Satisfaction about Patient-centeredness and Healthcare System among Patients with Chronic Multimorbidity
| Autor: | Jun-Liang Gao, Dong-Ian Zhang, Zhuo Chen, Bishwajit Ghose, Da Feng, Zhifei He, Sanni Yaya, Chao-Hua Zhou, Xu-Hui Wang, Zhanchun Feng, Shangfeng Tang |
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| Rok vydání: | 2017 |
| Předmět: |
Adult
Male medicine.medical_specialty China Adolescent India Disease 030204 cardiovascular system & hematology World Health Organization Biochemistry 03 medical and health sciences 0302 clinical medicine Patient satisfaction Patient-Centered Care Surveys and Questionnaires Health care Genetics medicine Back pain Multimorbidity Humans 030212 general & internal medicine Aged Bangladesh business.industry Middle Aged Patient Outcome Assessment Chronic cough Patient Satisfaction Family medicine Chronic Disease Female medicine.symptom business Healthcare system |
| Zdroj: | Current medical science. 38(1) |
| ISSN: | 2523-899X |
| Popis: | The aim of the present study was to measure the prevalence of multimorbidity in Bangladesh, India and China, and to assess the relationship between multimorbidity and patient's opinion regarding their involvement in healthcare decision-making and overall satisfaction of healthcare system. Cross-sectional data on 18 696 men and women aged 18 and above were collected from the World Health Survey of World Health Organization (WHO). Outcome variables were subjective rating of (1) healthcare system's ability to involve patients in decision-making, and (2) satisfaction with the way healthcare system runs in the country. Self-reported chronic conditions were used to measure the prevalence of multimorbidity. Out of 9 chronic conditions, back pain, arthritis, and chronic cough appeared to be the most prevalent ones among majority of the participants. About one-third of the participants in China (30.7%) and two-thirds in Bangladesh (66.1%) and India (66.6%) reported having at least one chronic illness. Prevalence of multimorbidity was highest in India (34.3%) followed by Bangladesh (28.8%) and China (14.3%). In Bangladesh, India and China, respectively 70.5%, 41.7%, 61.3% women and 54.5%, 42.8% and 58.8 % men expressed dissatisfaction regarding the way healthcare system runs in their country. In Bangladesh and India, men who were living with multimorbidity were more likely to rate the patient-centeredness as "bad" than those who had no disease illness. This study suggests that the prevalence of multimorbidity was remarkably high especially in Bangladesh and India. Higher likelihood of dissatisfaction about healthcare system among multimorbid patients might be indicative of inadequacy in the provision of care in qualitative and quantitative terms. |
| Databáze: | OpenAIRE |
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