundation of Nursing Education, Colegio Oficial de Enfermeria de Barcelona, The Swedish Rheumatism Association, The Landspitali Science Fund, The Akureyri Hospital Science Fund, The University of Akureyri Science Fund, the KEA fund, Akureyri, and The Icelandic Nurses? Association Science Fund. The study was approved by the ethical authorities based on national standards in each country (reference numbers of ethical approvals: Iceland 09-084-SI; Spain 2010/5955; Sweden Dnr. M69-09; Greece 3029/17.08.2010; Finland ETMK:102/180/2008). Publisher Copyright: {\textcopyright} 2016 Wiley Periodicals, Inc.",

year = "2016",

month = jul,

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doi = "10.1111/nuf.12171",

language = "English",

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journal = "Nursing Forum",

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T1 - Total Joint Arthroplasty Patients’ Education on Financial Issues and Its Connection to Reported Out-of-Pocket Costs

T2 - A European Study

AU - Copanitsanou, Panagiota

AU - Valkeapää, Kirsi

AU - Cabrera, Esther

AU - Katajisto, Jouko

AU - Leino-Kilpi, Helena

AU - Sigurdardottir, Arun K.

AU - Unosson, Mitra

AU - Zabalegui, Adelaida

AU - Lemonidou, Chryssoula

N1 - Funding Information: KV and HL-K were responsible for the study conception and design. KV, EC, PC, and AKS performed the data collection and JK the data analysis. PC and CL were responsible for the drafting of the manuscript. Translation of the questionnaires and obtaining ethical permissions for the data collection in their own country was performed by KV, PC, MU, AKS, EC, and AZ, and cultural adaptation by CL, AKS, MU, EC, and AZ. All authors have made their critical revisions and approved the final version. This study was financially supported by University of Turku, The Academy of Finland, The Finnish Association of Nursing Research, The Finnish Foundation of Nursing Education, Colegio Oficial de Enfermeria de Barcelona, The Swedish Rheumatism Association, The Landspitali Science Fund, The Akureyri Hospital Science Fund, The University of Akureyri Science Fund, the KEA fund, Akureyri, and The Icelandic Nurses? Association Science Fund. The study was approved by the ethical authorities based on national standards in each country (reference numbers of ethical approvals: Iceland 09-084-SI; Spain 2010/5955; Sweden Dnr. M69-09; Greece 3029/17.08.2010; Finland ETMK:102/180/2008). Publisher Copyright: © 2016 Wiley Periodicals, Inc.

PY - 2016/7/21

Y1 - 2016/7/21

N2 - PURPOSE: Total joint arthroplasty is accompanied by significant costs. In nursing, patient education on financial issues is considered important. Our purpose was to examine the possible association between the arthroplasty patients’ financial knowledge and their out-of-pocket costs. METHODS: Descriptive correlational study in five European countries. Patient data were collected preoperatively and at 6 months postoperatively, with structured, self-administered instruments, regarding their expected and received financial knowledge and out-of-pocket costs. FINDINGS: There were 1,288 patients preoperatively, and 352 at 6 months. Patients’ financial knowledge expectations were higher than knowledge received. Patients with high financial knowledge expectations and lack of fulfillment of these expectations had lowest costs. CONCLUSION: There is need to establish programs for improving the financial knowledge of patients. Patients with fulfilled expectations reported higher costs and may have followed and reported their costs in a more precise way. In the future, this association needs multimethod research.

AB - PURPOSE: Total joint arthroplasty is accompanied by significant costs. In nursing, patient education on financial issues is considered important. Our purpose was to examine the possible association between the arthroplasty patients’ financial knowledge and their out-of-pocket costs. METHODS: Descriptive correlational study in five European countries. Patient data were collected preoperatively and at 6 months postoperatively, with structured, self-administered instruments, regarding their expected and received financial knowledge and out-of-pocket costs. FINDINGS: There were 1,288 patients preoperatively, and 352 at 6 months. Patients’ financial knowledge expectations were higher than knowledge received. Patients with high financial knowledge expectations and lack of fulfillment of these expectations had lowest costs. CONCLUSION: There is need to establish programs for improving the financial knowledge of patients. Patients with fulfilled expectations reported higher costs and may have followed and reported their costs in a more precise way. In the future, this association needs multimethod research.

KW - Costs

KW - patient education

KW - patient expectations

KW - surgery

KW - total joint arthroplasty

UR - https://www.scopus.com/pages/publications/85019111778

U2 - 10.1111/nuf.12171

DO - 10.1111/nuf.12171

M3 - Article

C2 - 27441849

SN - 0029-6473

VL - 52

SP - 97

EP - 106

JO - Nursing Forum

JF - Nursing Forum

IS - 2

ER -

Total Joint Arthroplasty Patients’ Education on Financial Issues and Its Connection to Reported Out-of-Pocket Costs: A European Study

Abstract

Bibliographical note

Other keywords

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