1. Mental health and satisfaction with primary care services in older adults: a study from the patient perspective on four dimensions of care.
- Author
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Pitrou, Isabelle, Berbiche, Djamal, and Vasiliadis, Helen-Maria
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MENTAL health , *PRIMARY care , *ADULT care services , *PSYCHOLOGICAL distress , *OLDER people , *RESEARCH , *RESEARCH methodology , *SATISFACTION , *PATIENT satisfaction , *MEDICAL cooperation , *EVALUATION research , *PRIMARY health care , *COMPARATIVE studies , *QUESTIONNAIRES , *ANXIETY - Abstract
Background: Few studies have examined the association between mental health and satisfaction with primary care services in community-dwelling older adults.Objective: To examine the association between mental health in older adults and low satisfaction with primary care services within four dimensions of care.Methods: This secondary data analysis included 1624 older adults participating in the 'Étude sur la Santé des Aînés Services' (ESA-Services study) and recruited in primary care practices between 2011 and 2013 in the province of Quebec. Patient satisfaction and experience with care were assessed during face-to-face interviews with questions adapted from the Primary Care Assessment Survey. Self-reported mental health indicators included depression, anxiety, suicidal ideation, psychological distress and cognition. We conducted four logistic regressions to examine the associations between mental health and low satisfaction in the following dimensions of care: continuity of care, provider-patient interactions, adequacy of care and physical environment.Results: Nearly half of participants (48.5%) reported low satisfaction in at least one dimension of care examined. High psychological distress was associated with low satisfaction with provider-patient interactions [odds ratio (OR) = 1.02; 95% confidence interval (CI) = 1.00-1.04] and adequacy of care (OR = 1.04; 95% CI = 1.01-1.06). The presence of an anxiety disorder was associated with low satisfaction in adequacy of care (OR = 1.64; 95% CI = 1.00-2.72). Worse cognitive functioning was associated with low satisfaction in continuity of care, provider-patient interaction and adequacy of care.Conclusions: Mental health was consistently associated with low satisfaction within dimensions of care. Results support the need for increased attention when delivering care to older adults with mental health problems. [ABSTRACT FROM AUTHOR]- Published
- 2020
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