Seghieri Chiara, Lupi Enrico, Tzioufas Athanasios G, De Vita Salvatore, Baldini Chiara
MeS Laboratory, Insitute of Managements EMbeDS, Sant'Anna Scuola Universitaria Superiore, Pisa, Italy.
Department of Pathophysiology, Medical School, National and Kapodistrian University of Athens, Greece.
Clin Exp Rheumatol. 2021 Nov-Dec;39 Suppl 133(6):123-130. doi: 10.55563/clinexprheumatol/vsv60z. Epub 2021 Dec 1.
The study aims to provide novel findings on geographic variation in the management of primary Sjögren's syndrome (pSS) in Europe, an underdiagnosed, long-term autoimmune disease.
Starting from the lack of comparable information on patients' experience, quality and efficiency of care delivered to pSS patients in Europe, the approach is to collect and analyse patients reported data from an international survey. To assess and compare access and quality of care to pSS along their care-path we developed and validated a questionnaire administered to a large cohort of pSS patients in selected European countries. Regression models have been applied to survey data to compare quality and volumes of care across Europe.
Both follow-up and number of visits with a specialist of the patient are influenced by the severity of the disease with differences among countries. The results show some extent of variations in access and treatments delivered to pSS patients and also their perceived quality of life and satisfaction for SS care in Europe.
Findings contribute to support healthcare professionals' decision making and the organisation of care delivery by taking into consideration the patients' point of view and preferences.
本研究旨在提供关于欧洲原发性干燥综合征(pSS)管理的地理差异的新发现,原发性干燥综合征是一种诊断不足的长期自身免疫性疾病。
鉴于欧洲缺乏关于原发性干燥综合征患者的就医体验、医疗质量和效率的可比信息,我们采用的方法是收集和分析来自一项国际调查的患者报告数据。为了评估和比较原发性干燥综合征患者在其就医过程中的就医机会和医疗质量,我们开发并验证了一份问卷,并对选定欧洲国家的一大群原发性干燥综合征患者进行了调查。回归模型已应用于调查数据,以比较欧洲各地的医疗质量和数量。
患者的随访和看专科医生的次数均受疾病严重程度影响,且各国之间存在差异。结果显示,欧洲原发性干燥综合征患者在就医机会和接受的治疗方面存在一定程度的差异,他们对干燥综合征护理的生活质量感知和满意度也存在差异。
研究结果有助于支持医疗保健专业人员的决策以及通过考虑患者的观点和偏好来组织医疗服务的提供。