 |
|
Insight Into Patient Dissatisfaction With Asthma Treatment
Leona E. Markson, ScD;
William M. Vollmer, PhD;
Leslye Fitterman, PhD;
Elizabeth O'Connor, PhD;
Siva Narayanan, MHS;
Marc Berger, MD;
A. Sonia Buist, MD
Arch Intern Med. 2001;161:379-384.
Background Measures of patient satisfaction or dissatisfaction with treatment are
increasingly being used as indicators of quality of care. As these measures
become more widely used, it is important to know if patient dissatisfaction
is associated with important processes or outcomes of medical care.
Methods Survey of patient-reported asthma management issues using the Asthma
Therapy Assessment Questionnaire in a large health maintenance organization
in the Pacific Northwest. Associations between patient dissatisfaction with
asthma treatment and patient-reported measures of asthma control, patient-provider
communication, and belief in asthma medications (self-efficacy) were examined.
Results Of the 5181 adult members with asthma enrolled in the health maintenance
organization, 30% indicated dissatisfaction with current treatment. Dissatisfaction
was higher among patients with a higher number of asthma control problems,
patient-provider communication problems, or belief in medication problems
(eg, failure to believe their medications are useful and inability to take
asthma medications as directed). The odds of dissatisfaction with treatment
were 2.8 (95% confidence interval [CI], 2.4-3.3; P<.001)
for asthma control problems, 2.0 (95% CI, 1.6-2.6; P<.001)
for communication problems, and 8.0 (95% CI, 6.7-9.5; P<.001) for belief in medication problems compared with patients
without these perceived problems.
Conclusion Patient dissatisfaction with treatment may be related to important asthma
disease management issues.
From Merck & Co, Inc, West Point, Pa (Drs Markson, Fitterman, and
Berger and Mr Narayanan), Kaiser Permanente Center for Health Research, Portland,
Ore (Drs Vollmer and O'Connor), and Oregon Health Sciences University, Portland
(Dr Buist).
Corresponding author and reprints: Leona E. Markson, ScD, Outcomes
Research and Management, Merck & Co, Inc, PO Box 4, WP39-164, West Point,
PA 19486-0004.
RELATED ARTICLE
Archives of Internal Medicine Reader's Choice: Continuing Medical Education
Arch Intern Med. 2001;161(3):487-488.
FULL TEXT
THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES
Using an asthma control questionnaire and administrative data to predict health-care utilization.
Peters et al.
Chest 2006;129:918-924.
ABSTRACT
| FULL TEXT
The Effect of Web-Based, Personalized, Osteoarthritis Quality Improvement Feedback on Patient Satisfaction With Osteoarthritis Care
Sciamanna et al.
American Journal of Medical Quality 2005;20:127-137.
ABSTRACT
Patient Satisfaction with Bronchoscopy
Lechtzin et al.
Am. J. Respir. Crit. Care Med. 2002;166:1326-1331.
ABSTRACT
| FULL TEXT
Insight Into Patient Dissatisfaction with Asthma Treatment
Adinoff
Pediatrics 2002;110:453-454.
FULL TEXT
Competence Is a Habit
Leach
JAMA 2002;287:243-244.
FULL TEXT
|
