ArticleHealth and quality of life outcomes2003
Unmet health needs in patients with coronary heart disease: implications and potential for improvement in caring services.
Article in Health and quality of life outcomes, 2003. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
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Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Health-related quality of life in coronary heart disease: a systematic review and meta-analysis mapped against the International Classification of Functioning, Disability and Health.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2018Pooled it
- Assistive Robotic Arm to Support Activities of Daily Living in Individuals With Tetraplegia: Protocol for a Real-World Convergent Parallel Mixed Methods Feasibility Study.JMIR research protocols · 2026Article
- Self-Care and Compliance with Medication and Their Relationship to the Quality of Life of Patients with Heart Failure.Advances in experimental medicine and biology · 2023Article
- Unmet needs of the oldest old primary care patients with common somatic and psychiatric disorders-A psychometric evaluation.International journal of methods in psychiatric research · 2021Article
- Demand for weekend outpatient chemotherapy among patients with cancer in Japan.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2021Article
- Article
- Prioritizing the perceived equity of the residents to construct an equitable health care system: evidence from a national cross-sectional study in China.BMC health services research · 2020Article
- Planning Health Services for Seniors: Can We Use Patient's Own Perception?Canadian geriatrics journal : CGJ · 2017Article
- Health-related quality of life and unmet healthcare needs in Huntington's disease.Health and quality of life outcomes · 2017Article
- Article
- Correlation Between the Type of Acute Coronary Syndrome With the Needs of Hospitalized Patients.Global journal of health science · 2015Article
- Association Between Characteristics of Hospitalized Heart Failure Patients With Their Needs.Global journal of health science · 2015Article
- Patients' needs, satisfaction, and health related quality of life: towards a comprehensive model.Health and quality of life outcomes · 2004Review
- Patients' satisfaction and quality of life in coronary artery disease.Health and quality of life outcomes · 2003Article
- Is quality of life measurement likely to be a proxy for health needs assessment in patients with coronary artery disease?Health and quality of life outcomes · 2003Article
- Need for redefining needs.Health and quality of life outcomes · 2003Article
Corrections and comments
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Authors and funding
3 authors.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundImproving the quality of health care services requires tailoring facilities to fulfil patients' needs. Satisfying patients' healthcare needs, listening to patients' opinions and building a closer provider-user partnership are central to the NHS. Few published studies have discussed cardiovascular patients' health needs, but they are not comprehensive and fail to explore the contribution of outcome to needs assessment.
methodA comprehensive self-administered health needs assessment (HNA) questionnaire was developed for concomitant use with generic (Short Form-12 and EuroQOL) and specific (Seattle Angina Questionnaire) health-related quality of life (HRQL) instruments on 242 patients admitted to the Acute Cardiac Unit, Nottingham.
results38% reported difficulty accessing health facilities, 56% due to transport and 32% required a travelling companion. Mean HRQOL scores were lower in those living alone (P < 0.05) or who reported unsatisfactory accommodation. Dissatisfaction with transport affected patients' ease of access to healthcare facilities (P < 0.001). Younger patients (<65 y) were more likely to be socially isolated (P = 0.01). Women and patients with chronic disease were more likely to be concerned about housework (P < 0.05). Over 65 s (p < 0.05) of higher social classes (p < 0.01) and greater physical needs (p < 0.001) had more social needs, correlating moderately (0.32 < r < 0.63) with all HRQL domains except SAQ-AS. Several HRQL components were highly correlated with the HNA physical score (p < 0.001).
conclusionsPatients wanted more social (suitable accommodation, companionship, social visits) and physical (help aids, access to healthcare services, house work) support. The construct validity and intra-class reliability of the HNA tool were confirmed. Our results indicate a gap between patients' health needs and available services, highlighting potential areas for improvement in the quality of services.
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