Questionnaire Survey From the Viewpoint of Concordance in Patient and Physician Satisfaction Concerning Hypertensive Treatment in Elderly Patients　― Patients Voice Study ―

• Ikeda Yoshiyuki

  Department of Cardiovascular Medicine and Hypertension, Graduate School of Medical and Dental Sciences, Kagoshima University

• Sasaki Takeshi

  Makurazaki Municipal Hospital

• Kuwahata So

  Tarumizu Chuo Hospital, Tarumizu Municipal Medical Center

• Imamura Masakazu

  Nanpuh Hospital

• Tanoue Kanyo

  Tanegashima Medical Center

• Komaki Shinichirou

  Komaki Clinic

• Hashiguchi Mamoru

  Togo Clinic

• Kuroda Atsushi

  Ichihino Memorial Hospital

• Akasaki Yuichi

  Department of Cardiovascular Medicine and Hypertension, Graduate School of Medical and Dental Sciences, Kagoshima University

• Hamada Chikuma

  Faculty of Engineering, Tokyo University of Science

• Ohishi Mitsuru

  Department of Cardiovascular Medicine and Hypertension, Graduate School of Medical and Dental Sciences, Kagoshima University

抄録

Background:Patient-physician concordance is an important concern in the treatment of elderly patients with hypertension (HT). Treatment that considers concordance is necessary for mutual understanding and therapeutic satisfaction between patients and physicians. However, there have been no studies addressing concordance that objectively analyzed both patient and physician satisfaction before and after treatment. Methods and Results:An exploratory open-label, multicenter, intervention study was conducted. Patients with HT undergoing treatment with angiotensin-receptor blocker (ARB) or a calcium-channel blocker (CCB) monotherapy were enrolled. Medication was switched to an ARB/CCB combination tablet and taken for 12 weeks. Physicians and patients participated in satisfaction surveys concerning treatment. Discrepancies in satisfaction levels between patients and physicians were found at baseline for the following survey items: treatment, involvement in treatment, understanding of HT, reliance, medication, and blood pressure. After treatment, the satisfaction levels of both patients and physicians increased; discrepancies in satisfaction between the groups also improved. Conclusions:The rates of satisfaction were relatively higher for patients compared with physicians at baseline. After HT treatment addressing concordance, both patient and physician satisfaction rates and the gap in satisfaction rates between patients and physicians improved. This indicates that addressing concordance has clinical significance in the treatment of elderly HT patients. (UMIN000017270)

収録刊行物

• Circulation Journal

  Circulation Journal 82 (4), 1051-1061, 2018

  一般社団法人 日本循環器学会

キーワード

• Combination treatment
• Elderly patients
• Hypertension
• Patient-physician concordance

詳細情報

• CRID: 1390001205108929408
• NII論文ID: 130006528641
• NII書誌ID: AA11591968
• DOI: 10.1253/circj.cj-17-1015
• ISSN: 13474820
• ISSN: 13469843
• NDL書誌ID: 028895323
• PubMed: 29445065
• Web Site: https://ndlsearch.ndl.go.jp/books/R000000004-I028895323
• Web Site: https://www.jstage.jst.go.jp/article/circj/82/4/82_CJ-17-1015/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/2018289426
• 本文言語コード: en
• データソース種別:
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  • NDL
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