Percutaneous Coronary Intervention: Urban and Rural Patients' Experience With Care and Treatment During the Hospital
Anette Krane1,2, Knut Tore Lappegård2,3, Gunn Pettersen1
1Department of Health and Care Sciences, Faculty of Health Sciences, UiT-The Arctic University of Norway, Tromsø, Norway.
None:
Geographical differences exist in patients being offered percutaneous coronary intervention (PCI). Whether such differences are also present in patient experiences with hospital care and treatment is not well-known. This study assesses urban and rural differences in patient-reported experiences with hospital stays, and factors related to satisfaction with care and experienced treatment benefits. A prospective observational study was conducted with patients undergoing PCI (n = 479) who responded to a standardized questionnaire at discharge and after 3 months. Urban and rural grouping was based on travel time by road to PCI-hospitals (less than or ≥1 h). There were no significant geographical differences in patient-reported experiences. Patients reported the lowest scores on information about postdischarge ailments and relapse management, involvement in treatment decisions, and collaboration between the hospital and general practitioner. Healthcare personnel competency, organization, information, admission type, delayed/incorrect diagnosis, among others, predicted satisfaction with care and perceived treatment benefits. These findings offer insight into patient perspectives, areas of improvement in specialized healthcare, and further research on follow-up and collaboration following PCI, all of which are important in ensuring equal and accessible healthcare services within large PCI-hospital catchment areas.
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