Author:
Adé Apolline,Debroucker Frédérique,Delporte Laura,De Monclin Cécile,Fayet Emmanuel,Legendre Pierre,Radoszycki Lise,Chekroun Michael
Abstract
Abstract
Background
The French healthcare system is evolving to meet the challenges of an aging population, the growing prevalence of chronic diseases, the development of new technologies and the increasing involvement of patients in the management of their disease. The aim of this study is to assess the satisfaction and priorities of chronic patients regarding medical care, information and services and their quality of life.
Methods
A cross-sectional study was conducted from February to March 2018 via the French Carenity platform. Adult patients enrolled in type 1 diabetes, heart failure or obesity communities were invited to answer an online questionnaire. A numeric scale from 0 (meaning not satisfied) to 5 was used to evaluate patients’ satisfaction. Patients’ priorities were assessed using a ranking question. Patients’ satisfaction and priorities have been combined in a matrix to identify patients’ expectations.
Results
Sixty-seven respondents of each condition answered a questionnaire. The most important and least satisfactory items about medical care are availability and active listening from healthcare providers, as well as access to coordinated and multidisciplinary care. Regarding information and services, respondents mostly expect connected medical devices, in addition to lifestyle and dietary measures. As for the quality of life, respondents fear that their chronic condition will keep impacting their daily mood and ability to do physical activities.
Conclusions
This study shows that chronic patients want to be more actively involved in their care pathway. Patient training and therapeutic patient education programs could help them manage their chronic conditions within a patient-centred healthcare system.
Publisher
Springer Science and Business Media LLC
Reference37 articles.
1. Direction de la recherche, des études, de l’évaluation et des statistiques (DREES). L’état de santé de la population en France. Rapport 2017 [Internet]. 2017. Disponible sur: https://drees.solidarites-sante.gouv.fr/IMG/pdf/esp2017.pdf.
2. World Health Organization. Integrated care models: an overview [Internet]. 2016 [cité 11 juin 2019]. Disponible sur: http://www.euro.who.int/__data/assets/pdf_file/0005/322475/Integrated-care-models-overview.pdf.
3. Baxter S, Johnson M, Chambers D, Sutton A, Goyder E, Booth A. The effects of integrated care: a systematic review of UK and international evidence. BMC Health Serv Res [Internet]. déc 2018 [cité 11 juin 2019];18(1). Disponible sur: https://doi.org/10.1186/s12913-018-3161-3.
4. Schrijvers G, van Hoorn A, Huiskes N. The care pathway: concepts and theories: an introduction. Int J Integr Care. janv 2012;12(Spec Ed Integrated Care Pathways):e192.
5. Henselmans I, Heijmans M, Rademakers J, van Dulmen S. Participation of chronic patients in medical consultations: patients’ perceived efficacy, barriers and interest in support. Health Expectations déc. 2015;18(6):2375–88.
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