Display options
Cite
Odell A, Bång A, Andréll P, et al. Patients expectations and fulfilment of expectations before and after treatment for suspected coronary artery disease assessed with a newly developed questionnaire in combination with established health-related quality of life questionnaires. Open Heart. 2017;4(1):e000529doi: 10.1136/openhrt-2016-000529.
Odell, A., Bång, A., Andréll, P., Widell, C., Fryklund, H., Kallryd, A., Tygesen, H., & Grip, L. (2017). Patients expectations and fulfilment of expectations before and after treatment for suspected coronary artery disease assessed with a newly developed questionnaire in combination with established health-related quality of life questionnaires. Open heart, 4(1), e000529. https://doi.org/10.1136/openhrt-2016-000529
Odell, Annika, et al. "Patients expectations and fulfilment of expectations before and after treatment for suspected coronary artery disease assessed with a newly developed questionnaire in combination with established health-related quality of life questionnaires." Open heart vol. 4,1 (2017): e000529. doi: https://doi.org/10.1136/openhrt-2016-000529
Odell A, Bång A, Andréll P, Widell C, Fryklund H, Kallryd A, Tygesen H, Grip L. Patients expectations and fulfilment of expectations before and after treatment for suspected coronary artery disease assessed with a newly developed questionnaire in combination with established health-related quality of life questionnaires. Open Heart. 2017 Mar 06;4(1):e000529. doi: 10.1136/openhrt-2016-000529. eCollection 2017. PMID: 28698798; PMCID: PMC5495177.
Copy Download .nbib Format: NLM
Share it on

Open Heart. 2017 Mar 06;4(1):e000529. doi: 10.1136/openhrt-2016-000529. eCollection 2017.

Patients expectations and fulfilment of expectations before and after treatment for suspected coronary artery disease assessed with a newly developed questionnaire in combination with established health-related quality of life questionnaires.

Open heart

Annika Odell, Angela Bång, Paulin Andréll, Charlotte Widell, Henrik Fryklund, Anders Kallryd, Hans Tygesen, Lars Grip

Affiliations

  1. Department of Cardiology, The Medicine Institute of Sahlgrenska Academy, Gothenburg, Sweden.
  2. Faculty of Caring Science, University of Borås, Borås, Sweden.
  3. Multidisciplinary Pain Center, Sahlgrenska University Hospital and Institute of Medicine, Gothenburg, Sweden.
  4. Department of Medicine, Norra lvsborg County Hospital, Trollhttan, Sweden.
  5. Department of Medicine, Skaraborg Hospital, Skövde, Sweden.
  6. Department of Medicine, Sothern Älvsborg Hospital, Borås, Sweden.

PMID: 28698798 PMCID: PMC5495177 DOI: 10.1136/openhrt-2016-000529

Abstract

BACKGROUND: Clinical decision-making is often based on evidence of outcome after a specific treatment. Healthcare providers and patients may, however, have different perceptions and expectations of what to achieve from a certain healthcare measure.

AIMS: To evaluate patients' expectations, perceptions and health related quality of life (HRQoL) before a care process including coronary angiography for suspected coronary artery disease and to evaluate the fulfilment of these expectations in relation to established patient reported outcome measures (PROMs) 6 months later. Furthermore, an aim was to try to define meaningful patient reported experience measures (PREMs) in this population.

METHODS: 544 patients planned for coronary angiography completed a newly developed questionnaire to assess expectations and perceptions of treatment, the expectation questionnaire (ExpQ) and two established HRQoL questionnaires together with the established generic Short-Form 36 (SF36) and the disease specific Seattle Angina Questionnaire (SAQ).

RESULTS: Patients had before the intervention, in general, high expectations of improvement after investigation and treatment and there was a positive attitude towards life style changes, medication and participation in decision-making regarding their own treatment. Only, 56.4% of the patients, however, reported fulfilment of treatment expectations. Fulfilment of treatment expectations correlated strongly with improvement in HRQoL after the care process.

CONCLUSIONS: To measure patients ´ expectations and fulfilments of these may offer simple and meaningful outcomes to evaluate a healthcare process from a patient ´s perspective. To approach patients' expectations may also strengthen patient involvement in the care process with the possibilities of both higher patient satisfaction and medical results of the treatment.

Keywords: Coronary artery disease; Stable angina < myocardialIschaemia and infarction (ihd); quality of care andOutcomes

Conflict of interest statement

Competing interests: None Declared.

References

  1. Eur J Cardiovasc Nurs. 2006 Jun;5(2):150-7 - PubMed
  2. Circ Cardiovasc Qual Outcomes. 2012 May;5(3):251-9 - PubMed
  3. J Nurs Meas. 2002 Fall;10(2):123-33 - PubMed
  4. Int J Qual Health Care. 2002 Oct;14(5):353-8 - PubMed
  5. Eur Heart J. 2013 Oct;34(38):2949-3003 - PubMed
  6. Qual Saf Health Care. 2002 Dec;11(4):335-9 - PubMed
  7. Heart. 2000 Jun;83(6):641-4 - PubMed
  8. J Am Coll Cardiol. 1995 Feb;25(2):333-41 - PubMed
  9. Acta Orthop. 2009 Feb;80(1):55-61 - PubMed
  10. J Clin Nurs. 1999 Nov;8(6):701-11 - PubMed
  11. Health Expect. 2007 Sep;10(3):248-58 - PubMed
  12. Circulation. 2004 Dec 21;110(25):3789-94 - PubMed
  13. Heart Lung. 2006 Mar-Apr;35(2):90-100 - PubMed
  14. JAMA. 2007 Mar 14;297(10):1103-11 - PubMed
  15. Eur Heart J. 2014 Aug 7;35(30):2001-9 - PubMed
  16. Arch Intern Med. 1996 Jul 8;156(13):1414-20 - PubMed

Publication Types