Item request has been placed!
×
Item request cannot be made.
×
![loading](/sites/all/modules/hf_eds/images/loading.gif)
Processing Request
Unmet health needs in patients with coronary heart disease: implications and potential for improvement in caring services.
Item request has been placed!
×
Item request cannot be made.
×
![loading](/sites/all/modules/hf_eds/images/loading.gif)
Processing Request
- المؤلفون: Asadi-Lari M;Asadi-Lari M; Packham C; Gray D
- المصدر:
Health and quality of life outcomes [Health Qual Life Outcomes] 2003 Jul 23; Vol. 1, pp. 26. Date of Electronic Publication: 2003 Jul 23.
- نوع النشر :
Journal Article
- اللغة:
English
- معلومة اضافية
- المصدر:
Publisher: BioMed Central Country of Publication: England NLM ID: 101153626 Publication Model: Electronic Cited Medium: Internet ISSN: 1477-7525 (Electronic) Linking ISSN: 14777525 NLM ISO Abbreviation: Health Qual Life Outcomes Subsets: MEDLINE
- بيانات النشر:
Original Publication: [London] : BioMed Central, c2003-
- الموضوع:
- نبذة مختصرة :
Background: Improving the quality of health care services requires tailoring facilities to fulfil patients' needs. Satisfying patients' healthcare needs, listening to patients' opinions and building a closer provider-user partnership are central to the NHS. Few published studies have discussed cardiovascular patients' health needs, but they are not comprehensive and fail to explore the contribution of outcome to needs assessment.
Method: A comprehensive self-administered health needs assessment (HNA) questionnaire was developed for concomitant use with generic (Short Form-12 and EuroQOL) and specific (Seattle Angina Questionnaire) health-related quality of life (HRQL) instruments on 242 patients admitted to the Acute Cardiac Unit, Nottingham.
Results: 38% reported difficulty accessing health facilities, 56% due to transport and 32% required a travelling companion. Mean HRQOL scores were lower in those living alone (P < 0.05) or who reported unsatisfactory accommodation. Dissatisfaction with transport affected patients' ease of access to healthcare facilities (P < 0.001). Younger patients (<65 y) were more likely to be socially isolated (P = 0.01). Women and patients with chronic disease were more likely to be concerned about housework (P < 0.05). Over 65 s (p < 0.05) of higher social classes (p < 0.01) and greater physical needs (p < 0.001) had more social needs, correlating moderately (0.32 < r < 0.63) with all HRQL domains except SAQ-AS. Several HRQL components were highly correlated with the HNA physical score (p < 0.001).
Conclusions: Patients wanted more social (suitable accommodation, companionship, social visits) and physical (help aids, access to healthcare services, house work) support. The construct validity and intra-class reliability of the HNA tool were confirmed. Our results indicate a gap between patients' health needs and available services, highlighting potential areas for improvement in the quality of services.
- References:
CMAJ. 1989 Jun 15;140(12):1441-8. (PMID: 2655856)
CMAJ. 1986 Apr 15;134(8):889-95. (PMID: 3955482)
Clin Cardiol. 1988 Apr;11(4):209-14. (PMID: 3365871)
Soc Sci Med. 1994 Dec;39(11):1537-44. (PMID: 7817218)
Am J Geriatr Cardiol. 1999 Jan;8(1):15-20. (PMID: 11416483)
Br J Gen Pract. 1997 Jun;47(419):353-7. (PMID: 9231468)
Med Care. 1989 Mar;27(3 Suppl):S217-32. (PMID: 2646490)
Control Clin Trials. 1991 Aug;12(4 Suppl):204S-216S. (PMID: 1663856)
J Clin Epidemiol. 1998 Nov;51(11):1171-8. (PMID: 9817135)
Am J Cardiol. 1994 Dec 15;74(12):1240-4. (PMID: 7977097)
Med Care. 2001 Jun;39(6):588-98. (PMID: 11404642)
Health Trends. 1991;23(1):20-3. (PMID: 10113881)
BMJ. 2002 Oct 26;325(7370):929. (PMID: 12399341)
BMJ. 1998 Mar 7;316(7133):736-41. (PMID: 9529408)
J Cardiopulm Rehabil. 2001 Nov-Dec;21(6):353-62. (PMID: 11767809)
Eur Respir J. 2001 Jul;18(1):69-76. (PMID: 11510808)
BMJ. 1998 May 16;316(7143):1524-8. (PMID: 9582151)
Qual Life Res. 1998 Feb;7(2):155-66. (PMID: 9523497)
CMAJ. 2001 Sep 4;165(5):565-70. (PMID: 11563208)
Health Policy. 1999 Mar;46(3):165-77. (PMID: 10351666)
Br J Clin Pract. 1993 Nov-Dec;47(6):292-5. (PMID: 8117549)
J Public Health Med. 1997 Jun;19(2):179-86. (PMID: 9243433)
J Clin Epidemiol. 1998 Jul;51(7):569-75. (PMID: 9674663)
BMJ. 1998 May 9;316(7142):1448-52. (PMID: 9572762)
J Cardiopulm Rehabil. 1995 May-Jun;15(3):225-31. (PMID: 8542528)
BMJ. 1992 Jul 18;305(6846):160-4. (PMID: 1285753)
Aust N Z J Public Health. 1996 Oct;20(5):473-8. (PMID: 8987215)
Public Health. 1996 Jan;110(1):7-12. (PMID: 8685314)
Am Heart J. 2002 Jan;143(1):151-6. (PMID: 11773926)
J Epidemiol Community Health. 2000 Sep;54(9):714-8. (PMID: 10942455)
Heart. 1999 Sep;82(3):373-7. (PMID: 10455092)
- الموضوع:
Date Created: 20030815 Date Completed: 20090630 Latest Revision: 20181113
- الموضوع:
20240627
- الرقم المعرف:
PMC183843
- الرقم المعرف:
10.1186/1477-7525-1-26
- الرقم المعرف:
12917018
No Comments.