Patient satisfaction with primary care: an observational study comparing anthroposophic and conventional care
| العنوان: | Patient satisfaction with primary care: an observational study comparing anthroposophic and conventional care |
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| المؤلفون: | Barbara M Esch, André Busato, Peter Heusser, Florica Marian |
| المصدر: | Health and Quality of Life Outcomes, Vol 6, Iss 1, p 74 (2008) Health and Quality of Life Outcomes Esch, Barbara M; Marian, Florica; Busato, André; Heusser, Peter (2008). Patient satisfaction with primary care: an observational study comparing anthroposophic and conventional care. Health and quality of life outcomes, 6, p. 74. London: BioMed Central 10.1186/1477-7525-6-74 <http://dx.doi.org/10.1186/1477-7525-6-74Test> |
| بيانات النشر: | BMC, 2008. |
| سنة النشر: | 2008 |
| مصطلحات موضوعية: | Adult, Male, medicine.medical_specialty, Adolescent, Attitude of Health Personnel, medicine.medical_treatment, Health Status, Anthroposophy, Primary care, Holistic Health, lcsh:Computer applications to medicine. Medical informatics, Young Adult, Patient satisfaction, Quality of life, Anthroposophic medicine, Rating scale, Internal medicine, Surveys and Questionnaires, medicine, Humans, Practice Patterns, Physicians', Adverse effect, Physician-Patient Relations, Primary Health Care, business.industry, Communication, Research, Public Health, Environmental and Occupational Health, General Medicine, Middle Aged, Cross-Sectional Studies, Outcome and Process Assessment, Health Care, Patient Satisfaction, Emergency medicine, Quality of Life, lcsh:R858-859.7, Observational study, Female, Health Expenditures, business, Complementary medicine, Family Practice, Switzerland |
| الوصف: | Background This study is part of a cross-sectional evaluation of complementary medicine providers in primary care in Switzerland. It compares patient satisfaction with anthroposophic medicine (AM) and conventional medicine (CON). Methods We collected baseline data on structural characteristics of the physicians and their practices and health status and demographics of the patients. Four weeks later patients assessed their satisfaction with the received treatment (five items, four point rating scale) and evaluated the praxis care (validated 23-item questionnaire, five point rating scale). 1946 adult patients of 71 CON and 32 AM primary care physicians participated. Results 1. Baseline characteristics: AM patients were more likely female (75.6% vs. 59.0%, p < 0.001) and had higher education (38.6% vs. 24.7%, p < 0.001). They suffered more often from chronic illnesses (52.8% vs. 46.2%, p = 0.015) and cancer (7.4% vs. 1.1%). AM consultations lasted on average 23,3 minutes (CON: 16,8 minutes, p < 0.001). 2. Satisfaction: More AM patients expressed a general treatment satisfaction (56.1% vs. 43.4%, p < 0.001) and saw their expectations completely fulfilled at follow-up (38.7% vs. 32.6%, p < 0.001). AM patients reported significantly fewer adverse side effects (9.3% vs. 15.4%, p = 0.003), and more other positive effects from treatment (31.7% vs. 17.1%, p < 0.001). Europep: AM patients appreciated that their physicians listened to them (80.0% vs. 67.1%, p < 0.001), spent more time (76.5% vs. 61.7%, p < 0.001), had more interest in their personal situation (74.6% vs. 60.3%, p < 0.001), involved them more in decisions about their medical care (67.8% vs. 58.4%, p = 0.022), and made it easy to tell the physician about their problems (71.6% vs. 62.9%, p = 0.023). AM patients gave significantly better rating as to information and support (in 3 of 4 items p [less than or equal to] 0.044) and for thoroughness (70.4% vs. 56.5%, p < 0.001). Conclusion AM patients were significantly more satisfied and rated their physicians as valuable partners in the treatment. This suggests that subject to certain limitations, AM therapy may be beneficial in primary care. To confirm this, more detailed qualitative studies would be necessary. |
| وصف الملف: | application/pdf |
| اللغة: | English |
| تدمد: | 1477-7525 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::a72674fffbae45ae8a623ae3dee7a89dTest http://www.hqlo.com/content/6/1/74Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....a72674fffbae45ae8a623ae3dee7a89d |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 14777525 |
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