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- Title
Patient Experience of Integrated Care: Findings from a Cross-Sectional Study Involving People with Rheumatic and Musculoskeletal Diseases.
- Authors
SPEZIA, NICOLA; BARELLO, SERENA; TORRI, CHIARA; CELANO, ANTONELLA; GRAFFIGNA, GUENDALINA
- Abstract
Introduction: Although the patient experience of integrated care has been documented for several chronic conditions, little is known in the context of rheumatic and musculoskeletal diseases (RMDs). This study provides a first overview of the patient experience of integrated care according to the perspective of people living with RMDs in Italy. Methods: A cross-sectional survey was administered to 433 participants who reported their experiences together with the importance assigned to different attributes of integrated care. Explorative factor analysis (EFA) and non-parametric ANOVA and ANCOVA statistical tests were employed to account for the differences in the answers provided by sample subgroups. Results: Two factors (namely, “Person-centred care” and “Health service delivery”) were extracted in the EFA. Participants attributed high importance to both of them. Overall positive experiences were reported only for Person-centred care. The delivery of health services instead received a poor evaluation. Significantly worse experiences were observed for women and people that were either older, unemployed, with comorbidities or lower self-reported health, or less engaged in their healthcare management. Conclusions: Italians with RMDs described integrated care as an important approach to care. However, further effort is needed to allow them to perceive an actual benefit from integrated care practices. Specific attention should be paid to disadvantaged and/or frail population groups.
- Subjects
ITALY; RHEUMATISM treatment; MUSCULOSKELETAL system diseases; NONPARAMETRIC statistics; ANALYSIS of variance; CROSS-sectional method; PATIENT-centered care; MEDICAL care; PATIENTS' attitudes; SURVEYS; FACTOR analysis; ANALYSIS of covariance; DESCRIPTIVE statistics; QUESTIONNAIRES; SCALE analysis (Psychology); INTEGRATED health care delivery; PATIENT care; DATA analysis software
- Publication
International Journal of Integrated Care (IJIC), 2023, Vol 23, Issue 2, p1
- ISSN
1568-4156
- Publication type
Article
- DOI
10.5334/ijic.6616