Background Interest in patient satisfaction with medical care increased in the last few years and it can be due to numerous factors, including concerns over health care cost, heightened awareness of the influence of psychosocial factors in the process and outcome of medical care . A group of researchers have shown that patient dissatisfaction with health care has been related to patient non-compliance with medical treatment, discontinuation of care and frequent changing of health care providers . We found a few publications related to the satisfaction in patients with systemic lupus erythematosus (SLE), but is not clear how the disease activity is related to the patient satisfaction.
Objectives To assess the relationship between patient satisfaction with medical care and disease activity among patients with systemic lupus erythematosus.
Methods Using a cross-sectional design, patients who fulfiled the SLICC classification criteria for SLE were recruited from rheumatology departement. Data collection included demographics, disease duration, phisician-rated indices of disease activity (SLAM), damage (SLICC DI) and patient-completed satisfaction questionaire (PSQ III) .
Results The study included 106 patients (97 women, 9 mens) with a mean age (±SD) of 41,1±12,6 yr, mean disease duration of 90,0±87,2 months. The disease activity by SLAM was 11±5,17 points and mean SLICC/ACR DI 1,9±2,4 points. Multiple regression analysis revealed that the only determinant for a reduction in general patient satisfaction with medical care was the disease activity by SLAM (r=-0,4, p<0,05). Also, financial aspects of care correlated inversely with higher disease activity and age of patients with SLE (r=-0,4, p<0,05). The other variables included in the regression model seem not to have an impact on satisfaction with medical care.
Conclusions The disease activity was predictive for patient dissatisfaction with medical care among SLE patients. Higher disease activity and older age were associeted with financial aspect of medical service.
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Disclosure of Interest None declared