What Means A Quality Professional-Patient Relationship From The Asthmatic Patients' Perspective? A Narrative Review Of Their Needs And Expectations

Overview

Journal Patient Prefer Adherence

Date 2019 Dec 10

PMID 31814711

Citations 2

Authors

Jehan Seret

Fabienne Gooset

Valerie Durieux

Dan Lecocq

Magali Pirson

Affiliations

Soon will be listed here.

Abstract

Introduction: Poor treatment adherence among asthmatic patients currently remains a public health challenge. One of the most quoted determinants is the quality of the professional-patient relationship although it has clearly not been fully described.

Purpose: This study aims at deeply exploring asthmatic patients' needs and expectations about the accompaniment proposed by their healthcare professionals.

Methods: A rigorous narrative review was performed.

Results: According to patients, what they expect from professionals can be split into eight themes: getting exhaustive information, relying on an available healthcare professional, being more involved into life with one's asthma, being accompanied by a multidisciplinary team, being respected in one's uniqueness, being cared through a humanist approach, feeling the professional is skilled and Other needs.

Discussion And Conclusion: Asthmatic patients' needs have little evolved in 20 years illustrating that if they are met, that would positively affect the way patients want to be followed by healthcare professionals and so, that would increase their treatment adherence. Several recommendations such as setting up a doctor - asthma nurse practitioner binomial or studying a concrete care pathway may help in fulfilling these needs. Finally, this research opens the way to other studies since similar results have been found in populations suffering from other chronic diseases than asthma.

Citing Articles

Predictors and components of inpatient asthma hospital cost: A retrospective cohort study. Analysis from a sample of 14 Belgian hospitals.

Seret J, Bruyneel A, Larcin L, Gooset F, Azzi D, Martins D J Public Health Res. 2024; 13(2):22799036241243270.

PMID: 38711424 PMC: 11072054. DOI: 10.1177/22799036241243270.

Severe Asthma, Telemedicine, and Self-Administered Therapy: Listening First to the Patient.

Guarnieri G, Caminati M, Achille A, Vaia R, Bianchi F, Senna G J Clin Med. 2022; 11(4).

PMID: 35207233 PMC: 8880352. DOI: 10.3390/jcm11040960.

References

Hannane A, Misane L, Devouassoux G, Colin C, Letrilliart L . Asthma patients' perception on their care pathway: a qualitative study. NPJ Prim Care Respir Med. 2019; 29(1):9. PMC: 6445145. DOI: 10.1038/s41533-019-0121-2. View

Loerbroks A, Leucht V, Keuneke S, Apfelbacher C, Sheikh A, Angerer P . Patients' needs in asthma treatment: development and initial validation of the NEAT questionnaire. J Asthma. 2016; 53(4):427-37. DOI: 10.3109/02770903.2015.1099664. View

Lecocq D, Lefebvre H, Neron A, Van Cutsem C, Bustillo A, Laloux M . [The humanistic partnership model in health care]. Soins. 2017; 62(816):17-23. DOI: 10.1016/j.soin.2017.05.016. View

Kuethe M, Vaessen-Verberne A, Elbers R, Van Aalderen W . Nurse versus physician-led care for the management of asthma. Cochrane Database Syst Rev. 2013; (2):CD009296. PMC: 11810130. DOI: 10.1002/14651858.CD009296.pub2. View

Lingner H, Burger B, Kardos P, Criee C, Worth H, Hummers-Pradier E . What patients really think about asthma guidelines: barriers to guideline implementation from the patients' perspective. BMC Pulm Med. 2017; 17(1):13. PMC: 5225589. DOI: 10.1186/s12890-016-0346-6. View

Moffat M, Cleland J, van der Molen T, Price D . Sub-optimal patient and physician communication in primary care consultations: its relation to severe and difficult asthma. Prim Care Respir J. 2006; 15(3):159-65. PMC: 6730700. DOI: 10.1016/j.pcrj.2006.02.006. View

Seret J, Pirson M, Penson F, Lefebvre H, Lecocq D . [People living with chronic asthma: Needs and expectations regarding the accompaniment offered by Belgian health professionals.]. Rech Soins Infirm. 2018; (132):64-77. DOI: 10.3917/rsi.132.0064. View

Pomey M, Flora L, Karazivan P, Dumez V, Lebel P, Vanier M . [In Process Citation]. Sante Publique. 2015; 1 Suppl:41-50. View

Samuels-Kalow M, Rhodes K, Uspal J, Reyes Smith A, Hardy E, Mollen C . Unmet Needs at the Time of Emergency Department Discharge. Acad Emerg Med. 2015; 23(3):279-87. PMC: 4789090. DOI: 10.1111/acem.12877. View

10.

Moher D, Liberati A, Tetzlaff J, Altman D . Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PLoS Med. 2009; 6(7):e1000097. PMC: 2707599. DOI: 10.1371/journal.pmed.1000097. View

11.

Braido F, Baiardini I, Menoni S, Brusasco V, Centanni S, Girbino G . Asthma management failure: a flaw in physicians' behavior or in patients' knowledge?. J Asthma. 2011; 48(3):266-74. DOI: 10.3109/02770903.2011.555040. View

12.

Melton C, Graff C, Holmes G, Brown L, Bailey J . Health literacy and asthma management among African-American adults: an interpretative phenomenological analysis. J Asthma. 2014; 51(7):703-13. DOI: 10.3109/02770903.2014.906605. View

13.

Buford T . School-age children with asthma and their parents: relationships with health care providers. Issues Compr Pediatr Nurs. 2005; 28(3):153-62. DOI: 10.1080/01460860500227564. View

14.

Moore W, Meyers D, Wenzel S, Teague W, Li H, Li X . Identification of asthma phenotypes using cluster analysis in the Severe Asthma Research Program. Am J Respir Crit Care Med. 2009; 181(4):315-23. PMC: 2822971. DOI: 10.1164/rccm.200906-0896OC. View

15.

Newcomb P, McGrath K, Covington J, Lazarus S, Janson S . Barriers to patient-clinician collaboration in asthma management: the patient experience. J Asthma. 2010; 47(2):192-7. DOI: 10.3109/02770900903486397. View

16.

Pujet J, Nejjari C, Tessier J, Sapene M, Pasquet S, Racineux J . [Educational diagnosis in asthma. Descriptive results of a questionnaire survey]. Rev Mal Respir. 1997; 14(3):209-17. View

17.

Lindberg M, Ahlner J, Ekstrom T, Jonsson D, Moller M . Asthma nurse practice improves outcomes and reduces costs in primary health care. Scand J Caring Sci. 2002; 16(1):73-8. DOI: 10.1046/j.1471-6712.2002.00054.x. View

18.

Partridge M, Dal Negro R, Olivieri D . Understanding patients with asthma and COPD: insights from a European study. Prim Care Respir J. 2011; 20(3):315-23, 17 p following 323. PMC: 6549852. DOI: 10.4104/pcrj.2011.00056. View

19.

McDonald V, Higgins I, Gibson P . Insight into older peoples' healthcare experiences with managing COPD, asthma, and asthma-COPD overlap. J Asthma. 2013; 50(5):497-504. DOI: 10.3109/02770903.2013.790415. View

20.

Douglass J, Goeman D, Aroni R, Thien F, Abramson M, Stewart K . Choosing to attend an asthma doctor: a qualitative study in adults attending emergency departments. Fam Pract. 2004; 21(2):166-72. DOI: 10.1093/fampra/cmh211. View