Patients’ Expectations and Satisfaction with the Patient–Doctor Relationship in Hidradenitis Suppurativa
Introduction: Hidradenitis suppurativa (HS) is a chronic inflammatory dermatosis with a vast psychosocial burden. We analyzed the actual and ideal patient–doctor relationship and patients’ satisfaction with the patient–doctor relationship in relation to their satisfaction with life (SWL), HS-related...
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-12-01
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| Series: | Healthcare |
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| Online Access: | https://www.mdpi.com/2227-9032/11/24/3139 |
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| author | Julia Ewa Rymaszewska Maciej Karczewski Piotr K. Krajewski Łukasz Matusiak Joanna Maj Jacek C. Szepietowski |
| author_facet | Julia Ewa Rymaszewska Maciej Karczewski Piotr K. Krajewski Łukasz Matusiak Joanna Maj Jacek C. Szepietowski |
| author_sort | Julia Ewa Rymaszewska |
| collection | DOAJ |
| description | Introduction: Hidradenitis suppurativa (HS) is a chronic inflammatory dermatosis with a vast psychosocial burden. We analyzed the actual and ideal patient–doctor relationship and patients’ satisfaction with the patient–doctor relationship in relation to their satisfaction with life (SWL), HS-related quality of life, and psychopathological symptoms. Methods: 105 HS patients (53% females; mean age 37.64 ± 14.01 years) were enrolled. Severity of the disease was measured using Hurley staging and the International HS Score System (IHS4). Instruments utilized: Patient Expectation Test; Satisfaction with Life Scale; HS Quality of Life; Patient Health Questionnaire-9; Generalized Anxiety Disorder-7; General Health Questionnaire. Results: Patients with Hurley I and mild IHS4 had the lowest satisfaction with the patient–doctor relationship. There were significant correlations between the actual patient–doctor relationship and the patients’ SWL (r = 0.30; <i>p</i> = 0.002), depressive (r = −0.36; <i>p</i> < 0.01), anxiety (r = 0.37; <i>p</i> < 0.01) and psychopathological symptoms (r = −0.47; <i>p</i> < 0.0001) and between the satisfaction with the patient–doctor relationship and their SWL (r = −0.32; <i>p</i> = 0.00098). Multiple regression analysis revealed a significant influence of the following factors: Hurley II + III, psychopathological symptoms, and severe anxiety about the actual patient–doctor relationship and the satisfaction with the patient–doctor relationship. Conclusions: Assessment of relations between patients and doctors is related to the patients’ mental health and SWL. The usage of the Patient Expectation Test in clinical practice can improve the patient–doctor relationship and the general quality of care for and compliance by HS patients. |
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| format | Article |
| id | doaj.art-271538193ae0474badbb08ef123c34f6 |
| institution | Directory Open Access Journal |
| issn | 2227-9032 |
| language | English |
| last_indexed | 2024-03-08T20:43:32Z |
| publishDate | 2023-12-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Healthcare |
| spelling | doaj.art-271538193ae0474badbb08ef123c34f62023-12-22T14:11:56ZengMDPI AGHealthcare2227-90322023-12-011124313910.3390/healthcare11243139Patients’ Expectations and Satisfaction with the Patient–Doctor Relationship in Hidradenitis SuppurativaJulia Ewa Rymaszewska0Maciej Karczewski1Piotr K. Krajewski2Łukasz Matusiak3Joanna Maj4Jacek C. Szepietowski5Department of Dermatology, Allergology and Venereology, Wrocław Medical University, T. Chałubińskiego Str. 1, 50-368 Wrocław, PolandDepartment of Applied Mathematics, Wrocław University of Environmental and Life Sciences, Grunwaldzka Str. 53, 50-357 Wrocław, PolandDepartment of Dermatology, Allergology and Venereology, Wrocław Medical University, T. Chałubińskiego Str. 1, 50-368 Wrocław, PolandDepartment of Dermatology, Allergology and Venereology, Wrocław Medical University, T. Chałubińskiego Str. 1, 50-368 Wrocław, PolandDepartment of Dermatology, Allergology and Venereology, Wrocław Medical University, T. Chałubińskiego Str. 1, 50-368 Wrocław, PolandDepartment of Dermatology, Allergology and Venereology, Wrocław Medical University, T. Chałubińskiego Str. 1, 50-368 Wrocław, PolandIntroduction: Hidradenitis suppurativa (HS) is a chronic inflammatory dermatosis with a vast psychosocial burden. We analyzed the actual and ideal patient–doctor relationship and patients’ satisfaction with the patient–doctor relationship in relation to their satisfaction with life (SWL), HS-related quality of life, and psychopathological symptoms. Methods: 105 HS patients (53% females; mean age 37.64 ± 14.01 years) were enrolled. Severity of the disease was measured using Hurley staging and the International HS Score System (IHS4). Instruments utilized: Patient Expectation Test; Satisfaction with Life Scale; HS Quality of Life; Patient Health Questionnaire-9; Generalized Anxiety Disorder-7; General Health Questionnaire. Results: Patients with Hurley I and mild IHS4 had the lowest satisfaction with the patient–doctor relationship. There were significant correlations between the actual patient–doctor relationship and the patients’ SWL (r = 0.30; <i>p</i> = 0.002), depressive (r = −0.36; <i>p</i> < 0.01), anxiety (r = 0.37; <i>p</i> < 0.01) and psychopathological symptoms (r = −0.47; <i>p</i> < 0.0001) and between the satisfaction with the patient–doctor relationship and their SWL (r = −0.32; <i>p</i> = 0.00098). Multiple regression analysis revealed a significant influence of the following factors: Hurley II + III, psychopathological symptoms, and severe anxiety about the actual patient–doctor relationship and the satisfaction with the patient–doctor relationship. Conclusions: Assessment of relations between patients and doctors is related to the patients’ mental health and SWL. The usage of the Patient Expectation Test in clinical practice can improve the patient–doctor relationship and the general quality of care for and compliance by HS patients.https://www.mdpi.com/2227-9032/11/24/3139hidradenitis suppurativaacne inversapatient–doctor relationshipsatisfaction with lifepsychopathological symptoms |
| spellingShingle | Julia Ewa Rymaszewska Maciej Karczewski Piotr K. Krajewski Łukasz Matusiak Joanna Maj Jacek C. Szepietowski Patients’ Expectations and Satisfaction with the Patient–Doctor Relationship in Hidradenitis Suppurativa Healthcare hidradenitis suppurativa acne inversa patient–doctor relationship satisfaction with life psychopathological symptoms |
| title | Patients’ Expectations and Satisfaction with the Patient–Doctor Relationship in Hidradenitis Suppurativa |
| title_full | Patients’ Expectations and Satisfaction with the Patient–Doctor Relationship in Hidradenitis Suppurativa |
| title_fullStr | Patients’ Expectations and Satisfaction with the Patient–Doctor Relationship in Hidradenitis Suppurativa |
| title_full_unstemmed | Patients’ Expectations and Satisfaction with the Patient–Doctor Relationship in Hidradenitis Suppurativa |
| title_short | Patients’ Expectations and Satisfaction with the Patient–Doctor Relationship in Hidradenitis Suppurativa |
| title_sort | patients expectations and satisfaction with the patient doctor relationship in hidradenitis suppurativa |
| topic | hidradenitis suppurativa acne inversa patient–doctor relationship satisfaction with life psychopathological symptoms |
| url | https://www.mdpi.com/2227-9032/11/24/3139 |
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