Patient-reported satisfaction with current clinical management of systemic lupus erythematosus in kazakhstan

Yeldos Khamitov, Zaituna Khismetova, Maiya Goremykina, Sandro Vento, Arkadiy Kotlyar, Natalya Glushkova

Research output: Contribution to journalArticlepeer-review

Abstract

BACKGROUND: Over the past decades, patient satisfaction has been increasingly recognized as a powerful tool to measure the quality of health-care services. AIM: This study evaluated the satisfaction of systemic lupus erythematosus (SLE) patients with current clinical management in Semey, East Kazakhstan, and explored the factors associated with dissatisfaction. METHODS: All adult SLE patients registered at health-care facilities of Semey were enrolled in a cross-sectional study. RESULTS: Out of 67 patients, 66 were females and their mean age was 39 years. Symptoms associated with the musculoskeletal system were the most commonly reported (95.5%), followed by fatigue (88.1%) and neurological symptoms (53.7%). None of the patients were very satisfied or satisfied with current clinical management and the overall rate of patient dissatisfaction was 83.6%. Education (p = 0.04), monthly income (p = 0.01), SLE disease activity index score (p = 0.031), therapy with biologic agents (p = 0.029), immunosuppressants (p = 0.01), and corticosteroids (p = 0.01) were predictors of patient dissatisfaction in multiple logistic regression analysis. CONCLUSION: This real-world study is the first effort to understand the experience of SLE patients within the health-care system of Kazakhstan and the results may facilitate doctor-patient discussions on the initiatives that need to be taken to improve the quality of the medical services provided.

Original languageEnglish
Pages (from-to)411-418
Number of pages8
JournalOpen Access Macedonian Journal of Medical Sciences
Volume8
Issue numberE
DOIs
Publication statusPublished - Jan 2 2020

Keywords

  • Healthcare
  • Kazakhstan
  • Patient satisfaction
  • Systemic lupus erythematosus

ASJC Scopus subject areas

  • Medicine(all)

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