Women with ASCVD were more likely than men to experience poor patient-provider communication (OR 1.25; 95% CI 1.11-1.41), lower healthcare satisfaction, and poor perception of health status.
Cross-Sectional (n=21,353)
Yes
Do women with ASCVD report poorer patient experience and health-related quality of life compared to men?
Women with ASCVD report significantly poorer patient experiences, lower health-related quality of life, and lower use of secondary prevention medications compared to men.
Effect estimate: OR 1.25 (95% CI 1.11-1.41)
Background Atherosclerotic cardiovascular disease ( ASCVD ) accounts for approximately one third of deaths in women. Although there is an established relationship between positive patient experiences, health-related quality of life, and improved health outcomes, little is known about gender differences in patient-reported outcomes among ASCVD patients. We therefore compared gender differences in patient-centered outcomes among individuals with ASCVD . Methods and Results Data from the 2006 to 2015 Medical Expenditure Panel Survey, a nationally representative US sample, were used for this study. Adults ≥18 years with a diagnosis of ASCVD , ascertained by International Classification of Diseases, Ninth Revision ( ICD-9) codes and/or self-reported data, were included. Linear and logistic regression were used to compare self-reported patient experience, perception of health, and health-related quality of life by gender. Models adjusted for demographics, socioeconomic status, and comorbidities. There were 21 353 participants included, with >10 000 (47%-weighted) of the participants being women, representing ≈11 million female adults with ASCVD nationwide. Compared with men, women with ASCVD were more likely to experience poor patient-provider communication (odds ratio 1.25 95% confidence interval 1.11-1.41), lower healthcare satisfaction (1.12 1.02-1.24), poor perception of health status (1.15 1.04-1.28), and lower health-related quality of life scores. Women with ASCVD also had lower use of aspirin and statins, and greater odds of ≥2 Emergency Department visits/y. Conclusions Women with ASCVD were more likely to report poorer patient experience, lower health-related quality of life, and poorer perception of their health when compared with men. These findings have important public health implications and require more research towards understanding the gender-specific differences in healthcare quality, delivery, and ultimately health outcomes among individuals with ASCVD .
Okunrintemi et al. (Mon,) conducted a cross-sectional in Atherosclerotic cardiovascular disease (ASCVD) (n=21,353). Female gender vs. Male gender was evaluated on Poor patient-provider communication (OR 1.25, 95% CI 1.11-1.41). Women with ASCVD were more likely than men to experience poor patient-provider communication (OR 1.25; 95% CI 1.11-1.41), lower healthcare satisfaction, and poor perception of health status.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: