Medtronic, Boulogne-Billancourt, France.
Carenity, 1 Rue de Stockholm, 75008, Paris, France.
BMC Health Serv Res. 2020 Jun 5;20(1):511. doi: 10.1186/s12913-020-05373-5.
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.
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.
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.
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.
法国医疗保健系统正在发展,以应对人口老龄化、慢性病患病率上升、新技术的发展以及患者在疾病管理中日益增加的参与度等挑战。本研究旨在评估慢性病患者对医疗保健、信息和服务的满意度和优先事项,以及他们的生活质量。
2018 年 2 月至 3 月,通过法国 Carenity 平台进行了一项横断面研究。邀请在 1 型糖尿病、心力衰竭或肥胖症社区注册的成年患者回答在线问卷。使用从 0(表示不满意)到 5(表示非常满意)的数字量表来评估患者的满意度。使用排序问题来评估患者的优先事项。将患者的满意度和优先事项结合在一个矩阵中,以确定患者的期望。
每种疾病的 67 名受访者回答了一份问卷。医疗保健提供者的可用性和主动倾听,以及获得协调和多学科护理,是医疗护理方面最重要和最不满意的项目。关于信息和服务,受访者最希望获得连接医疗设备,此外还希望获得生活方式和饮食措施。至于生活质量,受访者担心他们的慢性病会持续影响他们的日常情绪和进行体育活动的能力。
这项研究表明,慢性病患者希望更积极地参与他们的治疗路径。患者培训和治疗性患者教育计划可以帮助他们在以患者为中心的医疗保健系统中管理他们的慢性病。