title: Quality of Care for Patients with Chronic Respiratory Diseases: Data for Accreditation Plan in Primary Healthcare.
abstract: There are scarce reports in the literature on factors affecting the assessment of the quality of care for patients with chronic respiratory diseases. Such information is relevant in the accreditation process on implementing the healthcare. The study group consisted of 133 adult patients with chronic respiratory diseases and 125 adult patients with chronic non-respiratory diseases. In the present study, the level of satisfaction from healthcare provided by the primary healthcare unit, disease acceptance, quality of life, health behaviors, and met needs were examined, as well as associations between variables with the use of correspondence analysis. The results are that in patients with chronic respiratory diseases an increase in satisfaction depends on the improvement of well-being in the mental sphere. The lack of problems with obtaining a referral to a specialist and a higher level of fulfilled needs also have a positive effect. Additionally, low levels of satisfaction should be expected in those patients with chronic respiratory diseases who wait for an appointment in front of the office for a long time, report problems with obtaining a referral to additional tests, present a low level of health behaviors, and have a low index of benefits.
authors.affiliation: Department of Family Medicine, Wroclaw Medical University, 1 Syrokomli St., 51-141, Wroclaw, Poland. dkurpas@hotmail.com.|Opole Medical School, 68 Katowicka St., 45-060, Opole, Poland. dkurpas@hotmail.com.
authors.forename: Donata
authors.initials: D
authors.lastname: Kurpas
authors.affiliation: Independent Public Healthcare Center, Hospital Emergency Ward and Admissions, 2 Roosevelta St., 47-200, Kędzierzyn- Koźle, Poland.
authors.forename: Katarzyna
authors.initials: K
authors.lastname: Szwamel
authors.affiliation: Department of Humanities in Medicine, Faculty of Health Sciences, 11 Gen. Dezyderego Chłapowskiego St., 70-103, Szczecin, Poland.
authors.forename: Bożena
authors.initials: B
authors.lastname: Mroczek
mesh_terms: D000068:Accreditation; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001249:Asthma / Q000628:therapy*; D001987:Bronchiectasis / Q000628:therapy*; D029481:Bronchitis, Chronic / Q000628:therapy; D016022:Case-Control Studies; D002908:Chronic Disease; D005260:Female; D015438:Health Behavior; D006801:Humans; D008297:Male; D008875:Middle Aged; D017060:Patient Satisfaction; D011320:Primary Health Care / Q000592:standards*; D029424:Pulmonary Disease, Chronic Obstructive / Q000628:therapy*; D011656:Pulmonary Emphysema / Q000628:therapy; D015272:Pulmonary Medicine; D011787:Quality of Health Care; D011788:Quality of Life; D012017:Referral and Consultation; D055815:Young Adult
keywords: Care program; Chronic disease; Healthcare delivery; Patient satisfaction; Primary care; Pulmonary disease; Quality of healthcare