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The experience of inflammatory bowel disease patients with healthcare A survey with the IEXPAC instrument

Fecha de publicación:

Autores de FISABIO

Autores ajenos a FISABIO

  • Marin-Jimenez, Ignacio
  • Casellas, Francesc
  • Cortes, Xavier
  • Garcia-Sepulcre, Mariana F.
  • Julia, Berta
  • Cea-Calvo, Luis
  • Soto, Nadia
  • Navarro-Correal, Ester
  • Saldana, Roberto
  • de Toro, Javier
  • Galindo, Maria J.

Grupos de Investigación

Abstract

To assess inflammatory bowel disease (IBD) patients' experience of chronic illness care and the relationship with demographic and healthcare-related characteristics. This cross-sectional survey used the Instrument to Evaluate the EXperience of PAtients with Chronic diseases (IEXPAC) questionnaire to identify parameters associated with a better healthcare experience for IBD patients. IEXPAC questionnaire responses are grouped into 3 factors - productive interactions, new relational model, and patient self-management, scoring from 0 (worst) to 10 (best experience). Scores were analyzed by bivariate comparisons and multiple linear regression models. Surveys were returned by 341 of 575 patients (59.3%, mean age 46.8 (12.9) years, 48.2% women). Mean (SD) IEXPAC score was 5.9 (2.0); scores were higher for the productive interactions (7.7) and patient self-management factors (6.7) and much lower for the new relational model factor (2.2). Follow-up by a nurse, being seen by the same physician, and being treated with a lower number of medicines were associated with higher (better) overall patient experience score, and higher productive interactions and self-management factor scores. A higher productive interactions score was also associated with patients receiving medication subcutaneously or intravenously. Higher new relational model scores were associated with follow-up by a nurse, affiliation to a patients' association, receiving help from others for healthcare, a lower number of medicines and a higher educational level. In patients with IBD, a better overall patient experience was associated with follow-up by a nurse, being seen by the same physician, and being treated with a lower number of medicines.

Datos de la publicación

ISSN/ISSNe:
0025-7974, 1536-5964

MEDICINE  LIPPINCOTT WILLIAMS & WILKINS

Tipo:
Article
Páginas:
-
PubMed:
30946348

Citas Recibidas en Web of Science: 15

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Keywords

  • healthcare; IEXPAC instrument; inflammatory bowel disease

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