TY - JOUR
T1 - Insight into patient dissatisfaction with asthma treatment
AU - Markson, Leona E.
AU - Vollmer, William M.
AU - Fitterman, Leslye
AU - O'Connor, Elizabeth
AU - Narayanan, Siva
AU - Berger, Marc
AU - Buist, A. Sonia
N1 - Copyright:
Copyright 2018 Elsevier B.V., All rights reserved.
PY - 2001/2/12
Y1 - 2001/2/12
N2 - 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.
AB - 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.
UR - http://www.scopus.com/inward/record.url?scp=0035847630&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0035847630&partnerID=8YFLogxK
U2 - 10.1001/archinte.161.3.379
DO - 10.1001/archinte.161.3.379
M3 - Article
C2 - 11176763
AN - SCOPUS:0035847630
SN - 0003-9926
VL - 161
SP - 379
EP - 384
JO - Archives of internal medicine
JF - Archives of internal medicine
IS - 3
ER -