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Concordance between elderly patients' understanding of and their primary healthcare physician's diagnosis of heart failure

Halling, Anders LU and Berglund, Johan LU (2006) In Scandinavian Journal of Primary Health Care 24(2). p.110-114
Abstract
Objective. The objective was to study primary healthcare patients' understanding of their diagnosis of heart failure (HF), using patients treated for diabetes mellitus (DM) as a comparative group. Design. A cross-sectional community based study. Setting. Karlskrona community situated on the Swedish south-east coast with 60 600 inhabitants. Subjects. A total of 1402 subjects, aged 60 - 96 years in 10 age cohorts, selected randomly from the national population registry participating in the Swedish National study on Ageing and Care - Blekinge. Main outcome measures. Understanding of diagnosis of HF or DM in primary healthcare. Prevalence of cognitive impairment. Results. In all, 39.8% of patients with a diagnosis of HF treated in primary... (More)
Objective. The objective was to study primary healthcare patients' understanding of their diagnosis of heart failure (HF), using patients treated for diabetes mellitus (DM) as a comparative group. Design. A cross-sectional community based study. Setting. Karlskrona community situated on the Swedish south-east coast with 60 600 inhabitants. Subjects. A total of 1402 subjects, aged 60 - 96 years in 10 age cohorts, selected randomly from the national population registry participating in the Swedish National study on Ageing and Care - Blekinge. Main outcome measures. Understanding of diagnosis of HF or DM in primary healthcare. Prevalence of cognitive impairment. Results. In all, 39.8% of patients with a diagnosis of HF treated in primary healthcare and 97.1% of patients with DM had an understanding of their respective diagnosis. Cognitive impairment was significantly more prevalent in the groups of patients treated for HF ( OR 1.9, 95% CI 1.2 to 3.0) and DM ( OR 1.8, 95% CI 1.1 to 3.1), when compared with those not treated for either HF or DM. The odds ratio for understanding of diagnosis was 0.013 ( 95% CI 0.003 to 0.052, p< 0.001) in patients treated for HF, compared with patients treated for DM, when adjusted for the subject's age, sex, and cognitive function. Conclusion. In this study it was shown that patients' understanding of their diagnosis was highly dependent on diagnosis, independently of age, sex, or cognitive function. The results suggest that there is room for improvement of care in primary healthcare, to increase HF patients' understanding of their diagnosis. (Less)
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author
and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
healthcare, primary, heart failure, cognitive impairment, diabetes mellitus
in
Scandinavian Journal of Primary Health Care
volume
24
issue
2
pages
110 - 114
publisher
Taylor & Francis
external identifiers
  • wos:000237470000010
  • pmid:16690560
  • scopus:33646765366
ISSN
0281-3432
DOI
10.1080/02813430500428919
language
English
LU publication?
yes
id
65253001-b306-409f-a6e1-89467efecfb7 (old id 409948)
date added to LUP
2016-04-01 12:20:38
date last changed
2021-03-09 04:43:15
@article{65253001-b306-409f-a6e1-89467efecfb7,
  abstract     = {Objective. The objective was to study primary healthcare patients' understanding of their diagnosis of heart failure (HF), using patients treated for diabetes mellitus (DM) as a comparative group. Design. A cross-sectional community based study. Setting. Karlskrona community situated on the Swedish south-east coast with 60 600 inhabitants. Subjects. A total of 1402 subjects, aged 60 - 96 years in 10 age cohorts, selected randomly from the national population registry participating in the Swedish National study on Ageing and Care - Blekinge. Main outcome measures. Understanding of diagnosis of HF or DM in primary healthcare. Prevalence of cognitive impairment. Results. In all, 39.8% of patients with a diagnosis of HF treated in primary healthcare and 97.1% of patients with DM had an understanding of their respective diagnosis. Cognitive impairment was significantly more prevalent in the groups of patients treated for HF ( OR 1.9, 95% CI 1.2 to 3.0) and DM ( OR 1.8, 95% CI 1.1 to 3.1), when compared with those not treated for either HF or DM. The odds ratio for understanding of diagnosis was 0.013 ( 95% CI 0.003 to 0.052, p&lt; 0.001) in patients treated for HF, compared with patients treated for DM, when adjusted for the subject's age, sex, and cognitive function. Conclusion. In this study it was shown that patients' understanding of their diagnosis was highly dependent on diagnosis, independently of age, sex, or cognitive function. The results suggest that there is room for improvement of care in primary healthcare, to increase HF patients' understanding of their diagnosis.},
  author       = {Halling, Anders and Berglund, Johan},
  issn         = {0281-3432},
  language     = {eng},
  number       = {2},
  pages        = {110--114},
  publisher    = {Taylor & Francis},
  series       = {Scandinavian Journal of Primary Health Care},
  title        = {Concordance between elderly patients' understanding of and their primary healthcare physician's diagnosis of heart failure},
  url          = {http://dx.doi.org/10.1080/02813430500428919},
  doi          = {10.1080/02813430500428919},
  volume       = {24},
  year         = {2006},
}