Abstract
High quality of life (QoL) may reduce the costs of medical care of chronically ill patients due to lower health care utilization. The purpose of this study was to establish the influence of the QoL of primary care patients with chronic respiratory diseases on the level of health care utilization and the predictors of hospitalization. The study group consisted of 594 adult patients with chronic respiratory diseases of the mean age 59.8 ± 14.9 years. The highest QoL was observed in the social relationship domain and the lowest in the physical domain. Low QoL was associated with a low level of health care utilization among patients with chronic respiratory diseases. Most patients were hospitalized during the past 3 years. In a group of patients with chronic respiratory diseases, chances for hospitalization were: higher among patients with low QoL and health satisfaction, low QoL levels in the physical and social relationship domains, high QoL levels in the psychological domain, those with higher education, residents of rural areas, patients using frequent consultations over the phone, and those with at least an average index of services.
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References
Baernholdt M, Hinton I, Yan G, Rose K, Mattos M (2012) Factors associated with quality of life in older adults in the United States. Qual Life Res 21:527–534
Breeze E, Jones DA, Wilkinson P, Bulpitt CJ, Grundy C, Latif AM, Fletcher AE (2005) Area deprivation, social class, and quality of life among people aged 75 years and over in Britain. Int J Epidemiol 34(2):276–283
Brown J, Bowling A, Flynn TN (2004) Models of quality of life: a taxonomy and systematic review of the literature. Report commissioned by European Forum on Population Ageing Research/Quality Life, University of Sheffield
Calderón-Larrañaga A, Carney L, Soljak M, Bottle A, Partridge M, Bell D, Abi-Aad G, Aylin P, Majeed A (2011) Association of population and primary healthcare factors with hospital admission rates for chronic obstructive pulmonary disease in England: national cross-sectional study. Thorax 66(3):191–196
CSO – Central Statistical Office (2012) Concise statistical yearbook of Poland. Available from: www.stat.gov.pl/cps/rde/xbcr/gus/oz_maly_rocznik_statystyczny_2012.pdf. Accessed 11 Oct 2012
Einarsdóttir K, Preen DB, Emery JD, Kelman C, Holman CD (2010) Regular primary care lowers hospitalisation risk and mortality in seniors with chronic respiratory diseases. J Gen Intern Med 25(8):766–773
Fortin M, Bravo G, Hudon C, Lapointe L, Dubois MF, Almirall J (2006) Psychological distress and multimorbidity in primary care. Ann Fam Med 4(5):417–422
Frisch MB (1998) Quality of life therapy and assessment in health care. Clin Psychol Sci Pract 5:19–40
Grant N, Hamer M, Steptoe A (2009) Social isolation and stress-related cardiovascular, lipid, and cortisol responses. Ann Behav Med 37(1):29–37
Gunaydin R, Karatepe AG, Kaya T, Ulutas O (2011) Determinants of quality of life (QoL) in elderly stroke patients: a short-term follow-up study. Arch Gerontol Geriatr 53(1):19–23
Jakobsson U, Kristensson J, Hallberg IR, Midlöv P (2011) Psychosocial perspectives on health care utilization among frail elderly people: an explorative study. Arch Gerontol Geriatr 52(3):290–294
Jaracz K, Kalfoss M, Gorna K, Baczyk G (2006) Quality of life in Polish respondents: psychometric properties of the Polish WHOQOL-Bref. Scand J Caring Sci 20(3):251–260
Kersnik J, Svab I, Vegnuti M (2001) Frequent attenders in general practice: quality of life, patient satisfaction, use of medical services and GP characteristics. Scand J Prim Health Care 19(3):174–177
Kravet SJ, Shore AD, Miller R, Green GB, Kolodner K, Wright SM (2008) Health care utilization and the proportion of primary care physicians. Am J Med 121(2):142–148
Levasseur M, St-Cyr Tribble D, Desrosiers J (2009) Meaning of quality of life for older adults: importance of human functioning components. Arch Gerontol Geriatr 49(2):e91–e100
Mota-Pinto A, Rodrigues V, Botelho A, Veríssimo MT, Morais A, Alves C, Rosa MS, de Oliveira CR (2011) A socio-demographic study of aging in the Portuguese population: the EPEPP study. Arch Gerontol Geriatr 52(3):304–308
Ordu Gokkaya NK, Gokce-Kutsal Y, Borman P, Ceceli E, Dogan A, Eyigor S, Karapolat H (2012) Geriatric Rehabilitation Research Group of Turkish Society of Physical Medicine and Rehabilitation. Pain and quality of life (QoL) in elderly: the Turkish experience. Arch Gerontol Geriatr 55(2):357–362
Pac A, Tobiasz-Adamczyk B, Brzyska M, Florek M (2012) The role of different predictors in 20-year mortality among Krakow older citizens. Arch Gerontol Geriatr 56(3):524–530
Rifel J, Svab I, Selič P, Rotar Pavlič D, Nazareth I, Car J (2013) Association of common mental disorders and quality of life with the frequency of attendance in Slovenian family medicine practices: longitudinal study. PLoS One 8(1):e54241
Shankar A, McMunn A, Banks J, Steptoe A (2011) Loneliness, social isolation, and behavioral and biological health indicators in older adults. Health Psychol 30(4):377–385
Steptoe A, Shankar A, Demakakos P, Wardle J (2013) Social isolation, loneliness, and all-cause mortality in older men and women. Proc Natl Acad Sci U S A 10(15):5797–5801
van Damme-Ostapowicz K, Krajewska-Kulak E, Rozwadowska E, Nahorski WL, Olszanski R (2012) Quality of life and satisfaction with life of malaria patients in context of acceptance of the disease: quantitative studies. Malar J 11:171
WHO – European health report 2012. Available from: http://www.who.un.org.pl/aktualnosci.php?news=84&wid=14. Accessed 14 Mar 2013
WHOQOL Group (1998) Development of the World Health Organization WHOQOL-BREF quality of life assessment. Psychol Med 28:551–558
Zielinska-Wieczkowska H, Kedziora-Kornatowska K, Ciemnoczolowski W (2011) Evaluation of quality of life (QoL) of students of the University of Third Age (U3A) on the basis of socio-demographic factors and health status. Arch Gerontol Geriatr 53(2):e198–e202
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Kurpas, D., Mroczek, B., Sitko, Z., Helicka, D., Kuchar, E. (2014). Quality of Life and Health Care Utilization in Patients with Chronic Respiratory Diseases. In: Pokorski, M. (eds) Environment Exposure to Pollutants. Advances in Experimental Medicine and Biology(), vol 834. Springer, Cham. https://doi.org/10.1007/5584_2014_46
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DOI: https://doi.org/10.1007/5584_2014_46
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