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Patient perspective on the management of atrial fibrillation in five European countries.

Bakhai A, Sandberg A, Mittendorf T, Greiner W, Oberdiek AM, Berto P, Franczok E, Lobban T, Zamorano JL - BMC Cardiovasc Disord (2013)

Bottom Line: Most respondents were satisfied with their treatment for AF over the previous 12 months, with 85.5% (n = 1289) rating their care as good or better.In the context of Europe-wide guidelines for management of AF, most patients with AF were satisfied with their care, but for a greater proportion of patients, some aspects are unsatisfactory.Patient-centred surveys, such as the EUPS-AF, are crucial for understanding the factors that contribute to patient satisfaction and compliance with long-term treatment for chronic conditions.

View Article: PubMed Central - HTML - PubMed

Affiliation: Barnet and Chase Farm Hospitals NHS Trust, The Ridgeway, Enfield, EN2 8JL Middlesex, UK. abakhai@nhs.net.

ABSTRACT

Background: Long-term management of chronic conditions, such as atrial fibrillation (AF), require frequent interactions with the healthcare systems. The multinational EUropean Patient Survey in Atrial Fibrillation (EUPS-AF) was conducted to investigate patient satisfaction with AF management in different of five European healthcare systems at a time of changing treatment paradigms for stroke prophylaxis, prior to the advent of newer oral anticoagulants.

Methods: Adults (>18 years) were recruited at random from the total populations of France, Germany, Italy, Spain and the UK using a randomized telephone dialling system. At least 300 respondents per country reporting to have a diagnosis of AF or receiving oral anticoagulation therapy for suspected AF or to have a heart rhythm disturbance completed a structured telephone interview.

Results: Most respondents were satisfied with their treatment for AF over the previous 12 months, with 85.5% (n = 1289) rating their care as good or better. Suboptimal clinical practices, however, were identified in several key areas. Coordination of primary and secondary care and a lack of patient engagement and support were particular issues, especially for those patients likely to have extensive contact with their healthcare system.

Conclusions: In the context of Europe-wide guidelines for management of AF, most patients with AF were satisfied with their care, but for a greater proportion of patients, some aspects are unsatisfactory. Patient-centred surveys, such as the EUPS-AF, are crucial for understanding the factors that contribute to patient satisfaction and compliance with long-term treatment for chronic conditions.

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Related in: MedlinePlus

Medical care organization. (a) Number of general practitioners or specialists seen by patients during the previous 2 years and (b) proportion of patients who believed that their time had been wasted due to poorly organized care during the previous 2 years. Survey questions: (a) How many different doctors have you seen in the past 2 years, including your regular doctor (the doctor you rely on most for your care) and any specialist doctors or consultants? (b) In the past 2 years, how often did you feel your time was wasted because your medical care was poorly organized?
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Figure 3: Medical care organization. (a) Number of general practitioners or specialists seen by patients during the previous 2 years and (b) proportion of patients who believed that their time had been wasted due to poorly organized care during the previous 2 years. Survey questions: (a) How many different doctors have you seen in the past 2 years, including your regular doctor (the doctor you rely on most for your care) and any specialist doctors or consultants? (b) In the past 2 years, how often did you feel your time was wasted because your medical care was poorly organized?

Mentions: Overall, 79.3% of respondents (n = 1195) had seen more than one doctor during the previous 2 years for the same condition. This is interpreted as a marker for potential discontinuity in care (Figure 3a). There were differences between countries in how informed patients felt that their regular doctor was about the care the patient received from the specialist they had been seeing. In France, only 4.0% (n = 10) of patients felt that their regular doctor was not informed about their specialists’ input to their condition, while in Italy and Spain this figure was higher (28.3% [n = 41] and 26.7% [n = 50], respectively). Many patients felt that their time had often, or occasionally, been wasted because care was poorly organized (Figure 3b). In Italy, 18.2% (n = 55) of respondents felt that their time had often been wasted due to poor coordination, a greater proportion than in the other countries surveyed (range, 3.0–11.5%, [n = 9–35]). Women were more likely than men to feel that their time had been wasted (10.8% [n = 82] vs. 7.3% [n = 55]). Neither income nor age affected the perception of wasted time.


Patient perspective on the management of atrial fibrillation in five European countries.

Bakhai A, Sandberg A, Mittendorf T, Greiner W, Oberdiek AM, Berto P, Franczok E, Lobban T, Zamorano JL - BMC Cardiovasc Disord (2013)

Medical care organization. (a) Number of general practitioners or specialists seen by patients during the previous 2 years and (b) proportion of patients who believed that their time had been wasted due to poorly organized care during the previous 2 years. Survey questions: (a) How many different doctors have you seen in the past 2 years, including your regular doctor (the doctor you rely on most for your care) and any specialist doctors or consultants? (b) In the past 2 years, how often did you feel your time was wasted because your medical care was poorly organized?
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4219387&req=5

Figure 3: Medical care organization. (a) Number of general practitioners or specialists seen by patients during the previous 2 years and (b) proportion of patients who believed that their time had been wasted due to poorly organized care during the previous 2 years. Survey questions: (a) How many different doctors have you seen in the past 2 years, including your regular doctor (the doctor you rely on most for your care) and any specialist doctors or consultants? (b) In the past 2 years, how often did you feel your time was wasted because your medical care was poorly organized?
Mentions: Overall, 79.3% of respondents (n = 1195) had seen more than one doctor during the previous 2 years for the same condition. This is interpreted as a marker for potential discontinuity in care (Figure 3a). There were differences between countries in how informed patients felt that their regular doctor was about the care the patient received from the specialist they had been seeing. In France, only 4.0% (n = 10) of patients felt that their regular doctor was not informed about their specialists’ input to their condition, while in Italy and Spain this figure was higher (28.3% [n = 41] and 26.7% [n = 50], respectively). Many patients felt that their time had often, or occasionally, been wasted because care was poorly organized (Figure 3b). In Italy, 18.2% (n = 55) of respondents felt that their time had often been wasted due to poor coordination, a greater proportion than in the other countries surveyed (range, 3.0–11.5%, [n = 9–35]). Women were more likely than men to feel that their time had been wasted (10.8% [n = 82] vs. 7.3% [n = 55]). Neither income nor age affected the perception of wasted time.

Bottom Line: Most respondents were satisfied with their treatment for AF over the previous 12 months, with 85.5% (n = 1289) rating their care as good or better.In the context of Europe-wide guidelines for management of AF, most patients with AF were satisfied with their care, but for a greater proportion of patients, some aspects are unsatisfactory.Patient-centred surveys, such as the EUPS-AF, are crucial for understanding the factors that contribute to patient satisfaction and compliance with long-term treatment for chronic conditions.

View Article: PubMed Central - HTML - PubMed

Affiliation: Barnet and Chase Farm Hospitals NHS Trust, The Ridgeway, Enfield, EN2 8JL Middlesex, UK. abakhai@nhs.net.

ABSTRACT

Background: Long-term management of chronic conditions, such as atrial fibrillation (AF), require frequent interactions with the healthcare systems. The multinational EUropean Patient Survey in Atrial Fibrillation (EUPS-AF) was conducted to investigate patient satisfaction with AF management in different of five European healthcare systems at a time of changing treatment paradigms for stroke prophylaxis, prior to the advent of newer oral anticoagulants.

Methods: Adults (>18 years) were recruited at random from the total populations of France, Germany, Italy, Spain and the UK using a randomized telephone dialling system. At least 300 respondents per country reporting to have a diagnosis of AF or receiving oral anticoagulation therapy for suspected AF or to have a heart rhythm disturbance completed a structured telephone interview.

Results: Most respondents were satisfied with their treatment for AF over the previous 12 months, with 85.5% (n = 1289) rating their care as good or better. Suboptimal clinical practices, however, were identified in several key areas. Coordination of primary and secondary care and a lack of patient engagement and support were particular issues, especially for those patients likely to have extensive contact with their healthcare system.

Conclusions: In the context of Europe-wide guidelines for management of AF, most patients with AF were satisfied with their care, but for a greater proportion of patients, some aspects are unsatisfactory. Patient-centred surveys, such as the EUPS-AF, are crucial for understanding the factors that contribute to patient satisfaction and compliance with long-term treatment for chronic conditions.

Show MeSH
Related in: MedlinePlus