Is Health Related Quality Of Life of people living with chronic conditions related to patient satisfaction with care?

Bamm, Elena L.; Rosenbaum, Peter; Wilkins, Seanne

doi:10.3109/09638288.2012.707746

Cited by 22 publications

(17 citation statements)

References 54 publications

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“…Although previous works investigating the satisfaction of care provided to patients with substance use disorders have shown that participants with higher psychosocial functioning and better health were more satisfied with treatment,28,29 our results showed that neither self-reported health status nor physician characteristics were associated with early ratings of satisfaction with care. If our results were not aligned with the previously described positive correlation between satisfaction with care and health-related quality of life among patients living with chronic conditions,30 certain hypotheses should be mentioned. First, the findings suggest that these two concepts represent different aspects of patients’ experiences.…”

Section: Discussioncontrasting

confidence: 79%

The effects of patient and physician characteristics on early outpatient satisfaction with substance dependence care: results of the SUBUSQOL study

Bourion-Bédès¹,

Schwan²,

Patrizio³

et al. 2017

PPA

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BackgroundAlthough patient perceptions of health care have increasingly been explored in the literature, little is known about care satisfaction among individuals with substance dependence. This exploratory study assessed the relationships between patient and physician characteristics and early outpatient satisfaction with care for alcohol and opioid dependence.MethodsSatisfaction was assessed using a multidimensional, self-administered and validated questionnaire during the early care process among a prospective outpatient cohort. In addition to measuring satisfaction and obtaining sociodemographic and clinical data, this study collected data on the self-reported health status and physician characteristics at inclusion. Cross-sectional analysis with multiple linear regression was performed to identify the variables associated with satisfaction level.ResultsA total of 249 outpatients were included, and 63.8% completed the satisfaction questionnaire. Patients without a history of previous care for substance dependence were more satisfied with the appointment-making process (β=7.2; P=0.029) and with the doctor consultation (β=10.3; P=0.003) than those who had received care previously. Neither sociodemographic characteristics nor self-reported health status was associated with outpatient satisfaction.ConclusionThe factors that affect patients’ ratings of early satisfaction with the care that they receive should be studied further because increased understanding of the factors that negatively affect these ratings might enable caregivers and outpatient management facilities to improve the patient experience during the early stages of care, which might in turn improve treatment adherence, continuity of care, and other health-related outcomes.

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Section: Discussioncontrasting

confidence: 79%

The effects of patient and physician characteristics on early outpatient satisfaction with substance dependence care: results of the SUBUSQOL study

Bourion-Bédès¹,

Schwan²,

Patrizio³

et al. 2017

PPA

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“…This was somewhat expected as it has previously been shown for patients with SUDs [49,50]. In line with previous studies suggesting that the relationships between patient satisfaction and HRQoL were more significant for the mental health domain [51], the most expected finding was that improvement in the mental component of HRQoL was related to early outpatient satisfaction with care. The current study showed that the mean overall satisfaction score was aligned with studies reporting the mean overall satisfaction scores with French outpatients in medical and surgical departments at public teaching hospitals in Paris [37].…”

Section: Discussionsupporting

confidence: 88%

Patient’s early satisfaction with care: a predictor of health-related quality of life change among outpatients with substance dependence

Müller¹,

Baumann

Patrizio³

et al. 2020

Health Qual Life Outcomes

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Background: Although research on health-related quality of life (HRQoL) has increased in the addiction field, few studies have focused on the determinants of HRQoL changes. This study aimed to describe dependent patients' HRQoL changes at a 3-month follow-up and to assess whether satisfaction with care can predict those changes among outpatients starting care for alcohol or opioid dependence. Methods: HRQoL was measured with the SF-12 at baseline and 3 months later in a prospective cohort of dependent outpatients. Satisfaction was assessed with the EQS-C early after inclusion. Data on sociodemographics, clinical characteristics and patients' levels of anxiety and depression were also collected. A multivariable analysis was performed to identify factors associated with HRQoL changes in both the physical and mental component summary scores (PCS and MCS, respectively). Results: Of the 172 patients included at baseline, a total of 136 patients assessed their satisfaction with care. The mean PCS and MCS scores were initially low, and HRQoL improvement was significant after 3 months for both the PCS and MCS. Never having been married (β = 5.5; p = 0.001) and a lower baseline PCS score (β = − 0.6; p < 0.0001) were associated with significant PCS improvement, whereas being legally compelled to undergo drug treatment (β = − 5.9; p = 0.02) was associated with less PCS change. Higher early satisfaction with care (β = 0.1; p = 0.02) and a lower baseline MCS score (β = − 0.7; p < 0.0001) were associated with significant MCS improvement. Conclusion: The study supported the hypothesis that greater satisfaction with care may predict HRQoL improvement among dependent outpatients. Further studies are needed to understand the factors that affect patients' early satisfaction to identify areas of improvement and thus improve HRQoL.

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“…We could not prove the association between HRQoL and patients' evaluation of the practice in the multivariate model, but we found correlations in the bivariate model for patient's evaluation of the practice and clinical care. Other studies support the fact that there probably is an association (23,(45)(46). Moreover, we could not prove the importance of multimorbidity in our sample.…”

Section: Discussioncontrasting

confidence: 37%

Health behavior and health-related quality of life in patients with a high risk of cardiovascular disease

Petek¹,

Petek-Ster²,

Tušek-Bunc³

2018

Slovenian Journal of Public Health

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Original scientific articleBackground: Health-related quality of life (HRQoL) is measuring a patient's experience of his health status and represents an outcome of medical interventions. Existing data proves that a healthy lifestyle is positively associated with HRQoL in all age groups. Patients with a high risk for cardiovascular disease typically led an unhealthy lifestyle combined with risk diseases. We aimed to analyse these characteristics and their reflection in HRQoL. Methods:A cross-sectional study in 36 family practices, stratified by location and size. Each practice invited 30 high-risk patients from the register. Data were obtained from medical records and patient questionnaire. The EQ-5D questionnaire and the VAS scale were used for measuring the patient's HRQoL as an independent variable.Results: 871 patients (80.6% response rate) were included in the analysis. 60.0% had 3-4 uncontrolled risk factors for CVD. The average VAS scale was 63.2 (SD 19.4). The correlation of EQ-5D was found in the number of visits in the practice (r=-0.31, p<0.001), the socioeconomic status (r=-0.25, p=0.001), age (r=-0.27, p=0.001) and healthy diet (r=0.20, p=0.006). In a multivariate model, only physical activity among lifestyle characteristics was an independent predictor of HRQoL (p=0.001, t=3.3), along with the frequency of visits (p<0.001, t=-5.3) and age (p=0.025, t=-2.2). Conclusion:This study has been performed on a specific group of patients, not being "really sick", but having less optimal lifestyle in many cases. Encouragement to improve or keep healthy lifestyle, especially physical activity, is important, not only to lower the risk for CVD, but also to improve HRQoL. Izhodišča Metode: Presečna raziskava je bila izvedena v 36 ambulantah družinske medicine, stratificiranih glede na lokacijo (mesto, podeželje) in velikost (do dva oz. več polno zaposlenih zdravnikov na lokaciji). Vsaka ambulanta je k sodelovanju povabila 30 bolnikov iz registra visoko ogroženih za nastanek bolezni srca in ožilja (BSO) po Framinghamski tabeli ogroženosti. Ustrezni podatki so bili pridobljeni iz zdravstvenih kartotek in s pomočjo vprašalnikov za bolnike. Z zdravjem povezana kakovost življenja je bila merjena s petdimenzionalnim EQ-5D vprašalnikom in z VAS lestvico kakovosti življenja, ki sta predstavljala neodvisni spremenljivki.Rezultati: V analizo je bilo vključenih 871 bolnikov (80,6 % vseh vabljenih). Od teh je 60,0 % imelo 3-4 prisotne dejavnike tveganja za nastanek BSO. Povprečna vrednost VAS lestvice je bila 63,2 (SE 0,72). Ugotovljena je bila korelacija med EQ-5D in pogostostjo obiskov bolnika v enem letu v ambulanti (r=-0,31, p<0,001), socialnoekonomskim statusom bolnika (r=-0,25, p=0,001), starostjo bolnika (r=-0,27, p=0,001) in zdravim načinom prehranjevanja (r=0,20, p=0,006). Med vsemi spremenljivkami so bili v multivariatnem modelu neodvisni napovedni dejavniki HRQoL telesna aktivnost (p=0,001, t=3,3), pogostost obiskov bolnika v ambulanti (p<0,001,3) in starost bolnika (p=0,025, t=-2,2 Petek D, Petek-Ster M, Tusek-...

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Is Health Related Quality Of Life of people living with chronic conditions related to patient satisfaction with care?

Abstract: The review highlights the importance of using appropriate and psychometrically sound measures when assessing HRQOL. Studies are needed that explore longitudinally the relationships between the care experiences and HRQOL.

Cited by 22 publications

References 54 publications

The effects of patient and physician characteristics on early outpatient satisfaction with substance dependence care: results of the SUBUSQOL study

The effects of patient and physician characteristics on early outpatient satisfaction with substance dependence care: results of the SUBUSQOL study

Patient’s early satisfaction with care: a predictor of health-related quality of life change among outpatients with substance dependence

Health behavior and health-related quality of life in patients with a high risk of cardiovascular disease

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