Satisfaction about Patient-centeredness and Healthcare System among Patients with Chronic Multimorbidity
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摘要
The aim of the present study was to measure the prevalence of multimorbidity in Bangladesh,India and China,and to assess the relationship between multimorbidity and patient's opinion regarding their involvement in healthcare decision-making and overall satisfaction of healthcare system.Cross-sectional data on 18 696 men and women aged 18 and above were collected from the World Health Survey of World Health Organization(WHO).Outcome variables were subjective rating of(1) healthcare system's ability to involve patients in decision-making,and(2) satisfaction with the way healthcare system runs in the country.Self-reported chronic conditions were used to measure the prevalence of multimorbidity.Out of 9 chronic conditions,back pain,arthritis,and chronic cough appeared to be the most prevalent ones among majority of the participants.About one-third of the participants in China(30.7%) and two-thirds in Bangladesh(66.1%) and India(66.6%) reported having at least one chronic illness.Prevalence of multimorbidity was highest in India(34.3%) followed by Bangladesh(28.8%) and China(14.3%).In Bangladesh,India and China,respectively 70.5%,41.7%,61.3% women and 54.5%,42.8% and 58.8 % men expressed dissatisfaction regarding the way healthcare system runs in their country.In Bangladesh and India,men who were living with multimorbidity were more likely to rate the patient-centeredness as "bad" than those who had no disease illness.This study suggests that the prevalence of multimorbidity was remarkably high especially in Bangladesh and India.Higher likelihood of dissatisfaction about healthcare system among multimorbid patients might be indicative of inadequacy in the provision of care in qualitative and quantitative terms.Key words
The aim of the present study was to measure the prevalence of multimorbidity in Bangladesh,India and China,and to assess the relationship between multimorbidity and patient's opinion regarding their involvement in healthcare decision-making and overall satisfaction of healthcare system.Cross-sectional data on 18 696 men and women aged 18 and above were collected from the World Health Survey of World Health Organization(WHO).Outcome variables were subjective rating of(1) healthcare system's ability to involve patients in decision-making,and(2) satisfaction with the way healthcare system runs in the country.Self-reported chronic conditions were used to measure the prevalence of multimorbidity.Out of 9 chronic conditions,back pain,arthritis,and chronic cough appeared to be the most prevalent ones among majority of the participants.About one-third of the participants in China(30.7%) and two-thirds in Bangladesh(66.1%) and India(66.6%) reported having at least one chronic illness.Prevalence of multimorbidity was highest in India(34.3%) followed by Bangladesh(28.8%) and China(14.3%).In Bangladesh,India and China,respectively 70.5%,41.7%,61.3% women and 54.5%,42.8% and 58.8 % men expressed dissatisfaction regarding the way healthcare system runs in their country.In Bangladesh and India,men who were living with multimorbidity were more likely to rate the patient-centeredness as "bad" than those who had no disease illness.This study suggests that the prevalence of multimorbidity was remarkably high especially in Bangladesh and India.Higher likelihood of dissatisfaction about healthcare system among multimorbid patients might be indicative of inadequacy in the provision of care in qualitative and quantitative terms.Key words
The aim of the present study was to measure the prevalence of multimorbidity in Bangladesh,India and China,and to assess the relationship between multimorbidity and patient's opinion regarding their involvement in healthcare decision-making and overall satisfaction of healthcare system.Cross-sectional data on 18 696 men and women aged 18 and above were collected from the World Health Survey of World Health Organization(WHO).Outcome variables were subjective rating of(1) healthcare system's ability to involve patients in decision-making,and(2) satisfaction with the way healthcare system runs in the country.Self-reported chronic conditions were used to measure the prevalence of multimorbidity.Out of 9 chronic conditions,back pain,arthritis,and chronic cough appeared to be the most prevalent ones among majority of the participants.About one-third of the participants in China(30.7%) and two-thirds in Bangladesh(66.1%) and India(66.6%) reported having at least one chronic illness.Prevalence of multimorbidity was highest in India(34.3%) followed by Bangladesh(28.8%) and China(14.3%).In Bangladesh,India and China,respectively 70.5%,41.7%,61.3% women and 54.5%,42.8% and 58.8 % men expressed dissatisfaction regarding the way healthcare system runs in their country.In Bangladesh and India,men who were living with multimorbidity were more likely to rate the patient-centeredness as "bad" than those who had no disease illness.This study suggests that the prevalence of multimorbidity was remarkably high especially in Bangladesh and India.Higher likelihood of dissatisfaction about healthcare system among multimorbid patients might be indicative of inadequacy in the provision of care in qualitative and quantitative terms.Key words
引文
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2 Ollila E.Global health priorities-priorities of the wealthy?Global Health,2005,1(1):6
3 Fuster V,Kelly BB,Vedanthan R,et al.Promoting global cardiovascular health:moving forward.Circulation,2011,123(15):1671-1678
4 Moffat K,Mercer SW.Challenges of managing people with multimorbidity in today’s healthcare systems.BMC Fam Pract,2015,16:129
5 Nigatu T.Integration of HIV and noncommunicable diseases in health care delivery in low-and middle-income countries.Prev Chronic Dis,2012,9:110331
6 Mc Intyre D,Thiede M,Dahlgren G,et al.What are the economic consequences for households of illness and of paying for health care in low-and middle-income country contexts?Soc Sci Med,2006,62(4):858-865
7 Mangin D,Stephen G,Bismah V,et al.Making patient values visible in healthcare:a systematic review of tools to assess patient treatment priorities and preferences in the context of multimorbidity.BMJ Open,2016,6(6):e010 903
8 Bishwajit G,Ide S,Hossain MA,et al.Trade Liberalization,Urbanization and Nutrition Transition in Asian Countries.J Nutrition Health Food Sci,2014,2(1):5
9 Willett WC.Balancing Lifestyle and Genomics Research for Disease Prevention.Science,2002,296:695-698
10 Bishwajit G,Tang S,Yaya S,et al.Lifestyle Behaviors,Subjective Health,and Quality of Life Among Chinese Men Living With Type 2 Diabetes.Am J Mens Health,2016,11(2):357-364
11 Tang S,Bishwajit G,Ji L,et al.Improving the Blood Pressure Control With the ProA ctive Attitude of Hypertensive Patients Seeking Follow-up Services:Evidence From China.Medicine(Baltimore),2016,95(14):e3233
12 Fortin M,Lapointe L,Hudon C,et al.Multimorbidity and quality of life in primary care:a systematic review.Health Qual Life Outcomes,2004,2:51
13 Tang SF,Dong D,Ji L,et al.What Contributes to the Activeness of Ethnic Minority Patients with Chronic Illnesses Seeking Allied Health Services?A Cross-Sectional Study in Rural Western China.Int J Environ Res Public Health,2015,12(9):11 579-11593
14 Lloyd CE.Diabetes and depression.Curr Diab Rep,2002,2(6):465-466
15 Shi LY,Makinen M,Lee DC,et al.Integrated care delivery and health care seeking by chronically-ill patients–a case-control study of rural Henan province,China.Int J Equity Health,2015,14:98
16 Yang HJ,Huang X,Zhou ZH,et al.Determinants of Initial Utilization of Community Healthcare Services among Patients with Major Non-Communicable Chronic Diseases in South China.PLo S One,2014,9(12):e116 051
17 Epstein RM,Richard L.The Values and Value of Patient-Centered Care.Ann Fam Med,2011,9(2):100-103
18 Prakash B.Patient Satisfaction.J Cutan Aesthet Surg,2010,3(3):151-155
19 World Report on Disability 2011.Geneva:World Health Organization,2011.
20 Bishwajit G,O’Leary DP,Ghosh S,et al.Association between depression and fruit and vegetable consumption among adults in South Asia.BMC Psychiatry,2017,17(1):15
21 Khanam MA,Streatfield PK,Kabir ZN,et al.Prevalence and patterns of multimorbidity among elderly people in rural Bangladesh:a cross-sectional study.J Health Popul Nutr,2011,29(4):406-414
22 Wang HH,Wang JJ,Wong SY,et al.Epidemiology of multimorbidity in China and implications for the healthcare system:cross-sectional survey among162 ,464 community household residents in southern China.BMC Med,2014,12:188
23 Gu J,Chao J,Chen W,et al.Multimorbidity in the community-dwelling elderly in urban China.Arch Gerontol Geriatr,2017,68:62-67
24 Banjare P,Pradhan J.Socio-Economic Inequalities in the Prevalence of Multi-Morbidity among the Rural Elderly in Bargarh District of Odisha(India).PLo S One,2014,9(6):e97 832
25 Pati S,Swain S,Hussain MA,et al.Prevalence and outcomes of multimorbidity in South Asia:a systematic review.BMJ Open,2015,5(10):e007235
26 Martin LR,Williams SL,Haskard KB,et al.The challenge of patient adherence.Ther Clin Risk Manag,2005,1(3):189-199
27 Guralnik JM.Assessing the impact of comorbidity in the older population.Ann Epidemiol,1996,6(5):376-380
2 Ollila E.Global health priorities-priorities of the wealthy?Global Health,2005,1(1):6
3 Fuster V,Kelly BB,Vedanthan R,et al.Promoting global cardiovascular health:moving forward.Circulation,2011,123(15):1671-1678
4 Moffat K,Mercer SW.Challenges of managing people with multimorbidity in today’s healthcare systems.BMC Fam Pract,2015,16:129
5 Nigatu T.Integration of HIV and noncommunicable diseases in health care delivery in low-and middle-income countries.Prev Chronic Dis,2012,9:110331
6 Mc Intyre D,Thiede M,Dahlgren G,et al.What are the economic consequences for households of illness and of paying for health care in low-and middle-income country contexts?Soc Sci Med,2006,62(4):858-865
7 Mangin D,Stephen G,Bismah V,et al.Making patient values visible in healthcare:a systematic review of tools to assess patient treatment priorities and preferences in the context of multimorbidity.BMJ Open,2016,6(6):e010 903
8 Bishwajit G,Ide S,Hossain MA,et al.Trade Liberalization,Urbanization and Nutrition Transition in Asian Countries.J Nutrition Health Food Sci,2014,2(1):5
9 Willett WC.Balancing Lifestyle and Genomics Research for Disease Prevention.Science,2002,296:695-698
10 Bishwajit G,Tang S,Yaya S,et al.Lifestyle Behaviors,Subjective Health,and Quality of Life Among Chinese Men Living With Type 2 Diabetes.Am J Mens Health,2016,11(2):357-364
11 Tang S,Bishwajit G,Ji L,et al.Improving the Blood Pressure Control With the ProA ctive Attitude of Hypertensive Patients Seeking Follow-up Services:Evidence From China.Medicine(Baltimore),2016,95(14):e3233
12 Fortin M,Lapointe L,Hudon C,et al.Multimorbidity and quality of life in primary care:a systematic review.Health Qual Life Outcomes,2004,2:51
13 Tang SF,Dong D,Ji L,et al.What Contributes to the Activeness of Ethnic Minority Patients with Chronic Illnesses Seeking Allied Health Services?A Cross-Sectional Study in Rural Western China.Int J Environ Res Public Health,2015,12(9):11 579-11593
14 Lloyd CE.Diabetes and depression.Curr Diab Rep,2002,2(6):465-466
15 Shi LY,Makinen M,Lee DC,et al.Integrated care delivery and health care seeking by chronically-ill patients–a case-control study of rural Henan province,China.Int J Equity Health,2015,14:98
16 Yang HJ,Huang X,Zhou ZH,et al.Determinants of Initial Utilization of Community Healthcare Services among Patients with Major Non-Communicable Chronic Diseases in South China.PLo S One,2014,9(12):e116 051
17 Epstein RM,Richard L.The Values and Value of Patient-Centered Care.Ann Fam Med,2011,9(2):100-103
18 Prakash B.Patient Satisfaction.J Cutan Aesthet Surg,2010,3(3):151-155
19 World Report on Disability 2011.Geneva:World Health Organization,2011.
20 Bishwajit G,O’Leary DP,Ghosh S,et al.Association between depression and fruit and vegetable consumption among adults in South Asia.BMC Psychiatry,2017,17(1):15
21 Khanam MA,Streatfield PK,Kabir ZN,et al.Prevalence and patterns of multimorbidity among elderly people in rural Bangladesh:a cross-sectional study.J Health Popul Nutr,2011,29(4):406-414
22 Wang HH,Wang JJ,Wong SY,et al.Epidemiology of multimorbidity in China and implications for the healthcare system:cross-sectional survey among162 ,464 community household residents in southern China.BMC Med,2014,12:188
23 Gu J,Chao J,Chen W,et al.Multimorbidity in the community-dwelling elderly in urban China.Arch Gerontol Geriatr,2017,68:62-67
24 Banjare P,Pradhan J.Socio-Economic Inequalities in the Prevalence of Multi-Morbidity among the Rural Elderly in Bargarh District of Odisha(India).PLo S One,2014,9(6):e97 832
25 Pati S,Swain S,Hussain MA,et al.Prevalence and outcomes of multimorbidity in South Asia:a systematic review.BMJ Open,2015,5(10):e007235
26 Martin LR,Williams SL,Haskard KB,et al.The challenge of patient adherence.Ther Clin Risk Manag,2005,1(3):189-199
27 Guralnik JM.Assessing the impact of comorbidity in the older population.Ann Epidemiol,1996,6(5):376-380