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  • Van Bulck, LiesbetKU 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) (författare)

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

  • Artikel/kapitelEngelska2020

Förlag, utgivningsår, omfång ...

  • 2020-06-03
  • Springer Science and Business Media LLC,2020
  • printrdacarrier

Nummerbeteckningar

  • LIBRIS-ID:oai:DiVA.org:hv-15714
  • https://urn.kb.se/resolve?urn=urn:nbn:se:hv:diva-15714URI
  • https://doi.org/10.1186/s12913-020-05361-9DOI
  • https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-173337URI
  • https://gup.ub.gu.se/publication/293816URI

Kompletterande språkuppgifter

  • Språk:engelska
  • Sammanfattning på:engelska

Ingår i deldatabas

Klassifikation

  • Ämneskategori:ref swepub-contenttype
  • Ämneskategori:art swepub-publicationtype

Anmärkningar

  • Funders: Research Fund – KU Leuven (Leuven, Belgium) [OT/11/033]; Cardiac Children’s Foundation (Taiwan)[CCF2013_02].
  • On behalf of the APPROACH-IS consortium and the International Society for Adult Congenital Heart Disease (ISACHD).
  • 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 och genrebeteckningar

Biuppslag (personer, institutioner, konferenser, titlar ...)

  • Goossens, EvaKU 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) (författare)
  • Luyckx, KoenKU Leuven - University of Leuven, School Psychology and Child and Adolescent Development,Leuven, Belgium (BEL); University of the Free State, UNIBS, Bloemfontein, South Africa (ZAF) (författare)
  • Apers, SilkeKU Leuven - University of Leuven, KU Leuven Department of Public Health and Primary Care, Leuven, Belgium (BEL) (författare)
  • Oechslin, ErwinToronto Congenital Cardiac Centre for Adults, Peter Munk Cardiac Centre, University Health Network, University of Toronto, Toronto, Canada (CAN) (författare)
  • Thomet, CorinaUniversity of Bern, Center for Congenital Heart Disease, Inselspital - Bern University Hospital, Bern, Switzerland (CHE) (författare)
  • Budts, WernerDivision 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) (författare)
  • Enomoto, JunkoDepartment of Adult Congenital Heart Disease, Chiba Cardiovascular Center, Chiba, Japan (JPN) (författare)
  • Sluman, Maayke ADepartment of Cardiology, Academic Medical Center, Amsterdam, the Netherlands (NLD) (författare)
  • Lu, Chun-WeiNational Taiwan University Children’s Hospital, Adult Congenital Heart Center, Taiwan (TWN) (författare)
  • Jackson, Jamie LCenter for Biobehavioral Health, Nationwide Children's Hospital, Columbus, OH, USA (USA) (författare)
  • Khairy, PaulUniversité de Montréal, Adult Congenital Heart Center, Montreal Heart Institute, Montreal, Canada (CAN) (författare)
  • Cook, Stephen CAdult Congenital Heart Disease Center, Helen DeVos Children's Hospital, Grand Rapids, MI, USA (USA) (författare)
  • Chidambarathanu, ShanthiPediatric Cardiology, Frontier Lifeline Hospital (Dr. K. M. Cherian Heart Foundation), Chennai, India (IND) (författare)
  • Alday, LuisDivision of Cardiology, Hospital de Niños, Córdoba, Argentina (ARG) (författare)
  • Eriksen, KatrineDepartment of Cardiology, Oslo University Hospital - Rikshospitalet, Oslo, Norway (NOR) (författare)
  • Dellborg, Mikael,1954Gothenburg 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)(Swepub:gu)xdelmi (författare)
  • Berghammer, Malin,1970-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(Swepub:gu)xbmalq (författare)
  • Johansson, BengtUmeå universitet,Kardiologi,Umeå University, Department of Public Health and Clinical Medicine, Umeå, Sweden(Swepub:umu)bejo0003 (författare)
  • Mackie, Andrew SUniversity of Alberta, Division of Cardiology, Stollery Children's Hospital, Edmonton, Canada (CAN) (författare)
  • Menahem, SamuelMonash University, Monash Heart, Monash Medical Centre, Melbourne, Australia (AUS) (författare)
  • Caruana, MaryanneDepartment of Cardiology, Mater Dei Hospital, Birkirkara Bypass, Malta (MLT) (författare)
  • Veldtman, GruschenAdult Congenital Heart Disease Center, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA (USA) (författare)
  • Soufi, AlexandraDepartment of Congenital Heart Disease, Louis Pradel Hospital, Hospices civils de Lyon, Lyon, France (FRA) (författare)
  • Fernandes, Susan MAdult Congenital Heart Program at Stanford, Lucile Packard Children’s Hospital and Stanford Health Care, USA (USA) (författare)
  • White, Kamila SWashington University, Adult Congenital Heart Disease Center ; University of Missouri, Barnes Jewish Heart & Vascular Center, Saint Louis, Missouri USA (USA) (författare)
  • Callus, EdwardClinical Psychology Service, IRCCS Policlinico San Donato, Milan, Italy (ITA); Università degli Studi di Milano, Department of Biomedical Sciences for Health, Milan, Italy (ITA) (författare)
  • Kutty, ShelbyUniversity of Nebraska Medical Center, Adult Congenital Heart Disease Center, Children's Hospital and Medical Center, Omaha, NE, USA (USA) (författare)
  • Moons, Philip,1968Gothenburg 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(Swepub:gu)xmooph (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)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) (creator_code:org_t)

Sammanhörande titlar

  • Ingår i:BMC Health Services Research: Springer Science and Business Media LLC20:11472-6963

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