Correlates of health care satisfaction in inner-city patients with hypertension and chronic renal insufficiency

Lisa E. Harris, Friedrich C. Luft, David W. Rudy and William M. Tierney

Social Science & Medicine, 1995, vol. 41, issue 12, 1639-1645

Abstract: Barriers to effective health care are potential contributors to the increased prevalence of hypertension and hypertension-related renal disease observed in black patients. We have enrolled 333 primarily elderly (mean age 69 years) black (87%) patients with hypertension and chronic renal insufficiency into a prospective randomized trial testing the effect of intense multidisciplinary management on progression of chronic renal insufficiency. These patients have an average 6 years of education and $400-$800 monthly household income; 57% have diabetes. Our baseline data include the Patient Satisfaction Questionnaire administered by home interviewers who also recorded sociodemographic data, medications and questionnaires regarding medication compliance and symptoms related to anti-hypertensive drugs. Inpatient and outpatient vital signs, test results and diagnoses came from patients' computerized medical records. We used multiple linear regression to identify correlates of overall satisfaction. We also analyzed three subscales: access to care, financial aspects and interpersonal manner of physicians. We included only variables with univariate correlations (P

Keywords: patient; satisfaction; hypertension; renal; disease; blacks; compliance (search for similar items in EconPapers)
Date: 1995
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