scholarly journals Inequalities in Health Care Experience of Patients with Chronic Conditions: Results from a Population-Based Study

Healthcare ◽  
2021 ◽  
Vol 9 (8) ◽  
pp. 1005
Author(s):  
Roberto Nuño-Solínis ◽  
Maider Urtaran-Laresgoiti ◽  
Esther Lázaro ◽  
Sara Ponce ◽  
Juan F. Orueta ◽  
...  
Keyword(s):  
Health Care ◽  
Chronic Conditions ◽  
Population Based ◽  
Relational Model ◽  
Chronic Patients ◽  
Care Experience ◽  
Health Care Experience ◽  
Health Related ◽  
Patients Experience

Patients’ experience is an acknowledged key factor for the improvement of healthcare delivery quality. This study aims to explore the differences in healthcare experience among patients with chronic conditions according to individual sociodemographic and health-related variables. A population-based and cross-sectional study was conducted. The sample consisted of 3981 respondents of the Basque Health Survey (out of 8036 total respondents to the individual questionnaire), living in the Basque Country, aged 15 or older, self-reporting at least one chronic condition. Patient experience was assessed with the Instrument for Evaluation of the Experience of Chronic Patients questionnaire, which encompasses three major factors: interactions between patients and professionals oriented to improve outcomes (productive interactions); new ways of patient interaction with the health care system (the new relational model); and the ability of individuals to manage their care and improve their wellbeing based on professional-mediated interventions (self-management). We conducted descriptive and regression analyses. We estimated linear regression models with robust variances that allow testing for differences in experience according to sociodemographic characteristics, the number of comorbidities and the condition (for all chronic or for chronic patients’ subgroups). Although no unique inequality patterns by these characteristics can be inferred, females reported worse global results than males and older age was related to poorer experience with the new relational model in health care. Individuals with lower education levels tend to report lower experiences. There is not a clear pattern observed for the type of occupation. Multimorbidity and several specific chronic conditions were associated (positive or negatively) with patients’ experience. Health care experience was better in patients with greater quality of life. Understanding the relations among the patients’ experience and their sociodemographic and health-related characteristics is an essential issue for health care systems to improve quality of assistance.

Private health insurance and quality of life: perspectives of older Australians with multiple chronic conditions

2012 ◽  
Vol 18 (3) ◽  
pp. 212 ◽  
Author(s):  
Yun-Hee Jeon ◽  
Annie Black ◽  
Janelle Govett ◽  
Laurann Yen ◽  
Ian McRae
Keyword(s):  
Quality Of Life ◽  
Health Care ◽  
Health Insurance ◽  
Older People ◽  
Chronic Conditions ◽  
Private Health Insurance ◽  
Multiple Chronic Conditions ◽  
Financial Pressure ◽  
Health Related

A qualitative study was conducted to explore in-depth issues relating to the health costs of chronic illness as identified in a previous study. A key theme that emerged from interviews carried out was the benefits and challenges of private health insurance (PHI) membership, and choices older Australians with multimorbidity make in accessing health services, with and without PHI. This is the focus of this paper. Semistructured interviews were conducted with 40 older people with multiple chronic conditions. Data were analysed using content analysis. Key motivators for maintaining PHI included: fear of an inability to access timely health care; the opportunity to exercise choice in service provider; a belief of being ‘better off’ both medically and financially, which was often ill-founded; and the core values of self reliance and independence. Most described financial pressure caused by rising PHI premiums as well as other out-of-pocket health related expenses. Many older people who can ill afford PHI still struggle to maintain it, potentially at the cost of their quality of life, based on beliefs about costs of health care that they have never properly assessed. The findings highlight the degree to which people whose resources are constrained are prepared to go to maintain access to private hospital care. Attention should be given to assisting older people to make informed and valid choices of health insurance derived from the facts, rather than being based on fear and assumptions.

scholarly journals Childhood chronic conditions and health-related quality of life: Findings from a large population-based study

PLoS ONE ◽  
2017 ◽  
Vol 12 (6) ◽  
pp. e0178539 ◽  
Author(s):  
Guannan Bai ◽  
Marieke Houben–van Herten ◽  
Jeanne M. Landgraf ◽  
Ida J. Korfage ◽  
Hein Raat
Keyword(s):  
Quality Of Life ◽  
Chronic Conditions ◽  
Large Population ◽  
Population Based ◽  
Health Related Quality ◽  
Population Based Study ◽  
Related Quality ◽  
Health Related ◽  
Childhood Chronic Conditions

scholarly journals On Examining the Quality of Spanish Translation in Telephone Surveys: A Novel Test-Retest Approach

2019 ◽  
Vol 8 (4) ◽  
pp. 691-705
Author(s):  
Robert P Agans ◽  
Quirina M Vallejos ◽  
Thad S Benefield
Keyword(s):  
Past Research ◽  
Population Based ◽  
Pilot Test ◽  
Spanish Translation ◽  
Convenience Sample ◽  
Single Item ◽  
Telephone Surveys ◽  
Survey Questions ◽  
Health Related

Abstract Past research has shown that commonly reported cultural group disparities in health-related indices may be attributable to culturally mediated differences in the interpretation of translated survey questions and response scales. This problem may be exacerbated when administering single-item survey questions, which typically lack the reliability seen in multi-item scales. We adapt the test-retest approach for single-item survey questions that have been translated from English into Spanish and demonstrate how to use this approach as a quick and efficient pilot test before fielding a major survey. Three retest conditions were implemented (English-Spanish, Spanish-English, and English-English) on a convenience sample (n = 109) of Latinos and non-Latinos where translated items were compared against an English-English condition that served as our control. Several items were flagged for investigation using this approach. Discussion centers on the utility of this approach for evaluating the Spanish translation of single-item questions in population-based surveys.

scholarly journals Health-Related Quality of Life Across Pediatric Chronic Conditions

2010 ◽  
Vol 156 (4) ◽  
pp. 639-644 ◽  
Author(s):  
Lisa M. Ingerski ◽  
Avani C. Modi ◽  
Korey K. Hood ◽  
Ahna L. Pai ◽  
Meg Zeller ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Chronic Conditions ◽  
Health Related Quality ◽  
Related Quality ◽  
Health Related ◽  
Pediatric Chronic Conditions
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