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DC Field | Value | Language |
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dc.contributor.author | Van Bulck, Liesbet | - |
dc.contributor.author | Goossens, Eva | - |
dc.contributor.author | Luyckx, Koen | - |
dc.contributor.author | Apers, Silke | - |
dc.contributor.author | Oechslin, Erwin | - |
dc.contributor.author | Thomet, Corina | - |
dc.contributor.author | Budts, Werner | - |
dc.contributor.author | Enomoto, Junko | - |
dc.contributor.author | Sluman, Maayke A. | - |
dc.contributor.author | Lu, Chun-Wei | - |
dc.contributor.author | Jackson, Jamie L. | - |
dc.contributor.author | Khairy, Paul | - |
dc.contributor.author | Cook, Stephen C. | - |
dc.contributor.author | Chidambarathanu, Shanthi | - |
dc.contributor.author | Alday, Luis | - |
dc.contributor.author | Eriksen, Katrine | - |
dc.contributor.author | Dellborg, Mikael | - |
dc.contributor.author | Berghammer, Malin | - |
dc.contributor.author | Johansson, Bengt | - |
dc.contributor.author | Mackie, Andrew S. | - |
dc.contributor.author | Menahem, Samuel | - |
dc.contributor.author | Caruana, Maryanne | - |
dc.contributor.author | Veldtman, Gruschen | - |
dc.contributor.author | Soufi, Alexandra | - |
dc.contributor.author | Fernandes, Susan M. | - |
dc.contributor.author | White, Kamila | - |
dc.contributor.author | Callus, Edward | - |
dc.contributor.author | Kutty, Shelby | - |
dc.contributor.author | Moons, Philip | - |
dc.date.accessioned | 2024-04-19T15:24:09Z | - |
dc.date.available | 2024-04-19T15:24:09Z | - |
dc.date.issued | 2020 | - |
dc.identifier.citation | Van Bulck, L.., Goossens, E., Luyckx, K., Apers, S., Oechslin, E., Thomet, C.,...Moons, P. (2020). Healthcare system inputs and patient-reported outcomes: a study in adults with congenital heart defect from 15 countries. BMC Health Services Research, 20(1), 496. | en_GB |
dc.identifier.uri | https://www.um.edu.mt/library/oar/handle/123456789/121107 | - |
dc.description.abstract | Background: The relationship between healthcare system inputs (e.g., human resources and infrastructure) and mortality has been extensively studied. However, the association between healthcare system inputs and patient-reported outcomes remains unclear. Hence, we explored the predictive value of human resources and infrastructures of the countries’ healthcare system on patient-reported outcomes in adults with congenital heart disease. Methods: This cross-sectional study included 3588 patients with congenital heart disease (median age = 31y; IQR = 16.0; 52% women; 26% simple, 49% moderate, and 25% complex defects) from 15 countries. The following patient-reported outcomes were measured: perceived physical and mental health, psychological distress, health behaviors, and quality of life. The assessed inputs of the healthcare system were: (i) human resources (i.e., density of physicians and nurses, both per 1000 people) and (ii) infrastructure (i.e., density of hospital beds per 10,000 people). Univariable, multivariable, and sensitivity analyses using general linear mixed models were conducted, adjusting for patient-specific variables and unmeasured country differences. Results: Sensitivity analyses showed that higher density of physicians was significantly associated with better self-reported physical and mental health, less psychological distress, and better quality of life. A greater number of nurses was significantly associated with better self-reported physical health, less psychological distress, and less risky health behavior. No associations between a higher density of hospital beds and patient-reported outcomes were observed. Conclusions: This explorative study suggests that density of human resources for health, measured on country level, are associated with patient-reported outcomes in adults with congenital heart disease. More research needs to be conducted before firm conclusions about the relationships observed can be drawn. | en_GB |
dc.language.iso | en | en_GB |
dc.publisher | Springer Nature | en_GB |
dc.rights | info:eu-repo/semantics/openAccess | en_GB |
dc.subject | Congenital heart disease -- Patients -- Medical care | en_GB |
dc.subject | Congenital heart disease -- Patients -- Psychological aspects | en_GB |
dc.subject | Congenital heart disease -- Patients -- Attitudes | en_GB |
dc.subject | Outcome assessment (Medical care) -- Evaluation | en_GB |
dc.subject | Congenital heart disease -- Research -- International cooperation | en_GB |
dc.title | Healthcare system inputs and patient-reported outcomes : a study in adults with congenital heart defect from 15 countries | en_GB |
dc.type | article | en_GB |
dc.rights.holder | The copyright of this work belongs to the author(s)/publisher. The rights of this work are as defined by the appropriate Copyright Legislation or as modified by any successive legislation. Users may access this work and can make use of the information contained in accordance with the Copyright Legislation provided that the author must be properly acknowledged. Further distribution or reproduction in any format is prohibited without the prior permission of the copyright holder. | en_GB |
dc.contributor.corpauthor | APPROACH-IS consortium and ISACHD | en_GB |
dc.description.reviewed | peer-reviewed | en_GB |
dc.identifier.doi | 10.1186/s12913-020-05361-9 | - |
dc.publication.title | BMC Health Services Research | en_GB |
Appears in Collections: | Scholarly Works - FacM&SMed |
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File | Description | Size | Format | |
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Healthcare system inputs and patient reported outcomes a study in adults with congenital heart defect from 15 countries 2020.pdf | 671.44 kB | Adobe PDF | View/Open |
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