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Healthcare needs, experiences and treatment burden in primary care patients with multimorbidity: An evaluation of process of care from patients' perspectives.
- Source :
-
Health Expectations . Feb2022, Vol. 25 Issue 1, p203-213. 11p. 3 Charts, 3 Graphs. - Publication Year :
- 2022
-
Abstract
- Background: Patients with multimorbidity often experience treatment burden as a result of fragmented, specialist‐driven healthcare. The 'family doctor team' is an emerging service model in China to address the increasing need for high‐quality routine primary care. Objective: This study aimed to explore the extent to which treatment burden was associated with healthcare needs and patients' experiences. Methods: Multisite surveys were conducted in primary care facilities in Guangdong province, southern China. Interviewer‐administered questionnaires were used to collect data from patients (N = 2160) who had ≥2 clinically diagnosed long‐term conditions (multimorbidity) and had ≥1 clinical encounter in the past 12 months since enrolment registration with the family doctor team. Patients' experiences and treatment burden were measured using a previously validated Chinese version of the Primary Care Assessment Tool (PCAT) and the Treatment Burden Questionnaire, respectively. Results: The mean age of the patients was 61.4 years, and slightly over half were females. Patients who had a family doctor team as the primary source of care reported significantly higher PCAT scores (mean difference 7.2 points, p <.001) and lower treatment burden scores (mean difference −6.4 points, p <.001) when compared to those who often bypassed primary care. Greater healthcare needs were significantly correlated with increased treatment burden (β‐coefficient 1.965, p <.001), whilst better patients' experiences were associated with lower treatment burden (β‐coefficient −0.252, p <.001) after adjusting for confounders. Conclusion: The inverse association between patients' experiences and treatment burden supports the importance of primary care in managing patients with multimorbidity. Patient Contribution: Primary care service users were involved in the instrument development and data collection. [ABSTRACT FROM AUTHOR]
- Subjects :
- *WELL-being
*EVALUATION of medical care
*RESEARCH
*CONFIDENCE intervals
*CROSS-sectional method
*COMMUNITY health services
*EXPERIENCE
*PATIENTS' attitudes
*FUNCTIONAL assessment
*PRIMARY health care
*SURVEYS
*T-test (Statistics)
*HEALTH attitudes
*QUESTIONNAIRES
*RESEARCH funding
*DESCRIPTIVE statistics
*CHI-squared test
*QUALITY of life
*STATISTICAL correlation
*DATA analysis software
*MEDICAL needs assessment
*COMORBIDITY
*EVALUATION
RESEARCH evaluation
Subjects
Details
- Language :
- English
- ISSN :
- 13696513
- Volume :
- 25
- Issue :
- 1
- Database :
- Academic Search Index
- Journal :
- Health Expectations
- Publication Type :
- Academic Journal
- Accession number :
- 155283437
- Full Text :
- https://doi.org/10.1111/hex.13363