Factors associated with healthcare-related frustrations among adults with chronic conditions
| Autor: | Samuel D. Towne, Marcia G. Ory, Caroline D. Bergeron, Michael Bien, SangNam Ahn, Colin H. Adler, Aakash Patel, Matthew Lee Smith |
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| Rok vydání: | 2016 |
| Předmět: |
Gerontology
Male Health Knowledge Attitudes Practice Health Status Health Behavior Transportation Logistic regression Ordinal regression Frustration Health Services Accessibility Developmental psychology 03 medical and health sciences 0302 clinical medicine Quality of life (healthcare) Health care Medicine Humans 030212 general & internal medicine Aged Aged 80 and over business.industry 030503 health policy & services Communication General Medicine Middle Aged Self Care Chronic disease Chronic Disease Quality of Life Feeling tired Female Patient Participation 0305 other medical science business |
| Zdroj: | Patient education and counseling. 100(6) |
| ISSN: | 1873-5134 |
| Popis: | Healthcare-related frustrations (HRFs) are common occurrences in patient-provider interactions. Little is known about HRFs experienced by individuals with chronic conditions. The purposes of this study were to: 1) identify the frequency of six HRFs among adults with chronic conditions; 2) assess factors associated with these HRFs; and 3) examine factors associated with multiple HRFs.Data were analyzed from 589 middle-aged and older adults with 1+ chronic conditions. A series of logistic regression models were fitted to identify factors associated with each frustration, and an ordinal regression model was fitted to identify factors associated with increasing frustrations.Participants reported at least two of the six HRFs. The most commonly reported HRFs included feeling tired of describing the same condition (46%) and wishing their doctor had more time to speak with them during visits (44%). Having functional limitations (Beta=0.58, P=0.004), reporting more self-care barriers (Beta=0.41, P0.001), visiting a physician more frequently (P0.05), and having less support (Beta=-0.64, P=0.013) were associated with increasing HRFs.Reducing HRFs may improve patient-provider interactions, chronic disease management, and patients' overall quality of life.Care coordination, communication and cultural competency training, and a review of materials may help address these frustrations. |
| Databáze: | OpenAIRE |
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