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Changes in patient satisfaction related to their perceived health state during implementation of improved integrated care for older persons

Patient satisfaction with the general practitioner (GP) is lower in older persons with a higher level of complexity of health problems. This study investigates whether, in these older persons, changes in satisfaction with their GP, on receiving improved integrated care, is related to their perceived...

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Autores principales: Poot, Antonius J., Wopereis, Daisy M., den Elzen, Wendy P. J., Gussekloo, Jacobijn, Blom, Jeanet W.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6522052/
https://www.ncbi.nlm.nih.gov/pubmed/31095590
http://dx.doi.org/10.1371/journal.pone.0216028
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author Poot, Antonius J.
Wopereis, Daisy M.
den Elzen, Wendy P. J.
Gussekloo, Jacobijn
Blom, Jeanet W.
author_facet Poot, Antonius J.
Wopereis, Daisy M.
den Elzen, Wendy P. J.
Gussekloo, Jacobijn
Blom, Jeanet W.
author_sort Poot, Antonius J.
collection PubMed
description Patient satisfaction with the general practitioner (GP) is lower in older persons with a higher level of complexity of health problems. This study investigates whether, in these older persons, changes in satisfaction with their GP, on receiving improved integrated care, is related to their perceived health state.Using the Integrated Systematic Care for Older People (ISCOPE) trial (aimed at improving person- centered integrated care) this study compared changes in satisfaction with the GP in older persons (aged ≥75 years) with a high level of complex health problems on receiving integrated care, stratified for perceived health state at baseline. Satisfaction with the GP was registered on a 5-point Likert scale. Perceived health state was estimated with the Older Persons and Informal Caregivers Survey-Composite End Point (TOPICS-CEP) at baseline, stratified into 33% percentiles. Differences in satisfaction change between the intervention and usual care/control groups (overall and stratified for perceived health state) are presented by percentages of ‘very satisfied’ participants and improving or deteriorating 1 or more points on the Likert scale. At baseline, the intervention (n = 151) and control group (n = 603) were mainly female (75%) and living alone (62%); mean age was 83 years. Medical status, perceived health state and characteristics of participants were similar. Overall, at baseline 44.4% of respondents in the intervention group were ‘very satisfied’ compared with 37.1% at follow-up, (difference -7.3%). In the control group, ‘very satisfied’ at baseline was 32% and at follow up 29.2% (difference -2.8%). The p-value for this difference in change is 0.56. After stratification for TOPICS-CEP the results were the same. In older persons with a high level of complexity of health problems, implementation of person- centered integrated healthcare did not influence their satisfaction with the GP, also not among those with the highest or lowest perceived health state.
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spelling pubmed-65220522019-05-31 Changes in patient satisfaction related to their perceived health state during implementation of improved integrated care for older persons Poot, Antonius J. Wopereis, Daisy M. den Elzen, Wendy P. J. Gussekloo, Jacobijn Blom, Jeanet W. PLoS One Research Article Patient satisfaction with the general practitioner (GP) is lower in older persons with a higher level of complexity of health problems. This study investigates whether, in these older persons, changes in satisfaction with their GP, on receiving improved integrated care, is related to their perceived health state.Using the Integrated Systematic Care for Older People (ISCOPE) trial (aimed at improving person- centered integrated care) this study compared changes in satisfaction with the GP in older persons (aged ≥75 years) with a high level of complex health problems on receiving integrated care, stratified for perceived health state at baseline. Satisfaction with the GP was registered on a 5-point Likert scale. Perceived health state was estimated with the Older Persons and Informal Caregivers Survey-Composite End Point (TOPICS-CEP) at baseline, stratified into 33% percentiles. Differences in satisfaction change between the intervention and usual care/control groups (overall and stratified for perceived health state) are presented by percentages of ‘very satisfied’ participants and improving or deteriorating 1 or more points on the Likert scale. At baseline, the intervention (n = 151) and control group (n = 603) were mainly female (75%) and living alone (62%); mean age was 83 years. Medical status, perceived health state and characteristics of participants were similar. Overall, at baseline 44.4% of respondents in the intervention group were ‘very satisfied’ compared with 37.1% at follow-up, (difference -7.3%). In the control group, ‘very satisfied’ at baseline was 32% and at follow up 29.2% (difference -2.8%). The p-value for this difference in change is 0.56. After stratification for TOPICS-CEP the results were the same. In older persons with a high level of complexity of health problems, implementation of person- centered integrated healthcare did not influence their satisfaction with the GP, also not among those with the highest or lowest perceived health state. Public Library of Science 2019-05-16 /pmc/articles/PMC6522052/ /pubmed/31095590 http://dx.doi.org/10.1371/journal.pone.0216028 Text en © 2019 Poot et al http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Poot, Antonius J.
Wopereis, Daisy M.
den Elzen, Wendy P. J.
Gussekloo, Jacobijn
Blom, Jeanet W.
Changes in patient satisfaction related to their perceived health state during implementation of improved integrated care for older persons
title Changes in patient satisfaction related to their perceived health state during implementation of improved integrated care for older persons
title_full Changes in patient satisfaction related to their perceived health state during implementation of improved integrated care for older persons
title_fullStr Changes in patient satisfaction related to their perceived health state during implementation of improved integrated care for older persons
title_full_unstemmed Changes in patient satisfaction related to their perceived health state during implementation of improved integrated care for older persons
title_short Changes in patient satisfaction related to their perceived health state during implementation of improved integrated care for older persons
title_sort changes in patient satisfaction related to their perceived health state during implementation of improved integrated care for older persons
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6522052/
https://www.ncbi.nlm.nih.gov/pubmed/31095590
http://dx.doi.org/10.1371/journal.pone.0216028
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