Background
Method
Subjects
Procedure
Instrument
Statistical analysis
Results
Sample age (mean, SD) | 38 (13.6) |
Age paediatric subsample (mean, SD) | 10.1 (3.4) |
Age adults subsample (mean, SD) | 41.4 (10.1) |
Sex | |
Men (N, %) | 227 (87.0) |
Women (N, %) | 34 (13.0) |
Diagnosis | |
The diagnosis is known (N, %) | 239 (91.6) |
Addison's disease (N, %) | 24 (10) |
Antiphospholipid syndrome (N, %) | 9 (3.8) |
Ehlers-Danlos syndrome (N, %) | 8 (3.3) |
Scleroderma (N, %) | 4 (1.7) |
The diagnosis is not yet known (N, %) | 22 (8.4) |
Time since the diagnosis is known (mean, SD) | 7.8 (8.0) |
Where they are usually receiving health care? | |
Hospital (N, %) | 181 (69.3) |
Health center (N, %) | 80 (30.7) |
Number of drugs they are taking regularly, paediatric subsample (media, SD) | 2.7 (2.4) |
Number of times they have been admitted to hospital in the last year, paediatric subsample (media, SD) | 0.9 (1.6) |
Number of drugs they are taking regularly, adults subsample (media, SD) | 4.5 (3.3) |
Number of times they have been admitted to hospital in the last year, adults subsample (media, SD) | 1.0 (2.3) |
B | Standard error | p value | Lower endpoint | Upper endpoint | |
---|---|---|---|---|---|
Age | − 0.03 | 0.01 | 0.001 | − 0.05 | − 0.01 |
Number of different medications you are taking | − 0.03 | 0.04 | 0.370 | − 0.11 | 0.04 |
Number of times you have been admitted to hospital in the last year | 0.05 | 0.05 | 0.387 | − 0.06 | 0.15 |
Time in years you have been diagnosed with your main illness | 0.02 | 0.01 | 0.249 | − 0.01 | 0.05 |
Total sample (N = 261) | Paediatric sample (N = 29) | Adult sample (N = 232) | p value | |||||||
---|---|---|---|---|---|---|---|---|---|---|
Mean (CI95%) | SD | % = 5+ | Mean (CI95%) | SD | % = 5+ | Mean (CI95%) | SD | % = 5+ | ||
1. They respect my lifestyle. The professionals who care for me listen to me and ask me about my needs, habits, and preferences to adapt my treatment and care plan | 5.1 ± 0.3 | 2.8 | 11.5 | 6.6 ± 0.9 | 2.5 | 20.7 | 4.9 ± 0.4 | 2.8 | 10.3 | 0.002 |
2. They are coordinated to offer me good care. The professionals who care for me at the hospital, at the health center, and those who assisted me in my reference site talk to each other and coordinate to make sure that I receive diagnostic and coordinate to improve my wellbeing and quality of life | 3.4 ± 0.4 | 3.2 | 6.9 | 5.2 ± 1.2 | 3.2 | 17.2 | 3.2 ± 0.4 | 3.2 | 5.6 | 0.002 |
3. They help me become informed via the Internet. The professionals who care for me inform me about reliable websited and Internet forums that I can consult to better understand my disease, its treatment, and the consequences that may have on my life | 1.0 ± 0.3 | 2.3 | 2.7 | 2.0 ± 1.2 | 3.4 | 10.3 | 0.9 ± 0.3 | 2.1 | 1.7 | 0.014 |
4. I now know how to look after myself better. With the support of my professionals, I feel now that I have more confidence in my ability to take care of myself, manage my health problems and keep my autonomy | 4.1 ± 0.3 | 2.9 | 6.9 | 5.3 ± 0.9 | 2.6 | 6.9 | 4.0 ± 0.4 | 2.9 | 6.9 | 0.016 |
5. They ask me about and help me follow my treatment plan. I review the adherence to my treatment and care plan with the professionals who care for me, and if I have questions, they answer them | 5.3 ± 0.4 | 3.1 | 15.3 | 7.1 ± 0.9 | 2.4 | 24.1 | 5.1 ± 0.4 | 3.1 | 14.2 | 0.001 |
6. We agree on the most important objectives to a better manage of my disease. I have been able to agree with the professionals who care for me on which are the most important health and social problems and how to manage them properly to have the best quality of life | 4.3 ± 0.4 | 3.1 | 10.0 | 6.9 ± 0.9 | 2.5 | 34.5 | 4.0 ± 0.4 | 3.0 | 6.9 | 0.001 |
7. I use the Internet and my mobile phone to consult my clinical record. I use the Internet and my mobile phone to consult my clinical record, test results, scheduled visits and to access other services on my health service’s website | 2.4 ± 0.4 | 3.3 | 6.5 | 2.6 ± 1.3 | 3.5 | 10.3 | 2.3 ± 0.4 | 3.3 | 6.0 | 0.714 |
8. They ensure that I take my medication correctly. The professionals who care for me review with me all the medications I take, how I take them, how they make me feel, and I can ask them about the questions I have | 4.9 ± 0.4 | 3.6 | 21.1 | 6.6 ± 1.4 | 3.7 | 44.8 | 4.7 ± 0.5 | 3.5 | 18.1 | 0.009 |
9. They are concerned about my wellbeing. The professionals who care for me are concerned with my quality of life and I feel they are committed to improving my wellbeing | 5.1 ± 0.4 | 3.3 | 17.6 | 7.4 ± 1.0 | 2.6 | 41.4 | 4.8 ± 0.4 | 3.2 | 14.7 | 0.001 |
10. They inform me about health and social resources that can help me. The professionals who care for me inform me about the health and social resources available (in my neighbourhood, town or city) that I can use to improve my health problems | 1.8 ± 0.3 | 2.6 | 2.3 | 3.5 ± 1.1 | 3.0 | 3.4 | 1.6 ± 0.3 | 2.5 | 2.2 | 0.001 |
11. They encourage me to talk with other patients. The professionals who care for me encourage me to participate in patients groups to share information and experiences on how to care for ourselves and improve our health | 1.2 ± 0.3 | 2.3 | 1.1 | 3.3 ± 1.1 | 2.9 | 3.4 | 1.0 ± 0.3 | 2.0 | 0.9 | 0.001 |
Overall IEXPAC score | 3.5 ± 0.6 | 2.2 | 5.1 ± 0.6 | 1.8 | 3.3 ± 0.2 | 1.9 | 0.001 | |||
12. My Health Service has identified a specialized center where I can be diagnosed and helped with my illness, to refer me there (N = 177) | 3.3 ± 0.5 | 3.9 | 16.4 | 5.9 ± 1.7 | 4.3 | 44.0 | 2.9 ± 0.6 | 3.6 | 11.8 | 0.001 |
13. After being discharged from hospital, they have called or visited me at home to see how I was and what care I needed (N = 73) | 0.9 ± 0.5 | 2.3 | 2.7 | 1.4 ± 1.8 | 2.4 | 0.0 | 0.8 ± 0.5 | 2.2 | 3.0 | 0.483 |
14. The professionals who attend me have given me a telephone number where I can contact if I have an emergency (N = 153) | 2.0 ± 1.6 | 3.4 | 11.1 | 4.1 ± 2.9 | 4.9 | 36.4 | 1.8 ± 0.5 | 3.2 | 9.2 | 0.032 |
15. The professionals who care for me in my home try to solve my health problems in coordination with the professionals of the health center and the hospital (N = 21) | 3.6 ± 1.0 | 3.8 | 14.3 | 6.3 ± 7.4 | 5.3 | 50.0 | 3.3 ± 1.7 | 3.7 | 10.5 | 0.312 |
16. The professionals who care for me in social services talk to and coordinate with the healthcare professionals to provide me with good care (N = 38) | 2.6 ± 0.2 | 3.3 | 7.9 | 1.1 ± 1.5 | 2.0 | 0.0 | 2.9 ± 1.2 | 3.4 | 9.7 | 0.183 |
Health Center (N = 80) | Hospital (N = 181) | p value | |||||
---|---|---|---|---|---|---|---|
Mean (CI95%) | SD | % = 5+ | Mean (CI95%) | SD | % = 5+ | ||
1. They respect my lifestyle | 4.4 ± 0.6 | 2.7 | 6.3 | 5.4 ± 0.4 | 2.8 | 13.8 | 0.005 |
2. They are coordinated to offer me good care | 2.8 ± 0.7 | 3.0 | 6.3 | 3.7 ± 0.5 | 3.3 | 7.2 | 0.036 |
3. They help me become informed via the Internet | 0.7 ± 0.4 | 1.9 | 1.3 | 1.1 ± 0.4 | 2.4 | 3.3 | 0.196 |
4. I now know how to look after myself better | 3.7 ± 0.6 | 3.0 | 8.8 | 4.3 ± 0.4 | 2.8 | 6.1 | 0.102 |
5. They ask me about and help me follow my treatment plan | 4.7 ± 0.7 | 3.2 | 13.8 | 5.6 ± 0.4 | 3.0 | 16.0 | 0.021 |
6. We agree on the most important objectives to a better manage of my disease | 3.8 ± 0.7 | 3.1 | 10.0 | 4.6 ± 0.4 | 3.1 | 9.9 | 0.072 |
7. I use the Internet and my mobile phone to consult my clinical record | 2.3 ± 0.7 | 3.2 | 3.8 | 2.4 ± 0.5 | 3.3 | 7.7 | 0.758 |
8. They ensure that I take my medication correctly | 4.5 ± 0.7 | 3.2 | 13.8 | 5.1 ± 0.5 | 3.7 | 24.3 | 0.172 |
9. They are concerned about my wellbeing | 4.2 ± 0.6 | 3.0 | 7.5 | 5.6 ± 0.5 | 3.3 | 22.1 | 0.001 |
10. They inform me about health and social resources that can help me | 1.4 ± 0.5 | 2.3 | 1.3 | 2.0 ± 0.4 | 2.7 | 2.8 | 0.081 |
11. They encourage me to talk with other patients | 1.1 ± 0.5 | 2.1 | 1.3 | 1.3 ± 0.3 | 2.3 | 11.1 | 0.413 |
Overall IEXPAC score | 3.0 ± 0.4 | 1.9 | 3.7 ± 0.3 | 2.0 | 0.08 | ||
12. My Health Service has identified a specialized center where I can be diagnosed and helped with my illness, to refer me there (N = 177) | 2.7 ± 0.9 | 3.5 | 10.9 | 3.6 ± 0.7 | 4.0 | 18.9 | 0.161 |
13. After being discharged from hospital, they have called or visited me at home to see how I was and what care I needed (N = 73) | 1.2 ± 1.4 | 3.2 | 10.5 | 0.7 ± 0.5 | 1.9 | 0.0 | 0.464 |
14. The professionals who attend me have given me a telephone number where I can contact if I have an emergency (N = 153) | 1.7 ± 0.9 | 3.2 | 9.8 | 2.1 ± 0.7 | 3.5 | 11.8 | 0.475 |
15. The professionals who care for me in my home try to solve my health problems in coordination with the professionals of the health center and the hospital (N = 21) | 3.6 ± 2.1 | 3.6 | 9.1 | 3.5 ± 2.6 | 4.3 | 20.0 | 0.938 |
16. The professionals who care for me in social services talk to and coordinate with the healthcare professionals to provide me with good care (N = 38) | 2.7 ± 1.9 | 3.5 | 7.7 | 2.5 ± 1.3 | 3.2 | 8.0 | 0.866 |
Men | Women | p value | |||||
---|---|---|---|---|---|---|---|
Mean (CI95%) | SD | % = 5+ | Mean (CI95%) | SD | % = 5+ | ||
1. They respect my lifestyle | 5.0 ± 0.4 | 2.9 | 12.3 | 5.6 ± 0.7 | 2.1 | 5.9 | 0.286 |
2. They are coordinated to offer me good care | 3.3 ± 0.4 | 3.3 | 7.5 | 4.5 ± 0.9 | 2.7 | 2.9 | 0.041 |
3. They help me become informed via the Internet | 0.9 ± 0.3 | 2.2 | 2.6 | 1.7 ± 0.9 | 2.6 | 2.9 | 0.059 |
4. I now know how to look after myself better | 4.0 ± 0.4 | 3.0 | 7.0 | 5.2 ± 0.8 | 2.3 | 5.9 | 0.018 |
5. They ask me about and help me follow my treatment plan | 5.2 ± 0.4 | 3.2 | 15.4 | 6.4 ± 0.8 | 2.3 | 14.7 | 0.028 |
6. We agree on the most important objectives to a better manage of my disease | 4.2 ± 0.4 | 3.1 | 10.6 | 5.1 ± 0.9 | 2.6 | 5.9 | 0.132 |
7. I use the Internet and my mobile phone to consult my clinical record | 2.1 ± 0.4 | 3.2 | 5.7 | 3.9 ± 1.2 | 3.7 | 11.8 | 0.004 |
8. They ensure that I take my medication correctly | 4.7 ± 0.5 | 3.5 | 18.5 | 6.4 ± 1.2 | 3.5 | 38.2 | 0.010 |
9. They are concerned about my wellbeing | 5.0 ± 0.4 | 3.3 | 18.1 | 5.9 ± 0.9 | 2.7 | 14.7 | 0.151 |
10. They inform me about health and social resources that can help me | 1.6 ± 0.3 | 2.6 | 2.6 | 3.1 ± 0.9 | 2.7 | 0.0 | 0.002 |
11. They encourage me to talk with other patients | 1.1 ± 0.3 | 2.2 | 0.9 | 2.2 ± 0.9 | 2.7 | 2.9 | 0.007 |
Overall IEXPAC score | 3.4 ± 0.2 | 2.2 | 4.5 ± 0.5 | 1.6 | 0.001 | ||
12. My Health Service has identified a specialized center where I can be diagnosed and helped with my illness, to refer me there (N = 177) | 3.1 ± 0.6 | 3.8 | 14.2 | 4.5 ± 1.8 | 4.3 | 31.8 | 0.105 |
13. After being discharged from hospital, they have called or visited me at home to see how I was and what care I needed (N = 73) | 0.6 ± 0.5 | 1.9 | 1.6 | 2.5 ± 2.2 | 3.5 | 10.0 | 0.012 |
14. The professionals who attend me have given me a telephone number where I can contact if I have an emergency (N = 153) | 1.9 ± 0.5 | 3.2 | 9.5 | 2.8 ± 2.2 | 4.5 | 25.0 | 0.308 |
15. The professionals who care for me in my home try to solve my health problems in coordination with the professionals of the health center and the hospital (N = 21) | 3.4 ± 2.0 | 4.2 | 18.8 | 4.0 ± 2.5 | 2.9 | 0.0 | 0.783 |
16. The professionals who care for me in social services talk to and coordinate with the healthcare professionals to provide me with good care (N = 38) | 2.5 ± 1.2 | 3.3 | 10.3 | 2.8 ± 2.1 | 3.2 | 0.0 | 0.827 |
Rare diseases | Chronic diseases (Orozco et al. [21]) | Caregivers (Guilabert et al.[22]) | ||||
---|---|---|---|---|---|---|
Mean | % = 5+ | Mean | % = 5+ | Mean | % = 5+ | |
1. They respect my lifestyle | 5.1 | 2.8 | 8.3 | 56.5 | 7.8 | 45.5 |
2. They are coordinated to offer me good care | 3.4 | 3.2 | 7.1 | 43.0 | 7.5 | 43.0 |
3. They help me become informed via the Internet | 1.0 | 2.3 | 2.4 | 8.8 | 2.0 | 6.8 |
4. I now know how to look after myself better | 4.1 | 2.9 | 8.1 | 47.6 | 7.3 | 38.7 |
5. They ask me about and help me follow my treatment plan | 5.3 | 3.1 | 8.2 | 58.2 | 8.3 | 57.9 |
6. We agree on the most important objectives to a better manage of my disease | 4.3 | 3.1 | 7.4 | 46.9 | 7.5 | 45.5 |
7. I use the Internet and my mobile phone to consult my clinical record | 2.4 | 3.3 | 1.2 | 4.5 | - | - |
8. They ensure that I take my medication correctly | 4.9 | 3.6 | 7.8 | 59.1 | 8.3 | 68.1 |
9. They are concerned about my wellbeing | 5.1 | 3.3 | 8.5 | 65.6 | 8.3 | 60.0 |
10. They inform me about health and social resources that can help me | 1.8 | 2.6 | 5.1 | 27.0 | 6.3 | 34.0 |
11. They encourage me to talk with other patients | 1.2 | 2.3 | 2.6 | 9.0 | 3.5 | 18.7 |