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: | Anders Kallryd, Henrik Fryklund, Hans Tygesen, Angela Bång, Charlotte Widell, Lars Grip, Annika Odell, Paulin Andréll |
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| Rok vydání: | 2016 |
| Předmět: |
Health related quality of life
education.field_of_study medicine.medical_specialty business.industry Population Coronary Artery Disease 030204 cardiovascular system & hematology medicine.disease Coronary artery disease Angina 03 medical and health sciences 0302 clinical medicine Patient satisfaction quality of care andOutcomes Intervention (counseling) Health care medicine Physical therapy Patient-reported outcome 030212 general & internal medicine Cardiology and Cardiovascular Medicine business education Stable angina < myocardialIschaemia and infarction (ihd) |
| Zdroj: | Open Heart |
| ISSN: | 2053-3624 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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