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Jaworski M, Rzadkiewicz M, Adamus M, et al. Primary care patients' expectations regarding medical appointments and their experiences during a visit: does age matter?. Patient Prefer Adherence. 2017;11:1221-1233doi: 10.2147/PPA.S133390.
Jaworski, M., Rzadkiewicz, M., Adamus, M., Chylinska, J., Lazarewicz, M., Haugan, G., Lillefjell, M., Espnes, G. A., & Wlodarczyk, D. (2017). Primary care patients' expectations regarding medical appointments and their experiences during a visit: does age matter?. Patient preference and adherence, 111221-1233. https://doi.org/10.2147/PPA.S133390
Jaworski, Mariusz, et al. "Primary care patients' expectations regarding medical appointments and their experiences during a visit: does age matter?." Patient preference and adherence vol. 11 (2017): 1221-1233. doi: https://doi.org/10.2147/PPA.S133390
Jaworski M, Rzadkiewicz M, Adamus M, Chylinska J, Lazarewicz M, Haugan G, Lillefjell M, Espnes GA, Wlodarczyk D. Primary care patients' expectations regarding medical appointments and their experiences during a visit: does age matter?. Patient Prefer Adherence. 2017 Jul 14;11:1221-1233. doi: 10.2147/PPA.S133390. eCollection 2017. PMID: 28761335; PMCID: PMC5522818.
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Patient Prefer Adherence. 2017 Jul 14;11:1221-1233. doi: 10.2147/PPA.S133390. eCollection 2017.

Primary care patients' expectations regarding medical appointments and their experiences during a visit: does age matter?.

Patient preference and adherence

Mariusz Jaworski, Marta Rzadkiewicz, Miroslawa Adamus, Joanna Chylinska, Magdalena Lazarewicz, Gørill Haugan, Monica Lillefjell, Geir Arild Espnes, Dorota Wlodarczyk

Affiliations

  1. Department of Medical Psychology, Second Faculty of Medicine, Medical University of Warsaw, Warsaw, Poland.
  2. Department of Public Health and Nursing.
  3. Department of Neuromedicine and Movement Science, NTNU Center for Health Promotion Research, Norwegian University of Science and Technology, Trondheim, Norway.

PMID: 28761335 PMCID: PMC5522818 DOI: 10.2147/PPA.S133390

Abstract

INTRODUCTION: There is evidence that meeting patients' expectations toward health care correlates with involvement in the treatment they receive. The most important patient expectations concern certain types of information: explanation of disease and treatment, health promotion, and improvement in quality of life. Other demands include proper rapport and emotional support. The aim of this paper was to examine different patient groups over the age of 50 years and their expectations toward medical visits, evaluated before a visit and after the visit.

PATIENTS AND METHODS: The study group consisted of 4,921 primary health-care patients. The patients received self-administered questionnaires that they filled in before and after the appointment with the doctor. Interviews with patients were conducted individually by specially trained interviewers. The PRACTA Patient Expectations Scale was used to measure the appointment-related expectations of the patients.

RESULTS: We observed differences related to age in patients' expectations before medical visits regarding the following factors: disease explanation, treatment explanation, quality of life, rapport, and emotional support. The same differences were not observed on health promotion. Evaluation of patients' appointment-related experiences after the visit showed that there were significant differences between the age-groups regarding all types of expectations included in the study. Differences between previsit and postvisit measurements were statistically significant in all age-groups. Patients who received less than they expected from doctors outnumbered those who received what they expected or more in all the groups.

CONCLUSION: Patients' expectations toward medical visits are conditioned by age. Therefore, doctors should pay more attention to requirements related to age in their effort to identify and satisfy expectations. This is particularly important in light of the discrepancy between previsit expectations and the actual experiences of patients evaluated after the visit.

Keywords: PRACTA; experiences; medical appointment; patients expectations; primary care

Conflict of interest statement

Disclosure The authors report no conflicts of interest in this work.

References

  1. Rehabilitation (Stuttg). 2000 Aug;39(4):205-14 - PubMed
  2. Patient Prefer Adherence. 2016 Sep 22;10 :1919-1928 - PubMed
  3. BMJ Qual Saf. 2012 Jan;21(1):21-9 - PubMed
  4. Health Qual Life Outcomes. 2004 Jun 29;2:32 - PubMed
  5. PLoS One. 2013 Dec 02;8(12):e80633 - PubMed
  6. Can Fam Physician. 2008 Mar;54(3):384-93 - PubMed
  7. Soc Sci Med. 2005 Aug;61(3):685-95 - PubMed
  8. Arch Fam Med. 2000 Nov-Dec;9(10):1148-55 - PubMed
  9. BMC Complement Altern Med. 2013 May 31;13:122 - PubMed
  10. J R Soc Med. 2013 Apr;106(4):143-9 - PubMed
  11. BMJ. 2014 Feb 28;348:g1614 - PubMed
  12. BMJ. 2005 Dec 24;331(7531):1548-51 - PubMed
  13. Health Expect. 2006 Mar;9(1):37-48 - PubMed
  14. Ann Intern Med. 2001 May 1;134(9 Pt 2):881-8 - PubMed
  15. Cult Med Psychiatry. 2009 Sep;33(3):382-411 - PubMed
  16. Br J Gen Pract. 2014 Nov;64(628):e709-18 - PubMed
  17. BMC Health Serv Res. 2015 Aug 14;15:328 - PubMed
  18. Eur J Ageing. 2014;11(4):361-367 - PubMed
  19. Age Ageing. 2009 Nov;38(6):703-10 - PubMed
  20. J Am Osteopath Assoc. 2002 Feb;102(2):73-8 - PubMed
  21. Health Technol Assess. 2012 Jul;16(30):i-xii, 1-509 - PubMed
  22. BMJ. 2006 Sep 9;333(7567):525-7 - PubMed
  23. Cochrane Database Syst Rev. 2012 Dec 12;12:CD003267 - PubMed
  24. Qual Health Care. 2001 Jun;10(2):90-5 - PubMed
  25. BMJ. 2011 Mar 21;342:d1836 - PubMed
  26. Surv Ophthalmol. 2004 Sep-Oct;49(5):513-24 - PubMed
  27. Qual Saf Health Care. 2002 Dec;11(4):315-9 - PubMed
  28. BMJ. 2005 Nov 19;331(7526):1199-201 - PubMed

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