The Effects of Barriers on Health Related Quality of Life (HRQL) and Compliance in Adult Asthmatics who are followed in an Urban Community Health Care Facility

2.50
Hdl Handle:
http://hdl.handle.net/10755/163115
Category:
Abstract
Type:
Presentation
Title:
The Effects of Barriers on Health Related Quality of Life (HRQL) and Compliance in Adult Asthmatics who are followed in an Urban Community Health Care Facility
Author(s):
Hoffman, Rosemary L.; Rohrer III, Wesley M.; South-Paul, Jeanette; Burdett, Ray; Watzlaf, Valerie J. M.
Author Details:
Rosemary L. Hoffmann, RN, PhD, University of Pittsburgh, Pittsburgh, Pennsylvania, USA, email: rho100@pitt.edu; Wesley M. Rohrer III, PhD, MBA; Jeanette South-Paul, MD; Ray Burdett, PhD, PT; Valerie J. M. Watzlaf, PhD, RHIA
Abstract:
Purpose: The convenient cross sectional study sought to identify perceived barriers to follow-up care for adult asthmatics who are followed in two community health care facilities. A second purpose was to determine the effect of any barriers on health related quality of life (HRQL) and compliance in the sample. Theoretical Framework: Aday and Anderson's (1974) framework for health care access served as a model. Methods (Design, Sample, Setting, Measures, Analysis): Thirty-four adults who receive follow-up care for asthma completed a demographic and health status survey, the MiniAQLQ and the EWash Access to Health Care Survey. Results: "Long waiting time in provider's office," "someone had to miss work," "cost of care too much," and "long wait for an appointment" were the most prevalent perceived barriers in the sample. "Lack of transportation" was significantly associated with study participants who receive health care at one site or who stated the emergency room was their usual place of care. "Someone had to miss work" was significantly correlated with the following variables, employment, 1-2 daily asthma medications, no psychological co-morbidities or overnight hospitalizations for asthma, and higher annual household income. A higher reported HRQL was significantly correlated with study participants whose medical care needs and sufficient local health care services were met. The only perceived barrier that was significantly correlated with compliance was study participants who "sometimes" had to reschedule an appointment with a health care provider due to "lack of transportation." Conclusions and Implications: The present study raises the possibility that strategies designed to decrease the perceived barriers of lack of transportation, someone missing work, long wait for an appointment, and inconvenient office hours may improve follow-up care in this population. Such strategies would operate primarily through improving access and fostering asthma care in the community where it can be effectively managed thus decreasing costs, absenteeism, and lack of continuity.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2007
Conference Name:
19th Annual Scientific Sessions
Conference Host:
Eastern Nursing Research Society
Conference Location:
Providence, Rhode Island, USA
Description:
Conference theme: Building Communities of Scholarship and Research, held April 12-14, 2007 at The Westin Providence.
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleThe Effects of Barriers on Health Related Quality of Life (HRQL) and Compliance in Adult Asthmatics who are followed in an Urban Community Health Care Facilityen_GB
dc.contributor.authorHoffman, Rosemary L.en_US
dc.contributor.authorRohrer III, Wesley M.en_US
dc.contributor.authorSouth-Paul, Jeanetteen_US
dc.contributor.authorBurdett, Rayen_US
dc.contributor.authorWatzlaf, Valerie J. M.en_US
dc.author.detailsRosemary L. Hoffmann, RN, PhD, University of Pittsburgh, Pittsburgh, Pennsylvania, USA, email: rho100@pitt.edu; Wesley M. Rohrer III, PhD, MBA; Jeanette South-Paul, MD; Ray Burdett, PhD, PT; Valerie J. M. Watzlaf, PhD, RHIAen_US
dc.identifier.urihttp://hdl.handle.net/10755/163115-
dc.description.abstractPurpose: The convenient cross sectional study sought to identify perceived barriers to follow-up care for adult asthmatics who are followed in two community health care facilities. A second purpose was to determine the effect of any barriers on health related quality of life (HRQL) and compliance in the sample. Theoretical Framework: Aday and Anderson's (1974) framework for health care access served as a model. Methods (Design, Sample, Setting, Measures, Analysis): Thirty-four adults who receive follow-up care for asthma completed a demographic and health status survey, the MiniAQLQ and the EWash Access to Health Care Survey. Results: "Long waiting time in provider's office," "someone had to miss work," "cost of care too much," and "long wait for an appointment" were the most prevalent perceived barriers in the sample. "Lack of transportation" was significantly associated with study participants who receive health care at one site or who stated the emergency room was their usual place of care. "Someone had to miss work" was significantly correlated with the following variables, employment, 1-2 daily asthma medications, no psychological co-morbidities or overnight hospitalizations for asthma, and higher annual household income. A higher reported HRQL was significantly correlated with study participants whose medical care needs and sufficient local health care services were met. The only perceived barrier that was significantly correlated with compliance was study participants who "sometimes" had to reschedule an appointment with a health care provider due to "lack of transportation." Conclusions and Implications: The present study raises the possibility that strategies designed to decrease the perceived barriers of lack of transportation, someone missing work, long wait for an appointment, and inconvenient office hours may improve follow-up care in this population. Such strategies would operate primarily through improving access and fostering asthma care in the community where it can be effectively managed thus decreasing costs, absenteeism, and lack of continuity.en_GB
dc.date.available2011-10-27T11:01:32Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T11:01:32Z-
dc.conference.date2007en_US
dc.conference.name19th Annual Scientific Sessionsen_US
dc.conference.hostEastern Nursing Research Societyen_US
dc.conference.locationProvidence, Rhode Island, USAen_US
dc.descriptionConference theme: Building Communities of Scholarship and Research, held April 12-14, 2007 at The Westin Providence.en_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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