Título : Healthcare Experience and their Relationship with Demographic,
Disease and Healthcare‑Related Variables: A Cross‑Sectional Survey
of Patients with Chronic Diseases Using the IEXPAC Scale |
Autor : Orozco-Beltrán, Domingo de Toro, Javier Galindo, María J. Marín‑Jiménez, Ignacio Casellas, Francesc Fuster‑RuizdeApodaca, Maria J. García‑Vivar7, María L. Hormigo‑Pozo, Antonio Guilabert, Mercedes Sánchez‑Vega, Nuria Fernandez, Gonzalo Cea-Calvo, Luis |
Editor : Springer |
Departamento: Departamentos de la UMH::Medicina Clínica |
Fecha de publicación: 2018 |
URI : https://hdl.handle.net/11000/31439 |
Resumen :
Background Patient experience is acknowledged as a principal aspect of quality healthcare delivery, and it has implications
with regard to outcomes.
Objectives Our objective was to evaluate the healthcare experience of patients with chronic diseases to identify patientperceived healthcare gaps and to assess the infuence of demographic and healthcare-related variables on patient experiences.
Methods A cross-sectional survey was delivered to adult patients with chronic diseases: diabetes mellitus (DM), human
immunodefciency virus (HIV) infection, infammatory bowel disease (IBD) or rheumatic diseases. Patient experiences were
assessed with the Instrument for Evaluation of the Experience of Chronic Patients (IEXPAC) questionnaire, with possible
scores ranging from 0 (worst) to 10 (best experience).
Results Of the 2474 patients handed the survey, 1618 returned it (response rate 65.4%). Patients identifed gaps in healthcare
related mainly to access to reliable information and services, interaction with other patients and continuity of healthcare
after hospital discharge. The mean±standard deviation (SD) IEXPAC score was 6.0±1.9 and was higher for patients with
HIV (6.6±1.7) than for those with rheumatic disease (5.5±2.0), IBD (5.9±2.0) or DM (5.9±1.9) (p<0.001). In multivariate models, better overall IEXPAC experience was associated with follow-up by the same physician, follow-up by a nurse,
receiving healthcare support from others and treatment with subcutaneous or intravenous drugs. The multivariate model that
confrmed patients with HIV or DM had better experience than did those with rheumatic diseases.
Conclusions Through IEXPAC, patients identifed aspects for healthcare quality improvements and circumstances associated
with better experience, which may permit greater redirection of healthcare toward patient-centered goals while facilitating
improvements in social care and long-term healthcare quality
|
Área de conocimiento : CDU: Ciencias aplicadas: Medicina |
Tipo documento : application/pdf |
Derechos de acceso: info:eu-repo/semantics/openAccess Attribution-NonCommercial-NoDerivatives 4.0 Internacional |
DOI : https://doi.org/10.1007/s40271-018-0345-1 |
Aparece en las colecciones: Artículos Medicina Clínica
|