Unmet health needs in patients with coronary heart disease: implications and potential for improvement in caring service
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Unmet health needs in patients with coronary heart disease: implications and potential for improvement in caring services Mohsen Asadi-Lari1, Chris Packham2 and David Gray*1 Address: 1Division of Cardiovascular Medicine, University Hospital, Nottingham, NG7 2UH UK and 2Division of Epidemiology & Public Health, University of Nottingham, UK Email: Mohsen Asadi-Lari - [email protected]; Chris Packham - [email protected]; David Gray* - [email protected] * Corresponding author
Published: 23 July 2003 Health and Quality of Life Outcomes 2003, 1:26
Received: 10 June 2003 Accepted: 23 July 2003
This article is available from: http://www.hqlo.com/content/1/1/26 © 2003 Asadi-Lari et al; licensee BioMed Central Ltd. This is an Open Access article: verbatim copying and redistribution of this article are permitted in all media for any purpose, provided this notice is preserved along with the article's original URL.
Health needs assessmentHealth-related quality of lifeQuality of service.
Abstract Background: Improving the quality of health care services requires tailoring facilities to fulfil patients' needs. Satisfying patients' healthcare needs, listening to patients' opinions and building a closer provider-user partnership are central to the NHS. Few published studies have discussed cardiovascular patients' health needs, but they are not comprehensive and fail to explore the contribution of outcome to needs assessment. Method: A comprehensive self-administered health needs assessment (HNA) questionnaire was developed for concomitant use with generic (Short Form-12 and EuroQOL) and specific (Seattle Angina Questionnaire) health-related quality of life (HRQL) instruments on 242 patients admitted to the Acute Cardiac Unit, Nottingham. Results: 38% reported difficulty accessing health facilities, 56% due to transport and 32% required a travelling companion. Mean HRQOL scores were lower in those living alone (P < 0.05) or who reported unsatisfactory accommodation. Dissatisfaction with transport affected patients' ease of access to healthcare facilities (P < 0.001). Younger patients (
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