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dc.contributor.authorFuster-RuizdeApodaca, Maria J
dc.contributor.authorSanchez-Vega, Nuria
dc.contributor.authorGalindo, Maria J
dc.contributor.authorMarin-Jimenez, Ignacio
dc.contributor.authorDe Toro Santos, Francisco Javier 
dc.contributor.authorOrozco-Beltran, Domingo
dc.contributor.authorCotarelo, Manuel
dc.contributor.authorLopez, Juan Carlos
dc.date.accessioned2022-01-25T12:16:46Z
dc.date.available2022-01-25T12:16:46Z
dc.date.issued2019
dc.identifier.issn2193-6382
dc.identifier.otherhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6702509/pdf/40121_2019_Article_252.pdfes
dc.identifier.otherhttps://www.ncbi.nlm.nih.gov/pubmed/31290081es
dc.identifier.urihttp://hdl.handle.net/20.500.11940/15913
dc.description.abstractINTRODUCTION: Patient experience is central to the quality of healthcare delivery, showing positive associations with several outcome measures. The main objectives of this study are to analyze the influence of patient experience on the health-related quality of life in people living with HIV and the role played by treatment complexity and clinical care. METHODS: We conducted a cross-sectional survey with 467 patients with HIV. We used the Instrument for Evaluation of the Experience of Chronic Patients and the Health-related Quality of Life Questionnaire (EQ-5D-5L). We analyzed a predictive model through the partial least squares (PLS) method. RESULTS: The patient self-management scores showed the highest positive relationship with the patient's health-related quality of life (beta = 0.24, beta = 0.32, p < 0.0001). Patients' treatment complexity had a negative influence on health-related quality of life (beta = - 0.21, beta = - 0.28, p < 0.0001). The complexity of clinical care had negative effects on health-related quality of life, both directly (beta = - 0.37, beta = - 0.19, p < 0.0001) and through its negative influence on the productive interactions with healthcare professionals (beta = - 0.21, p < 0.0001) and patient self-management factors (beta = - 0.21, p < 0.0001). The effects of patient experience dimensions on their health-related quality of life were higher in people living with HIV > 50 years old (p < 0.05). CONCLUSIONS: Patient experience mainly influenced the health-related quality of life of older people living with HIV. The treatment and clinical care complexity played an important role in degrading the patients' experience and their quality of life. More integrated care would benefit the health-related quality of life of people living with HIV. FUNDING: This project was funded by Merck Sharp & Dohme, Spain.en
dc.language.isoenges
dc.rightsAtribución-NoComercial 4.0 Internacional*
dc.rights.urihttp://creativecommons.org/licenses/by-nc/4.0/*
dc.subject.meshHIV*
dc.titleThe Influence of Patient Experience with Healthcare on the Health-Related Quality of Life of People Living with HIV: An Observational Cross-Sectional Surveyen
dc.typeArtigoes
dc.identifier.doi10.1007/s40121-019-0252-3
dc.identifier.pmid31290081
dc.identifier.sophos32344
dc.issue.number3es
dc.journal.titleInfect Dis Theres
dc.organizationServizo Galego de Saúde::Estrutura de Xestión Integrada (EOXI)::EOXI de A Coruña - Complexo Hospitalario Universitario de A Coruña::Reumatoloxíaes
dc.rights.accessRightsopenAccesses
dc.subject.decsVIH*
dc.subject.keywordCHUACes
dc.typefidesArtículo Originales
dc.typesophosArtículo Originales
dc.volume.number8es


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