Optimizing Patient-Reported Experiences for Cardiovascular Disease:
                        Current Landscape and Future Opportunities

Okunrintemi, Victor; Nasir, Khurram

doi:10.14797/mdcj-16-3-220

Cited by 7 publications

(5 citation statements)

References 25 publications

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“…Access to healthcare is a complex concept influenced by various factors that can either enhance or hinder a patient's overall experience and perception of healthcare services. Elements such as limited transportation options, financial constraints, inadequate phone and internet connectivity, and a scarcity of healthcare professionals in rural regions collectively affect an individual's ability to access healthcare [52]. A study in the US verified that enhanced access to healthcare providers has demonstrated an association with reduced utilization of healthcare resources, in which 47,000 adults between 2010 and 2013 reported having optimal access to their clinicians were found to be less prone to experiencing multiple emergency room visits (OR 0.49, 95% CI 0.41-0.59) and hospitalizations (OR 0.66, 95% CI 0.51-0.86) compared to those with limited access to their healthcare providers [53].…”

Section: Discussionmentioning

confidence: 99%

Mortality in Women with Coronary Artery Disease in Paraná State, Brazil: A Bayesian Spatiotemporal Analysis

Puzzi,

Massago,

Gabella

et al. 2024

Global Heart

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Background: Mortality resulting from coronary artery disease (CAD) among women is a complex issue influenced by many factors that encompass not only biological distinctions but also sociocultural, economic, and healthcare-related components. Understanding these factors is crucial to enhance healthcare provisions. Therefore, this study seeks to identify the social and clinical variables related to the risk of mortality caused by CAD in women aged 50 to 79 years old in Paraná state, Brazil, between 2010 and 2019.Methods: This is an ecological study based on secondary data sourced from E-Gestor, IPARDES, and DATASUS. We developed a model that integrates both raw and standardized coronary artery disease (CAD) mortality rates, along with sociodemographic and healthcare service variables. We employed Bayesian spatiotemporal analysis with Markov Chain Monte Carlo simulations to assess the relative risk of CAD mortality, focusing specifically on women across the state of Paraná.Results: A total of 14,603 deaths from CAD occurred between 2010 and 2019. Overall, temporal analysis indicates that the risk of CAD mortality decreased by around 22.6% between 2010 (RR of 1.06) and 2019 (RR of 0.82). This decline was most prominent after 2014. The exercise stress testing rate, accessibility of cardiology centers, and IPARDES municipal performance index contributed to the reduction of CAD mortality by approximately 4%, 8%, and 34%, respectively. However, locally, regions in the Central-West, Central-South, Central-East, and Southern regions of the Central-North parts of the state exhibited risks higher-than-expected. Conclusion:In the last decade, CAD-related deaths among women in Paraná state decreased. This was influenced by more exercise stress testing, better access to cardiology centers, improved municipal performance index. Yet, elevated risks of 2 de Andrade et al.

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Section: Discussionmentioning

confidence: 99%

Mortality in Women with Coronary Artery Disease in Paraná State, Brazil: A Bayesian Spatiotemporal Analysis

Puzzi,

Massago,

Gabella

et al. 2024

Global Heart

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“…(3,4) Measurement of patient-reported outcomes and care experiences play a key role in the transformation towards patient-centred health systems. (5,6) For example, Patient-Reported Outcome Measures (PROMs) are currently used to obtain patients' views on health-related quality of life and symptoms. (7)(8)(9) In comparison, Patient-Reported Experience Measures (PREMs) are those that obtain reports of what actually occurred during a care event, (10) i.e.…”

Section: Introductionmentioning

confidence: 99%

“…(11) Few studies, however, have examined patient experiences, or the quality of patient-centred care provided to patients who have undergone cardiac catheterisation, and indeed patientreported experiences of cardiovascular procedures more broadly. A recent review of opportunities for improving patient-reported experiences for cardiovascular disease (6) identified the need for further research into measurement tools. A separate review (12) examined quality improvement frameworks within cardiac catheterisation laboratories.…”

Section: Introductionmentioning

confidence: 99%

Preparation for cardiac procedures: identifying gaps between outpatients’ views and experiences of patient-centred care

Fakes

Williams

Collins

et al. 2023

Preprint

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Background: To examine the delivery of patient-centred care and identify any gaps in care perceived as essential by patients; this study examined outpatients': 1) views on what characterises essential care and 2) experiences of care received, in relation to cardiac catheterisation and subsequent cardiovascular procedures. Methods: A cross-sectional descriptive study was undertaken. Surveys were posted to outpatients who had undergone elective cardiac catheterisation in the prior six months at an Australian tertiary public hospital. Participants completed a 65-item survey to determine: a) aspects of care they perceive as essential for a healthcare team to provide to patients receiving care for a cardiac condition (Important Care Survey); or b) their actual care received (Actual Care Survey). Numbers and percentages were used to calculate the most frequently identified essential care items by patients; and the experiences of care received. Items rated as either 'Essential' or 'Very important' by at least 80% of participants were determined, reflecting patient endorsement of the importance of the component of care. A gap in patient-centred care was identified as being any item that was endorsed as essential/very important by 80% or more of participants but reported as received by less than 80% of participants. Results: Of 582 eligible patients, 264 (45%) returned a completed survey. 43/65 items were endorsed by over 80% of participants as essential/very important. Of those, for 22 items, less than 80% of respondents reported the care as received. Gaps were identified in relation to GP consultation (3 items), preparation (4 items), having the procedure (2 items), follow-up care (1 item), subsequent decision making for treatment (4 items), prognosis (6 items) and post-treatment follow-up (1 item). Conclusions: Areas were identified where actual care fell short of patients' perceptions of essential care, particularly general practitioner involvement, the referral process and information on patient prognosis.

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“…Measurement of patient-reported outcomes and care experiences play a key role in the transformation towards patient-centred health systems. 5 , 6 For example, Patient-Reported Outcome Measures (PROMs) are currently used to obtain patients' views on health-related quality of life and symptoms. 7–9 In comparison, Patient-Reported Experience Measures (PREMs) are those that obtain reports of what actually occurred during a care event, 10 i.e.…”

Section: Introductionmentioning

confidence: 99%

“…Shared decision is also an important aspect to be examined. 12 , 13 A recent review of opportunities for improving patient-reported experiences for cardiovascular disease 6 identified the need for further research into measurement tools. A separate review 14 examined quality improvement frameworks within cardiac catheterization laboratories.…”

Section: Introductionmentioning

confidence: 99%

Preparation for cardiac procedures: a cross-sectional study identifying gaps between outpatients’ views and experiences of patient-centred care

Fakes

Williams

Collins

et al. 2023

European Heart Journal - Quality of Care and Clinical Outcomes

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Background To examine and identify gaps in care perceived as essential by patients; this study examined outpatients’: 1) views on what characterises essential care and 2) experiences of care received, in relation to cardiac catheterisation and subsequent cardiovascular procedures. Methods Cross-sectional descriptive study. Surveys were posted to outpatients who had undergone elective cardiac catheterisation in the prior six months at an Australian hospital. Participants completed a 65-item survey to determine: a) aspects of care they perceive as essential to patients receiving care for a cardiac condition (Important Care Survey); or b) their actual care received (Actual Care Survey). Numbers and percentages were used to calculate the most frequently identified essential care items; and the experiences of care received. Items rated as either ‘Essential’/‘Very important’ by at least 80% of participants were determined. A gap in patient-centred care was identified as being any item that was endorsed as essential/very important by 80% or more of participants but reported as received by less than 80% of participants. Results Of 582 eligible patients, 264 (45%) returned a completed survey. 43/65 items were endorsed by > 80% of participants as essential. Of those, for 22 items, <80% reported the care as received. Gaps were identified in relation to GP consultation (1 item), preparation (1 item) subsequent decision making for treatment (1 item), prognosis (6 items) and post-treatment follow-up (1 item). Conclusions Areas were identified where actual care fell short of patients’ perceptions of essential care.

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Optimizing Patient-Reported Experiences for Cardiovascular Disease: Current Landscape and Future Opportunities

Cited by 7 publications

References 25 publications

Mortality in Women with Coronary Artery Disease in Paraná State, Brazil: A Bayesian Spatiotemporal Analysis

Mortality in Women with Coronary Artery Disease in Paraná State, Brazil: A Bayesian Spatiotemporal Analysis

Preparation for cardiac procedures: identifying gaps between outpatients’ views and experiences of patient-centred care

Preparation for cardiac procedures: a cross-sectional study identifying gaps between outpatients’ views and experiences of patient-centred care

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