Healthcare system inputs and patient-reported outcomes: a study in adults with congenital heart defect from 15 countries

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Healthcare system inputs and patient-reported outcomes : a study in adults with congenital heart defect from 15 countries

Van Bulck, Liesbet (författare): KU Leuven Department of Public Health and Primary Care, KU Leuven - University of Leuven, Kapucijnenvoer 35, Box 7001, B-3000, Leuven, Belgium (BEL); Research Foundation Flanders (FWO), Brussels, Belgium (BEL)

Goossens, Eva (författare): KU Leuven Department of Public Health and Primary Care, KU Leuven - University of Leuven, Kapucijnenvoer 35, Box 7001, B-3000, Leuven, Belgium (BEL); Research Foundation Flanders (FWO), Brussels, Belgium; University of Antwerp,Division of Nursing and Midwifery, Faculty of Medicine and Health Sciences, Centre for Research and Innovation in Care, Antwerp, Belgium (BEL)

Luyckx, Koen (författare): KU Leuven - University of Leuven, School Psychology and Child and Adolescent Development,Leuven, Belgium (BEL); University of the Free State, UNIBS, Bloemfontein, South Africa (ZAF)

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Apers, Silke (författare): KU Leuven - University of Leuven, KU Leuven Department of Public Health and Primary Care, Leuven, Belgium (BEL)

Oechslin, Erwin (författare): Toronto Congenital Cardiac Centre for Adults, Peter Munk Cardiac Centre, University Health Network, University of Toronto, Toronto, Canada (CAN)

Thomet, Corina (författare): University of Bern, Center for Congenital Heart Disease, Inselspital - Bern University Hospital, Bern, Switzerland (CHE)

Budts, Werner (författare): Division of Congenital and Structural Cardiology, University Hospitals Leuven, Leuven, Belgium (BEL); KU Leuven - University of Leuven, KU Leuven Department of Cardiovascular Sciences, Leuven, Belgium (BEL)

Enomoto, Junko (författare): Department of Adult Congenital Heart Disease, Chiba Cardiovascular Center, Chiba, Japan (JPN)

Sluman, Maayke A (författare): Department of Cardiology, Academic Medical Center, Amsterdam, the Netherlands (NLD)

Lu, Chun-Wei (författare): National Taiwan University Children’s Hospital, Adult Congenital Heart Center, Taiwan (TWN)

Jackson, Jamie L (författare): Center for Biobehavioral Health, Nationwide Children's Hospital, Columbus, OH, USA (USA)

Khairy, Paul (författare): Université de Montréal, Adult Congenital Heart Center, Montreal Heart Institute, Montreal, Canada (CAN)

Cook, Stephen C (författare): Adult Congenital Heart Disease Center, Helen DeVos Children's Hospital, Grand Rapids, MI, USA (USA)

Chidambarathanu, Shanthi (författare): Pediatric Cardiology, Frontier Lifeline Hospital (Dr. K. M. Cherian Heart Foundation), Chennai, India (IND)

Alday, Luis (författare): Division of Cardiology, Hospital de Niños, Córdoba, Argentina (ARG)

Eriksen, Katrine (författare): Department of Cardiology, Oslo University Hospital - Rikshospitalet, Oslo, Norway (NOR)

Dellborg, Mikael, 1954 (författare): Gothenburg University,Göteborgs universitet,Institutionen för medicin,Centrum för personcentrerad vård vid Göteborgs universitet (GPCC),Institute of Medicine,University of Gothenburg Centre for person-centred care (GPCC)

Berghammer, Malin, 1970- (författare): Gothenburg University,Göteborgs universitet,Högskolan Väst,Avdelningen för omvårdnad - avancerad nivå,University of Gothenburg, Centre for Person-Centred Care (GPCC), Gothenburg, Sweden,Centrum för personcentrerad vård vid Göteborgs universitet (GPCC),Institutionen för vårdvetenskap och hälsa,University of Gothenburg Centre for person-centred care (GPCC),Institute of Health and Care Sciences

Johansson, Bengt (författare): Umeå universitet,Kardiologi,Umeå University, Department of Public Health and Clinical Medicine, Umeå, Sweden

Mackie, Andrew S (författare): University of Alberta, Division of Cardiology, Stollery Children's Hospital, Edmonton, Canada (CAN)

Menahem, Samuel (författare): Monash University, Monash Heart, Monash Medical Centre, Melbourne, Australia (AUS)

Caruana, Maryanne (författare): Department of Cardiology, Mater Dei Hospital, Birkirkara Bypass, Malta (MLT)

Veldtman, Gruschen (författare): Adult Congenital Heart Disease Center, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA (USA)

Soufi, Alexandra (författare): Department of Congenital Heart Disease, Louis Pradel Hospital, Hospices civils de Lyon, Lyon, France (FRA)

Fernandes, Susan M (författare): Adult Congenital Heart Program at Stanford, Lucile Packard Children’s Hospital and Stanford Health Care, USA (USA)

White, Kamila S (författare): Washington University, Adult Congenital Heart Disease Center ; University of Missouri, Barnes Jewish Heart & Vascular Center, Saint Louis, Missouri USA (USA)

Callus, Edward (författare): Clinical Psychology Service, IRCCS Policlinico San Donato, Milan, Italy (ITA); Università degli Studi di Milano, Department of Biomedical Sciences for Health, Milan, Italy (ITA)

Kutty, Shelby (författare): University of Nebraska Medical Center, Adult Congenital Heart Disease Center, Children's Hospital and Medical Center, Omaha, NE, USA (USA)

Moons, Philip, 1968 (författare): Gothenburg University,Göteborgs universitet,Centrum för personcentrerad vård vid Göteborgs universitet (GPCC),Institutionen för vårdvetenskap och hälsa,University of Gothenburg Centre for person-centred care (GPCC),Institute of Health and Care Sciences

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2020-06-03
2020
Engelska.
Ingår i: BMC Health Services Research. - : Springer Science and Business Media LLC. - 1472-6963. ; 20:1

Relaterad länk:: https://doi.org/10.1...; visa fler...; https://bmchealthser...; https://umu.diva-por... (primary) (Raw object); https://urn.kb.se/re...; https://doi.org/10.1...; https://urn.kb.se/re...; https://gup.ub.gu.se...; visa färre...

Tidskriftsartikel (refereegranskat)

Abstract Ämnesord

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BACKGROUND: The relationship between healthcare system inputs (e.g., human resources and infrastructure) and mortality has been extensively studied. However, the association between healthcare system inputs and patient-reported outcomes remains unclear. Hence, we explored the predictive value of human resources and infrastructures of the countries' healthcare system on patient-reported outcomes in adults with congenital heart disease.METHODS: This cross-sectional study included 3588 patients with congenital heart disease (median age = 31y; IQR = 16.0; 52% women; 26% simple, 49% moderate, and 25% complex defects) from 15 countries. The following patient-reported outcomes were measured: perceived physical and mental health, psychological distress, health behaviors, and quality of life. The assessed inputs of the healthcare system were: (i) human resources (i.e., density of physicians and nurses, both per 1000 people) and (ii) infrastructure (i.e., density of hospital beds per 10,000 people). Univariable, multivariable, and sensitivity analyses using general linear mixed models were conducted, adjusting for patient-specific variables and unmeasured country differences.RESULTS: Sensitivity analyses showed that higher density of physicians was significantly associated with better self-reported physical and mental health, less psychological distress, and better quality of life. A greater number of nurses was significantly associated with better self-reported physical health, less psychological distress, and less risky health behavior. No associations between a higher density of hospital beds and patient-reported outcomes were observed.CONCLUSIONS: This explorative study suggests that density of human resources for health, measured on country level, are associated with patient-reported outcomes in adults with congenital heart disease. More research needs to be conducted before firm conclusions about the relationships observed can be drawn.TRIAL REGISTRATION: ClinicalTrials.gov: NCT02150603. Registered 30 May 2014.

Ämnesord

MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)
MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Omvårdnad (hsv//swe)
MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Nursing (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi (hsv//swe)
MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Health Care Service and Management, Health Policy and Services and Health Economy (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap (hsv//swe)
MEDICAL AND HEALTH SCIENCES -- Health Sciences (hsv//eng)

Nyckelord

Congenital Heart Defects
Health Resources
Healthcare workforce
Patient Reported Outcome Measures
Quality of life
Staffing
Vårdvetenskap
Nursing science

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