ArticleBMJ open2018
Socioeconomic differences in experiences with treatment of coronary heart disease: a qualitative study from the perspective of elderly patients.
Article in BMJ open, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 3 of them syntheses that pooled it.
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Who cites it
16 citing papers in PubMed, 3 syntheses or guidelines pooled it, 32 citations in OpenAlex.
- Experiences and challenges of acute coronary syndrome patients in care provision: a qualitative systematic review.Systematic reviews · 2024Pooled it
- Pooled it
- Socioeconomic inequalities in primary-care and specialist physician visits: a systematic review.International journal for equity in health · 2021Pooled it
- Bridging inequity gaps in healthcare through tailored support: implementation perspectives of the Social Health Bridge-Building Programme.BMC health services research · 2025Article
- Impact of socioeconomic status on utilisation of a Virtual Emergency Department: An exploratory analysis.Emergency medicine Australasia : EMA · 2025Article
- Factors Impacting Patient Satisfaction at a Single Academic Sports Medicine Institution.Cureus · 2025Article
- Barriers and facilitators of exercise behaviour for frail older adults in nursing homes: protocol for a qualitative study in China.BMJ open sport & exercise medicine · 2025Article
- Patient engagement in radiation oncology: a large retrospective study of survey response dynamics.Frontiers in oncology · 2024Article
- Bridging Inequity Gaps in Healthcare Systems While Educating Future Healthcare Professionals-The Social Health Bridge-Building Programme.International journal of environmental research and public health · 2023Article
- Association between Education Attainment and Guideline-Directed Medication Therapy in Patients with Heart Failure and Reduced Ejection Fraction.Journal of clinical medicine · 2022Article
- Impact of Patient Unawareness and Socioeconomic Factors on Patient Presentation to Primary Percutaneous Coronary Intervention.Arquivos brasileiros de cardiologia · 2022Article
- Cross-sectional analysis of educational inequalities in primary prevention statin use in UK Biobank.Heart (British Cardiac Society) · 2022Article
- Cardiovascular risk and metabolic profile of Polish citizens from Lower Silesia. First signs of metabolic crisis?Archives of medical science : AMS · 2022Article
- Evaluating the impact of social deprivation on Press Ganey® Outpatient Medical Practice Survey Scores.Health and quality of life outcomes · 2021Article
- Attitudes Toward Health, Healthcare, and eHealth of People With a Low Socioeconomic Status: A Community-Based Participatory Approach.Frontiers in digital health · 2021Article
- Application Effect of Meticulous Nursing on Community Elderly Patients with Coronary Heart Disease under the Background of Medical Treatment Partnerships.Journal of healthcare engineering · 2021Article
Corrections and comments
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesThis qualitative study aims to analyse socioeconomic differences in patients' experiences along the treatment pathway for coronary heart disease (CHD).
designA longitudinal qualitative study using in-depth semistructured interviews to explore patients' experiences with treatment was conducted. We analysed the transcripts of the records according to qualitative content analysis and identified differences between patients with lower and higher socioeconomic status (SES) by comparing and contrasting the narratives.
settingThe University Hospital in Halle (Saale), Germany.
participants41 elderly patients (aged 59-80 years) who suffered from CHD.
resultsFrom various patient's experiences along the pathway of care which were found to differ according to SES we derived three major themes: (1) information: patients with higher SES had greater knowledge about treatment and could use medical records as sources of information; (2) illness perception: patients with lower SES focused on improving symptoms and survival, while patients with higher SES focused on physical performance and disease management; and (3) perceived role in healthcare: patients with lower SES tended to delegate responsibility to healthcare professionals.
conclusionsDifferences in the patient's knowledge about treatment, their perceived role in healthcare and illness perception can be the factors and mechanisms that contribute to explain socioeconomic inequalities in the treatment of CHD. These factors should be considered in quantitative studies to better understand the disparities in treatment and mortality. We suggest that improving patient-physician communication and patient knowledge can change the patient's understanding of CHD and their perceived role in healthcare and reduce inequalities in CHD treatment. TRIAL REGISTRATION NUMBER: DRKS00007839.
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