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dc.contributor.authorFuster-RuizdeApodaca, María J.
dc.contributor.authorSánchez-Vega, Nuria
dc.contributor.authorGalindo, María J.
dc.contributor.authorMarín-Jimenez, Ignacio
dc.contributor.authorDe-Toro, Javier
dc.contributor.authorOrozco-Beltrán, Domingo
dc.contributor.authorCotarelo, Manuel
dc.contributor.authorLópez, Juan Carlos
dc.date.accessioned2020-06-18T10:38:21Z
dc.date.available2020-06-18T10:38:21Z
dc.date.issued2019-07-09
dc.identifier.citationFuster-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.es_ES
dc.identifier.issn2193-6382
dc.identifier.issn2193-8229
dc.identifier.urihttp://hdl.handle.net/2183/25740
dc.description.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.es_ES
dc.language.isoenges_ES
dc.publisherSpringer Naturees_ES
dc.relation.urihttps://doi.org/10.1007/s40121-019-0252-3es_ES
dc.rightsCreative Commons Attribution-NonCommercial 4.0 International License (CC-BY-NC 4.0)es_ES
dc.rights.urihttp://creativecommons.org/licenses/by-nc/4.0/*
dc.subjectHealth-related quality of lifees_ES
dc.subjectHIVes_ES
dc.subjectPatient experiencees_ES
dc.titleThe influence of patient experience with healthcare on the health-related quality of life of people living with HIV: an observational cross-sectional surveyes_ES
dc.typeinfo:eu-repo/semantics/articlees_ES
dc.rights.accessinfo:eu-repo/semantics/openAccesses_ES
UDC.journalTitleInfectious Diseases and Therapyes_ES
UDC.volume8es_ES
UDC.startPage369es_ES
UDC.endPage382es_ES


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