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

Marta Rzadkiewicz, Mariusz Jaworski and Dorota Włodarczyk
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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

IJERPH, 2022, vol. 19, issue 10, 1-10

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.

Keywords: community dwelling; primary care; patient activation; patient satisfaction; self-efficacy; older adults; age-friendly; patient-centered (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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