Questionnaire Survey From the Viewpoint of Concordance in Patient and Physician Satisfaction Concerning Hypertensive Treatment in Elderly Patients - Patients Voice Study
Questionnaire Survey From the Viewpoint of Concordance in Patient and Physician Satisfaction Concerning Hypertensive Treatment in Elderly Patients - Patients Voice Study
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DOI：
10.1253/circj.cj-17-1015
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发表时间：
2018-04-01
影响因子：
3.3
通讯作者：
Ohishi, Mitsuru
中科院分区：
文献类型：
--
作者：
Ikeda, Yoshiyuki;Sasaki, Takeshi;Ohishi, Mitsuru
背景：在老年高血压（HT）患者的治疗中，患者与医生的一致性是一个重要的问题。考虑一致性的治疗对于患者和医生之间的相互理解和治疗满意度是必要的。然而，还没有研究解决一致性，客观地分析了患者和医生的满意度之前和之后treatment.Methods和结果：一个探索性的开放标签，多中心，干预研究进行。入选接受血管紧张素受体阻滞剂（ARB）或钙通道阻滞剂（CCB）单药治疗的HT患者。药物转换为ARB/CCB复方片剂，并服用12周。医生和病人参加了关于治疗的满意度调查。在基线时，发现患者和医生对以下调查项目的满意度存在差异：治疗、参与治疗、对HT的理解、依赖、药物治疗和血压。治疗后，患者和医生的满意度水平增加;组间的满意度差异也improved.Conclusions：患者的满意率相对较高，与医生在基线。在HT治疗解决一致性后，患者和医生的满意度以及患者和医生之间满意度的差距都有所改善。这表明寻址一致性在老年HT患者的治疗中具有临床意义。（UMIN000017270）
Background: Patient-physician concordance is an important concern in the treatment of elderly patients with hypertension (HT). Treatment that considers concordance is necessary for mutual understanding and therapeutic satisfaction between patients and physicians. However, there have been no studies addressing concordance that objectively analyzed both patient and physician satisfaction before and after treatment.Methods and Results: An exploratory open-label, multicenter, intervention study was conducted. Patients with HT undergoing treatment with angiotensin-receptor blocker (ARB) or a calcium-channel blocker (CCB) monotherapy were enrolled. Medication was switched to an ARB/CCB combination tablet and taken for 12 weeks. Physicians and patients participated in satisfaction surveys concerning treatment. Discrepancies in satisfaction levels between patients and physicians were found at baseline for the following survey items: treatment, involvement in treatment, understanding of HT, reliance, medication, and blood pressure. After treatment, the satisfaction levels of both patients and physicians increased; discrepancies in satisfaction between the groups also improved.Conclusions: The rates of satisfaction were relatively higher for patients compared with physicians at baseline. After HT treatment addressing concordance, both patient and physician satisfaction rates and the gap in satisfaction rates between patients and physicians improved. This indicates that addressing concordance has clinical significance in the treatment of elderly HT patients. (UMIN000017270)