The influence of patient experience with healthcare on the health-related quality of life of people living with HIV: an observational cross-sectional survey
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The influence of patient experience with healthcare on the health-related quality of life of people living with HIV: an observational cross-sectional surveyAuthor(s)
Date
2019-07-09Citation
Fuster-RuizdeApodaca MJ, Sánchez-Vega N, Galindo MJ, Marín-Jimenez I, de Toro J, Orozco-Beltrán D, Cotarelo M, López JC. The influence of patient experience with healthcare on the health-related quality of life of people living with HIV: an observational cross-sectional survey. Infect Dis Ther. 2019 Sep;8(3):369-382.
Abstract
[Abstract]
Introduction
Patient experience is central to the quality of healthcare delivery, showing positive associations with several outcome measures. The main objectives of this study are to analyze the influence of patient experience on the health-related quality of life in people living with HIV and the role played by treatment complexity and clinical care.
Methods
We conducted a cross-sectional survey with 467 patients with HIV. We used the Instrument for Evaluation of the Experience of Chronic Patients and the Health-related Quality of Life Questionnaire (EQ-5D-5L). We analyzed a predictive model through the partial least squares (PLS) method.
Results
The patient self-management scores showed the highest positive relationship with the patient’s health-related quality of life (β = 0.24, β = 0.32, p < 0.0001). Patients’ treatment complexity had a negative influence on health-related quality of life (β = − 0.21, β = − 0.28, p < 0.0001). The complexity of clinical care had negative effects on health-related quality of life, both directly (β = − 0.37, β = − 0.19, p < 0.0001) and through its negative influence on the productive interactions with healthcare professionals (β = − 0.21, p < 0.0001) and patient self-management factors (β = − 0.21, p < 0.0001). The effects of patient experience dimensions on their health-related quality of life were higher in people living with HIV > 50 years old (p < 0.05).
Conclusions
Patient experience mainly influenced the health-related quality of life of older people living with HIV. The treatment and clinical care complexity played an important role in degrading the patients' experience and their quality of life. More integrated care would benefit the health-related quality of life of people living with HIV.
Keywords
Health-related quality of life
HIV
Patient experience
HIV
Patient experience
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Rights
Creative Commons Attribution-NonCommercial 4.0 International License (CC-BY-NC 4.0)
ISSN
2193-6382
2193-8229
2193-8229