Patients expectations and fulfilment of expectations before and after treatment for suspected coronary artery disease assessed with a newly developed questionnaire in combination with established health-related quality of life questionnaires.

Autor:	Odell A; Department of Cardiology, The Medicine Institute of Sahlgrenska Academy, Gothenburg, Sweden., Bång A; Faculty of Caring Science, University of Borås, Borås, Sweden., Andréll P; Multidisciplinary Pain Center, Sahlgrenska University Hospital and Institute of Medicine, Gothenburg, Sweden., Widell C; Department of Cardiology, The Medicine Institute of Sahlgrenska Academy, Gothenburg, Sweden., Fryklund H; Department of Medicine, Norra lvsborg County Hospital, Trollhttan, Sweden., Kallryd A; Department of Medicine, Skaraborg Hospital, Skövde, Sweden., Tygesen H; Department of Medicine, Sothern Älvsborg Hospital, Borås, Sweden., Grip L; Department of Cardiology, The Medicine Institute of Sahlgrenska Academy, Gothenburg, Sweden.
Jazyk:	angličtina
Zdroj:	Open heart [Open Heart] 2017 Mar 06; Vol. 4 (1), pp. e000529. Date of Electronic Publication: 2017 Mar 06 (Print Publication: 2017).
DOI:	10.1136/openhrt-2016-000529
Abstrakt:	Background: Clinical decision-making is often based on evidence of outcome after a specific treatment. Healthcare providers and patients may, however, have different perceptions and expectations of what to achieve from a certain healthcare measure. Aims: To evaluate patients' expectations, perceptions and health related quality of life (HRQoL) before a care process including coronary angiography for suspected coronary artery disease and to evaluate the fulfilment of these expectations in relation to established patient reported outcome measures (PROMs) 6 months later. Furthermore, an aim was to try to define meaningful patient reported experience measures (PREMs) in this population. Methods: 544 patients planned for coronary angiography completed a newly developed questionnaire to assess expectations and perceptions of treatment, the expectation questionnaire (ExpQ) and two established HRQoL questionnaires together with the established generic Short-Form 36 (SF36) and the disease specific Seattle Angina Questionnaire (SAQ). Results: Patients had before the intervention, in general, high expectations of improvement after investigation and treatment and there was a positive attitude towards life style changes, medication and participation in decision-making regarding their own treatment. Only, 56.4% of the patients, however, reported fulfilment of treatment expectations. Fulfilment of treatment expectations correlated strongly with improvement in HRQoL after the care process. Conclusions: To measure patients ´ expectations and fulfilments of these may offer simple and meaningful outcomes to evaluate a healthcare process from a patient ´s perspective. To approach patients' expectations may also strengthen patient involvement in the care process with the possibilities of both higher patient satisfaction and medical results of the treatment. Competing Interests: Competing interests: None Declared.
Databáze:	MEDLINE
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