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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

Frequency with which medications were reviewed by doctors or pharmacists during the previous 2 years. Survey question: In the past 2 years, how often have any of your doctors or your pharmacists reviewed and discussed all the different medications you are using, including medicines prescribed by other doctors?
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Figure 4: Frequency with which medications were reviewed by doctors or pharmacists during the previous 2 years. Survey question: In the past 2 years, how often have any of your doctors or your pharmacists reviewed and discussed all the different medications you are using, including medicines prescribed by other doctors?

Mentions: On average, respondents were taking approximately six prescription medications on a regular basis, and 13.2% (n = 199) of patients were taking 10 or more prescription medications (range, 8.7–16.0% [n = 26–48]) (Figure 4). In total, 80.7% (n = 918) of patients expressed a preference for taking anticoagulation medication once daily compared with only 7.6% (n = 87) who preferred a twice-daily regimen.


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)

Frequency with which medications were reviewed by doctors or pharmacists during the previous 2 years. Survey question: In the past 2 years, how often have any of your doctors or your pharmacists reviewed and discussed all the different medications you are using, including medicines prescribed by other doctors?
© Copyright Policy - open-access
Related In: Results  -  Collection

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

Figure 4: Frequency with which medications were reviewed by doctors or pharmacists during the previous 2 years. Survey question: In the past 2 years, how often have any of your doctors or your pharmacists reviewed and discussed all the different medications you are using, including medicines prescribed by other doctors?
Mentions: On average, respondents were taking approximately six prescription medications on a regular basis, and 13.2% (n = 199) of patients were taking 10 or more prescription medications (range, 8.7–16.0% [n = 26–48]) (Figure 4). In total, 80.7% (n = 918) of patients expressed a preference for taking anticoagulation medication once daily compared with only 7.6% (n = 87) who preferred a twice-daily regimen.

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