Lack of Patient-Centered Care Relative to Evidence-Based Practice in Clinical Diagnosis and Treatment of Endometriosis in the U.S.: A Review

Author

Piper E. ScoskieFollow

Date of Award

Spring 4-21-2025

Document Type

Undergraduate Thesis

Department

Public Health

First Advisor

Andrew Yockey

Second Advisor

Ashley White Jones

Third Advisor

Professor Lynn Woo

Relational Format

Dissertation/Thesis

Abstract

This scoping review examines the impact of combining Patient-Centered Care (PCC) and Evidence-Based Care (EBC) on clinical outcomes and patient satisfaction in the diagnosis and treatment of endometriosis in the United States. In particular, the review aims to (1) examine the body of research from the United States to learn more about the connection between PCC and EBC and their collective impact on patient satisfaction and clinical outcomes in the treatment of endometriosis; (2) identify the gaps in existing research and practice, specifically regarding PCC procedures, varying patient populations, and longitudinal investigations; and (3) provide recommendation for future research and clinical outcomes to improve endometriosis patient outcomes and the satisfaction from their care.

Ten to fifteen percent of women of reproductive age have endometriosis. This condition frequently results in infertility, a markedly reduced quality of life, and excruciating chronic pain. Patients endure diagnosis delays typically up to 10 years despite the recent advances in medical knowledge. This exacerbates their psychological suffering, distrust, and frustration with their providers.

In the analysis of seven U.S.-based studies, this study finds important themes, such as the relevance of collaborative decision-making, the value of patient-provider trust in the advantages of multidisciplinary treatment methods, and the requirement of rapid diagnosis. The results consistently showed that combining PCC and EBC can significantly improve treatment plans, inheritance, patient satisfaction, and overall clinical outcomes.

There was a lack of longitudinal studies and standardized PCC models. There is also a lack of variation across study groups in both socioeconomic levels, race, and ethnicity. There is a significant gap in research conducted in the United States. Filling these research gaps is vital in improving endometriosis treatment, lowering healthcare equities, and making sure PCC approaches are successfully supplementing EBC procedures.

Recommended Citation

Scoskie, Piper E., "Lack of Patient-Centered Care Relative to Evidence-Based Practice in Clinical Diagnosis and Treatment of Endometriosis in the U.S.: A Review" (2025). Honors Theses. 3350.
https://egrove.olemiss.edu/hon_thesis/3350