Patient-reported healthcare expectations in inflammatory bowel diseases.

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Serval ID
serval:BIB_3FC30E92A333
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Patient-reported healthcare expectations in inflammatory bowel diseases.
Journal
PloS one
Author(s)
Pittet V., Vaucher C., Froehlich F., Maillard M.H., Michetti P.
Working group(s)
Swiss IBD Cohort Study Group
ISSN
1932-6203 (Electronic)
ISSN-L
1932-6203
Publication state
Published
Issued date
2018
Peer-reviewed
Oui
Volume
13
Number
5
Pages
e0197351
Language
english
Abstract
BACKGROUND: Patient-reported experience is an important component of a holistic approach to quality of care. Patients' expectations of treatments and global disease management may indicate their illness representations and their satisfaction and hopes regarding quality of care.
OBJECTIVE: To study expectations of patients with inflammatory bowel disease.
METHODS: Two focus groups were conducted with 14 patients to explore their expectations about treatments and disease management. From qualitative content analyses of focus group discussions, we built a 22-item expectations questionnaire that was sent to 1756 patients of the Swiss IBD cohort. Answers were collected on a visual analog scale from 0 to 100, and medians (interquartile range [IQR]) calculated. Factor analysis identified main expectation dimensions, and multivariate analyses were performed to describe associations with patient characteristics.
RESULTS: Of 1094 patients (62%) included in the study, 54% were female, 54% had Crohn's disease, 35% had tertiary education, and 72% were employed. Expectation dimensions comprised realistic, predictive, and ideal expectations and were linked to information, communication, daily care, and disease recognition. Half (11 of 22) of the expectations were ranked as very high (median score > 70), the 2 most important being good coordination between general practitioners and specialists (median score: 89, IQR: 71-96) and information on treatment adverse events (89, IQR: 71-96). Women had overall higher levels of expectations than did men. Expectations were not associated with psychosocial measures, except those related to disease recognition, and most of them were highly associated with increased concerns on disease constraints and uncertainty.
CONCLUSIONS: Patients have high expectations for information and communication among caregivers, the levels varying by gender and region. Patients also appear to request more active participation in their disease management.
Keywords
Adult, Anticipation, Psychological, Cohort Studies, Cross-Sectional Studies, Female, Focus Groups, Health Communication, Humans, Inflammatory Bowel Diseases/psychology, Inflammatory Bowel Diseases/therapy, Male, Patient Participation/psychology, Qualitative Research, Surveys and Questionnaires
Pubmed
Web of science
Open Access
Yes
Create date
22/05/2018 11:33
Last modification date
08/02/2020 7:17
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