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The Brave Patient after 80—Satisfaction with Visit and Individual Determinants of Proactive Patient Attitude among the Oldest General Practice Users

Author

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  • Marta Rzadkiewicz

    (Department of Health Psychology, Medical University of Warsaw, 01-575 Warsaw, Poland)

  • Mariusz Jaworski

    (Department of Education and Research in Health Sciences, Medical University of Warsaw, 01-575 Warsaw, Poland)

  • Dorota Włodarczyk

    (Department of Health Psychology, Medical University of Warsaw, 01-575 Warsaw, Poland)

Abstract

Background. A patient’s adherence to a course of treatment depends on the individual’s activation, the quality of patient–clinician relations, attitudes, self-efficacy, or positive emotions. Patient proactive attitude (PAA) is seldom researched among the oldest healthcare users. This study was designed to identify predictors of PAA toward health and treatment among community-dwelling general practice patients aged 80+, and was based on a PRACTA (PRomoting ACTive Aging) project. Methods. Patients ( n = 658), aged 80+ visiting a general practitioner (GP) filled in the PRACTA attitude toward treatment and health scale and the PRACTA self-efficacy scale questionnaires. Sociodemographic factors, self-reported health status, and satisfaction with the visit were analyzed as independent factors. Results. Attitudes toward treatment and health scores were predicted by marital status, living alone or not alone, hospitalization the prior year, level of impairment, and satisfaction with visit. However, some differences were observed depending on the device’s subscale. Self-efficacy score was determined by marital status, living alone or not alone, prior hospitalization, and satisfaction with visit. We did not find an effect of age or gender on PAA. Patient satisfaction with visit was the strongest predictor of all PAA dimensions. Conclusion. Higher visit satisfaction helps to retain a PAA among seniors 80+. Screening questions about living situation, marital and functional status, emotional state, and recent history of hospitalization might help GPs additionally anticipate PAA level and adjust their actions accordingly.

Suggested Citation

  • Marta Rzadkiewicz & Mariusz Jaworski & Dorota Włodarczyk, 2022. "The Brave Patient after 80—Satisfaction with Visit and Individual Determinants of Proactive Patient Attitude among the Oldest General Practice Users," IJERPH, MDPI, vol. 19(10), pages 1-10, May.
  • Handle: RePEc:gam:jijerp:v:19:y:2022:i:10:p:6214-:d:819869
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    References listed on IDEAS

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    1. W. Jack Rejeski & Michael E. Miller & Capri Foy & Steve Messier & Stephen Rapp, 2001. "Self-Efficacy and the Progression of Functional Limitations and Self-Reported Disability in Older Adults With Knee Pain," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 56(5), pages 261-265.
    2. Williams, Brian, 1994. "Patient satisfaction: A valid concept?," Social Science & Medicine, Elsevier, vol. 38(4), pages 509-516, February.
    3. Jacobi Elliott & Heather McNeil & Jessica Ashbourne & Kelsey Huson & Veronique Boscart & Paul Stolee, 2016. "Engaging Older Adults in Health Care Decision-Making: A Realist Synthesis," The Patient: Patient-Centered Outcomes Research, Springer;International Academy of Health Preference Research, vol. 9(5), pages 383-393, October.
    4. Uday Narayan Yadav & Jane Lloyd & Hassan Hosseinzadeh & Kedar Prasad Baral & Narendra Bhatta & Mark Fort Harris, 2020. "Levels and determinants of health literacy and patient activation among multi-morbid COPD people in rural Nepal: Findings from a cross-sectional study," PLOS ONE, Public Library of Science, vol. 15(5), pages 1-16, May.
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