Analysis of Patients' willingness to Be Mobile, Taking into Account Individual Characteristics and Two Exemplary Indications
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Analysis of Patients' willingness to Be Mobile, Taking into Account Individual Characteristics and Two Exemplary Indications. / Augustin, Jobst; Schäfer, Ines; Augustin, Matthias; Zander, Nicole.
In: J DTSCH DERMATOL GES, Vol. 15, No. 4, 04.2017, p. 430-438.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - Analysis of Patients' willingness to Be Mobile, Taking into Account Individual Characteristics and Two Exemplary Indications
AU - Augustin, Jobst
AU - Schäfer, Ines
AU - Augustin, Matthias
AU - Zander, Nicole
N1 - © 2017 Deutsche Dermatologische Gesellschaft (DDG). Published by John Wiley & Sons Ltd.
PY - 2017/4
Y1 - 2017/4
N2 - BACKGROUND: With respect to health care planning, it is commonly assumed that patients consult the nearest physician. In reality, however, patients frequently accept great-er efforts/expenses than necessary to see a physician. The objective of the present study was to determine under which circumstances patients were willing to accept additional efforts/expenses, and which role sociodemographic and clinical characteristics play in this regard.METHODS: Data collection was carried out in the context of a multicenter cross-sectional study among office-based and hospital-affiliated (University Medical Center Hamburg-Eppendorf) dermatologists. Patients (n = 309) with psoriasis and chronic wounds were surveyed about their mobility patterns and disease severity. Data analysis was performed using descriptive and multivariate methods.RESULTS: The willingness to accept additional efforts/expenses is primarily determined by a physician's expertise and service portfolio. Comparing both diagnoses showed that psoriasis patients usually traveled longer distances than wound patients. Among psoriasis patients, one significant predictor for accepting additional efforts/expenses was the level of education. With regard to wound patients, key factors included wound size (severity).CONCLUSION: The present study revealed complex mobility patterns among patients, which are affected by numerous personal as well as clinical factors. Depending on the diagnosis and individual preferences, additional efforts/expenses can - among other things - be explained by disease severity. Further studies are required to obtain more conclusive data.
AB - BACKGROUND: With respect to health care planning, it is commonly assumed that patients consult the nearest physician. In reality, however, patients frequently accept great-er efforts/expenses than necessary to see a physician. The objective of the present study was to determine under which circumstances patients were willing to accept additional efforts/expenses, and which role sociodemographic and clinical characteristics play in this regard.METHODS: Data collection was carried out in the context of a multicenter cross-sectional study among office-based and hospital-affiliated (University Medical Center Hamburg-Eppendorf) dermatologists. Patients (n = 309) with psoriasis and chronic wounds were surveyed about their mobility patterns and disease severity. Data analysis was performed using descriptive and multivariate methods.RESULTS: The willingness to accept additional efforts/expenses is primarily determined by a physician's expertise and service portfolio. Comparing both diagnoses showed that psoriasis patients usually traveled longer distances than wound patients. Among psoriasis patients, one significant predictor for accepting additional efforts/expenses was the level of education. With regard to wound patients, key factors included wound size (severity).CONCLUSION: The present study revealed complex mobility patterns among patients, which are affected by numerous personal as well as clinical factors. Depending on the diagnosis and individual preferences, additional efforts/expenses can - among other things - be explained by disease severity. Further studies are required to obtain more conclusive data.
KW - Attitude to Health
KW - Clinical Competence
KW - Clinical Decision-Making
KW - Cross-Sectional Studies
KW - Educational Status
KW - Fees and Charges
KW - Germany
KW - Humans
KW - Middle Aged
KW - Patient Acceptance of Health Care
KW - Skin Diseases
KW - Socioeconomic Factors
KW - Travel
KW - Journal Article
KW - Multicenter Study
KW - Observational Study
U2 - 10.1111/ddg.13218
DO - 10.1111/ddg.13218
M3 - SCORING: Journal article
C2 - 28314064
VL - 15
SP - 430
EP - 438
JO - J DTSCH DERMATOL GES
JF - J DTSCH DERMATOL GES
SN - 1610-0379
IS - 4
ER -