Patient perspective on the management of atrial fibrillation in five European countries

BMC Cardiovascular Disorders

Jose L Zamorano⁶  Trudie Lobban⁵  Edith Franczok⁸  Patrizia Berto³  André MS Oberdiek¹  Wolfgang Greiner⁴  Thomas Mittendorf⁷  Anna Sandberg¹  Ameet Bakhai² 

[1] Daiichi Sankyo Europe GmbH, Zielstattstrasse 48, 81379 Munich, Germany;AMORE Health Ltd, 11 Pinewood Avenue, HA5 4BN Pinner, UK;Analytica-Laser, Vicolo Stella 6, 37121 Verona, Italy;Health Economics and Health Care Management, University of Bielefeld, Bielefeld, Universitätsstraße 25, 33615 Bielefeld, Germany;Atrial Fibrillation Association, Chew Hill, Chew Magna, Avon BS40 8WB Bristol, UK;Hospital Ramón y Cajal, University Alcala de Henares, Carretera de Colmenar Km 9.100, 28034 Madrid, Spain;Herescon GmbH, Health Economic Research and Consulting, Herescon GmbH, Königsworther Str. 2 D, 30167 Hannover, Germany;Harris Interactive AG, Beim Strohhause 31, 20097 Hamburg, Germany

关键词: Anticoagulants;    Stroke;    Patient satisfaction;    Arrhythmia;    Atrial fibrillation;   

Others  :  855957
DOI  :  10.1186/1471-2261-13-108

 received in 2013-04-22, accepted in 2013-11-18,  发布年份 2013

【 摘 要 】

Background

Long-term management of chronic conditions, such as atrial fibrillation (AF), require frequent interactions with the healthcare systems. The multinational EUropean Patient Survey in Atrial Fibrillation (EUPS-AF) was conducted to investigate patient satisfaction with AF management in different of five European healthcare systems at a time of changing treatment paradigms for stroke prophylaxis, prior to the advent of newer oral anticoagulants.

Methods

Adults (>18 years) were recruited at random from the total populations of France, Germany, Italy, Spain and the UK using a randomized telephone dialling system. At least 300 respondents per country reporting to have a diagnosis of AF or receiving oral anticoagulation therapy for suspected AF or to have a heart rhythm disturbance completed a structured telephone interview.

Results

Most respondents were satisfied with their treatment for AF over the previous 12 months, with 85.5% (n = 1289) rating their care as good or better. Suboptimal clinical practices, however, were identified in several key areas. Coordination of primary and secondary care and a lack of patient engagement and support were particular issues, especially for those patients likely to have extensive contact with their healthcare system.

Conclusions

In the context of Europe-wide guidelines for management of AF, most patients with AF were satisfied with their care, but for a greater proportion of patients, some aspects are unsatisfactory. Patient-centred surveys, such as the EUPS-AF, are crucial for understanding the factors that contribute to patient satisfaction and compliance with long-term treatment for chronic conditions.

【 授权许可】

   
2013 Bakhai et al.; licensee BioMed Central Ltd.

【 图 表 】

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