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Is patient involvement during hospitalization for acute myocardial infarction associated with post-discharge treatment outcome?: an exploratory study
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Social Medicine.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Health Services Research.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Centre for Research Ethics and Bioethics. Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Medicinska och farmaceutiska vetenskapsområdet, centrumbildningar mm , UCR-Uppsala Clinical Research Center.
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2010 (English)In: Health Expectations, ISSN 1369-6513, E-ISSN 1369-7625, Vol. 13, no 3, 298-311 p.Article in journal (Refereed) Published
Abstract [en]

Objective To investigate whether patient involvement during hospitalization for acute myocardial infarction (MI) was associated with health and behavioural outcomes 6–10 weeks after hospital discharge.

Background Patient involvement has been associated with improved health outcomes in chronic disease, but less research has focused on the effects of patient involvement in acute conditions, such as MI.

Design Self-administered questionnaire study. Questionnaire results were run against medical outcome data in a national database of cardiac patients.

Setting and participants Cardiac patients (n = 591) on their first follow-up visit after hospitalization for MI at 11 Swedish hospitals.

Main outcome measures Patient ratings of three questionnaire scales related to involvement; cardiovascular symptoms, medication compliance, participation in cardiac rehabilitation, and achievement of secondary preventive goals.

Results More positive patient ratings of involvement were significantly associated with fewer cardiovascular symptoms 6–10 weeks after hospital discharge. In contrast, patients who attended cardiac rehabilitation and achieved the goals for smoking cessation and systolic blood pressure were significantly less satisfied with their involvement. No association was found between involvement ratings and medication compliance.

Conclusion This study represents a first attempt to examine associations between patient involvement in the acute phase of illness and short-term health outcomes. Some significant associations between involvement and health and behavioural outcomes after acute MI were found. However, higher involvement ratings were not consistently associated with more desirable outcomes, and involvement during hospitalization was not associated with MI patient health and behaviour 6–10 weeks after hospital discharge to the extent hypothesized.

Place, publisher, year, edition, pages
2010. Vol. 13, no 3, 298-311 p.
Keyword [en]
cardiology, myocardial infarction, patient involvement, patient perceptions, questionnaire
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:uu:diva-125474DOI: 10.1111/j.1369-7625.2009.00588.xISI: 000280635400007OAI: oai:DiVA.org:uu-125474DiVA: diva2:319720
Available from: 2010-05-19 Created: 2010-05-19 Last updated: 2016-08-17Bibliographically approved

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Arnetz, Judith E.Winblad, UlrikaHöglund, Anna T.Lindahl, BertilSpångberg, KalleWallentin, LarsArnetz, Bengt B.

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Arnetz, Judith E.Winblad, UlrikaHöglund, Anna T.Lindahl, BertilSpångberg, KalleWallentin, LarsArnetz, Bengt B.
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Social MedicineHealth Services ResearchCentre for Research Ethics and BioethicsDepartment of Public Health and Caring SciencesUCR-Uppsala Clinical Research Center
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