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Investigating Cardiac Patients' Reported Outcomes and Experiences Within the Greek Health System:Results from the VIP
Olga Siskou1,2, Petros Galanis1, Olympia Konstantakopoulou1
1National and Kapodistrian University of Athens, Greece.
Insights
Cardiac patients reported positive care experiences but lacked information on psychosocial impacts. Enhanced patient education and healthcare coordination are crucial for improving quality of life after heart conditions.
Area of Science:
- Cardiology
- Health Services Research
- Patient Experience
Background:
- Cardiac patients, including those with Acute Myocardial Infarction (AMI) and Transcatheter Aortic Valve Implantation (TAVI), often face psychosocial challenges.
- Assessing patient-reported experiences and quality of life is vital for optimizing cardiac care pathways.
Purpose of the Study:
- To evaluate the quality of care and quality of life for cardiac patients (AMI and TAVI) in Greece.
- To identify areas for improvement in patient information and healthcare coordination.
Main Methods:
- Prospective study involving 912 cardiac patients (AMI and TAVI) across four tertiary hospitals.
- Utilized the Heart-QoL score and Danish Heart PREMs instrument for data collection at discharge, 6, and 12 months post-discharge.
Main Results:
- Patients reported generally positive experiences with care, but significant limitations were noted in information regarding the psychosocial impact of cardiac conditions.
- Heart-QoL scores improved from discharge to 12 months for AMI patients, and from discharge to 6 months for TAVI patients.
- Specific deficits were identified in patient-reported experiences concerning information on psychosocial effects and healthcare organization.
Conclusions:
- Cardiac patients require more comprehensive information on the psychosocial consequences of their conditions.
- Improved coordination of healthcare services is essential to enhance the overall patient journey and well-being.
Abstract:
This prospective study was conducted in four public tertiary hospitals in Greece. Consecutive cardiac patients (AMI or TAVI) (n=912) were registered and followed up at the point of discharge six months and 12 months after discharge. In case of AMI patients [N=610, mean age=63 (SD=11.8), 78.8% men, 48.8% STEMI], the Heart-QoL score was found 2.33 (SD=0.5) at the point of discharge, 2.61 (SD=0.31) six months after discharge and 2.68 (SD=0.3) twelve months after discharge. In case of TAVI patients [N=302, mean age=81 (SD=5), 50.7% men], the Heart-QoL score was found 1.54 (SD=0.38) at the point of discharge and 2.02 (SD=0.46) six months after discharge. Based on the results of the Danish Heart PREMs instrument (0-3), the majority of patients stated positive experiences during the cycle of care. However, positive experiences regarding the information they received about the psychosocial impact of cardiac issues on their lives (mean and organization (mean 1.03, SD =0.33 for AMI and 1.1, SD=0.35 for TAVI patients), were significantly limited. Results underline the necessity for in depth information of cardiac patients about the psychosocial effects of the disease on their lives and more effective coordination of healthcare.
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