Patient Prefer Adher
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Patient Prefer Adher · Jan 2019
Preferences for cervical cancer screening service attributes in rural China: a discrete choice experiment.
Objectives: Compared with other cancers, screening for cervical cancer is highly cost-effective. However, due to limited awareness about cervical cancer and many other factors, women's attendance rate in rural China for cervical cancer screening remains low. This study aimed to determine women's preferences for cervical cancer screening, to help enhance screening uptake. ⋯ Among the presented attributes, the pain associated with the process of screening was of the least concern. Conclusions: All six attributes in our study were found to have a large influence on the preference for cervical cancer screening, and significant preference heterogeneity existed among participants. The findings indicate that the maintenance of a free screening program is essential to increasing screening uptake in this vulnerable population.
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Chronic respiratory diseases such as asthma and COPD are typically managed by daily inhaled medication. However, the efficacy of an inhaled medication depends upon a patient's adherence to therapy, which refers to whether the medication is actually taken as prescribed. ⋯ The purpose of this integrative review is to present the individual patient factors that contribute to suboptimal adherence to inhaled therapies and the associated effects on health outcomes, while also highlighting evidence-based strategies for health care providers to improve adherence to such therapies in patients with asthma or COPD. Working closely with patients to establish a model of shared decision-making, which takes patient beliefs and preferences into account when choosing treatment options, has the potential to improve adherence and overall patient outcomes in the management of asthma and COPD.
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Patient Prefer Adher · Jan 2019
Engaging patients and informal caregivers to improve safety and facilitate person- and family-centered care during transitions from hospital to home - a qualitative descriptive study.
Purpose: The purpose was to describe patients and informal caregivers' perspectives on how to improve and monitor care during transitions from hospital to home as part of a larger research study to prioritize the components that most influence the development of successful care transition interventions. Methods: We conducted a qualitative descriptive study between July and August 2016, during which time semi-structured telephone interviews (n=8) were completed with patients and informal caregivers across select Canadian provinces. Interviews were audio-recorded, transcribed and thematically analyzed. ⋯ Participants also provided suggestions on how to best monitor care transitions. Conclusion: This study highlighted the following strategies with patients and informal caregivers: focus on effective communication regarding important information; provide appropriate resources; and increase involvement. Future research is needed to incorporate the input from patients and informal caregivers into the design and implementation of care transition interventions.
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Patient Prefer Adher · Jan 2019
Study On Potential Factors Of Patient Satisfaction: Based On Exploratory Factor Analysis.
To explore the potential common factors of patient satisfaction and the influencing factor of it. ⋯ Three potential factors can well explain patients' demands for the quality, price and convenience of medical services. According to social-demographic characteristics, people of different groups have different concerns. Medical reform departments should adjust policies according to the actual situation and promote the medical reform process.
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Patient Prefer Adher · Jan 2019
Medication Adherence In Patients With Arterial Hypertension: The Relationship With Healthcare Systems' Organizational Factors.
Arterial hypertension is one of the most common diseases in the world, presenting a great impact on global mortality. Despite having good medication, the best control depends on patient's adherence. Our aim is to characterize the relationship of adherence to medication in hypertensive patients with consultation length and other organizational factors of healthcare systems. ⋯ The better the drugs, the better the control of blood pressure, if patients take them. Rather than investing in the prescription of more drugs, it is important to address non-adherence and reduce it to promote better blood pressure control. Organizational factors are relevant constraints and depend on administrative and political decisions. Although they are not always considered, they greatly impact the adherence to medication.