Effects of patient satisfaction and confidence on the success of treatment of combined rheumatic disease and interstitial lung disease in a multidisciplinary outpatient clinic

Autor: Suyeon Park, Soo‐Taek Uh, Hyun-Sook Kim, Shin Ok Jeong
Rok vydání: 2018
Předmět:
Adult
Male
Health Knowledge
Attitudes
Practice
Vital capacity
medicine.medical_specialty
Outpatient Clinics
Hospital
Attitude of Health Personnel
Emotions
Disease
Patient Health Questionnaire
03 medical and health sciences
Idiopathic pulmonary fibrosis
0302 clinical medicine
Patient satisfaction
Rheumatology
Multidisciplinary approach
Rheumatic Diseases
medicine
Humans
Outpatient clinic
030212 general & internal medicine
Aged
Retrospective Studies
Aged
80 and over
Patient Care Team
030203 arthritis & rheumatology
Physician-Patient Relations
Depression
business.industry
Interstitial lung disease
Middle Aged
medicine.disease
Pulmonologists
Treatment Outcome
Patient Satisfaction
Physical therapy
Patient Compliance
Age stratification
Female
Interdisciplinary Communication
Rheumatologists
Lung Diseases
Interstitial
business
Zdroj: International Journal of Rheumatic Diseases. 21:1600-1608
ISSN: 1756-185X
1756-1841
DOI: 10.1111/1756-185x.13331
Popis: Objectives Multidisciplinary discussions (MDDs) have emphasized improve medical services and outcomes. We used a multidisciplinary approach to explore whether patient emotional satisfaction and confidence affected treatment outcomes in rheumatic disease (RD)-related interstitial lung disease (ILD). Methods From December 2015 to April 2017, we evaluated 23 patients with RD and ILD and 21 with idiopathic pulmonary fibrosis (IPF). Patients with RD and ILD were managed with MDDs. Patients with IPF received standardized medical care by the same pulmonologist. All patients completed brief multiple-choice questionnaires exploring their perceptions of their illnesses and their attitudes toward medical treatment, and completed the Patient Health Questionnaire-2. Results The MDD patients could more easily identify disease symptoms regardless of age stratification (under 65 age: P = 0.020, 65 years or older: P = 0.003). Among the 65 years or older group, it shows higher levels of illness perception in terms of disease timeline in the MDD group (P = 0.035). Also, the MDD group reported higher levels of satisfaction in terms of the explanations they received and their involvement in discussion, and greater satisfaction with medical staff. However, the groups did not differ significantly between treatment outcomes such as changes in forced vital capacity, the diffusion capacity of carbon monoxide, or changes in high-resolution computed tomography. Conclusions MDDs afforded satisfactory management compared with standardized medical care. The MDD group felt better attention fromand satisfaction with medical staff, and had greater identification in their treatment. Further research engaging in MDDs with a comparable control group is required.
Databáze: OpenAIRE
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