title: A questionnaire on treatment satisfaction and disease specific knowledge among patients with acute coronary syndrome. II: Insights for patient education and quality improvement.
abstract: OBJECTIVE
  Secondary prevention for coronary heart disease is achieved by pharmaceutical control of risk factors and patients' own self management behaviour. To comply with longterm treatment patients need sufficient knowledge of their condition and should be satisfied with acute care. Therefore a questionnaire measuring both issues was constructed.
  
  
  RESULTS
  Latent class analysis applied in a sample of over 2000 patients suffering from acute coronary syndrome revealed 4 configurative patterns of knowledge and 5 distinct patterns of (dis-)satisfaction. Nearly 50% of all patients displayed insufficient knowledge upon discharge. Deficits clustered around misinformation on necessary lifestyle changes versus dysfunctional strategies for future emergency situations. Satisfaction and disease specific knowledge were interrelated in complex patterns.
  
  
  CONCLUSIONS
  Disease specific knowledge and satisfaction with treatment proved to be psychometrically valid indicators of the quality of the treatment process that might also have an impact on outcome.
  
  
  CONCLUSIONS
  A validated questionnaire is ready for routine administration after discharge of patients with acute coronary syndrome from acute hospital care. Patient education efforts and quality improvement in treatment centres might be effectively monitored using this questionnaire.
authors: Department of Healthcare Management, Carinthia University of Applied Sciences, Feldkirchen, Austria. u.frick@fh-kaernten.at
authors: Ulrich
authors: U
authors: Frick
authors: Florian S
authors: FS
authors: Gutzwiller
authors: Marco
authors: M
authors: Maggiorini
authors: Stefan
authors: S
authors: Christen
mesh_terms: D054058:Acute Coronary Syndrome / Q000523:psychology* / Q000628:therapy; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005163:Factor Analysis, Statistical; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D010349:Patient Compliance; D010351:Patient Discharge; D010353:Patient Education as Topic; D017060:Patient Satisfaction; D011594:Psychometrics; D058996:Quality Improvement / Q000592:standards*; D015203:Reproducibility of Results; D011795:Surveys and Questionnaires / Q000592:standards*; D016896:Treatment Outcome