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Foo VHX, Tan SEM, Chen DZ, et al. Areas and factors associated with patients' dissatisfaction with glaucoma care. Clin Ophthalmol. 2017;11:1849-1857doi: 10.2147/OPTH.S138668.
Foo, V. H. X., Tan, S. E. M., Chen, D. Z., Perera, S. A., Sabayanagam, C., Fenwick, E. K., Wong, T. T., & Lamoureux, E. L. (2017). Areas and factors associated with patients' dissatisfaction with glaucoma care. Clinical ophthalmology (Auckland, N.Z.), 111849-1857. https://doi.org/10.2147/OPTH.S138668
Foo, Valencia Hui Xian, et al. "Areas and factors associated with patients' dissatisfaction with glaucoma care." Clinical ophthalmology (Auckland, N.Z.) vol. 11 (2017): 1849-1857. doi: https://doi.org/10.2147/OPTH.S138668
Foo VHX, Tan SEM, Chen DZ, Perera SA, Sabayanagam C, Fenwick EK, Wong TT, Lamoureux EL. Areas and factors associated with patients' dissatisfaction with glaucoma care. Clin Ophthalmol. 2017 Oct 13;11:1849-1857. doi: 10.2147/OPTH.S138668. eCollection 2017. PMID: 29075097; PMCID: PMC5648314.
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Clin Ophthalmol. 2017 Oct 13;11:1849-1857. doi: 10.2147/OPTH.S138668. eCollection 2017.

Areas and factors associated with patients' dissatisfaction with glaucoma care.

Clinical ophthalmology (Auckland, N.Z.)

Valencia Hui Xian Foo, Sarah En Mei Tan, David Ziyou Chen, Shamira A Perera, Charumathi Sabayanagam, Eva Katie Fenwick, Tina T Wong, Ecosse L Lamoureux

Affiliations

  1. Singapore National Eye Centre, Singapore.
  2. Tan Tock Seng Hospital, Singapore.
  3. Department of Ophthalmology, National University of Singapore and National University Health System, Singapore.
  4. Singapore Eye Research Institute, Singapore National Eye Centre, Singapore.
  5. Centre for Quantitative Medicine, Duke-NUS Medical School, Singapore.
  6. Centre for Eye Research Australia, University of Melbourne, Melbourne, VIC, Australia.

PMID: 29075097 PMCID: PMC5648314 DOI: 10.2147/OPTH.S138668

Abstract

OBJECTIVE: The aim of this study was to evaluate patients' dissatisfaction with overall and specific aspects of a tertiary glaucoma service and to determine their independent factors, including intraocular pressure (IOP) and visual acuity (VA).

METHODS: Patients, aged ≥21 years, from a specialist glaucoma service in a tertiary eye hospital in Singapore for at least 6 months, were recruited for this cross-sectional study between March and June 2014. All consenting patients completed a 7-area glaucoma-specific satisfaction questionnaire and one item related to satisfaction with overall glaucoma care. We determined the top three areas of dissatisfaction and overall dissatisfaction with the glaucoma service. We also explored the independent factors associated with overall and specific areas of patients' dissatisfaction with their glaucoma care, including VA and IOP by using logistic regression models.

RESULTS: Of the 518 patients recruited, 438 (84.6%) patients completed the study. Patients' dissatisfaction with the overall glaucoma service was 7.5%. The three areas of glaucoma service with the highest dissatisfaction rates were as follows: 1) explanation of test results (24.8%); 2) explanation of glaucoma complications (23.7%); and 3) advice on managing glaucoma (23.5%). Patients who were dissatisfied with the overall service had a worse mean VA compared with satisfied patients (logarithm of the minimum angle of resolution =0.41±0.43 vs 0.27±0.49,

CONCLUSION: Although less than one tenth of glaucoma patients were dissatisfied with the overall glaucoma service, one in four patients were dissatisfied with three specific aspects of care. A lower IOP, ironically, and education level were associated with overall dissatisfaction. Improving patients' understanding of glaucoma test results, glaucoma complications, and disease management may increase patient satisfaction levels.

Keywords: attitude to health; perception; physician-patient relations; quality of health care; surveys and questionnaires

Conflict of interest statement

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

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