Abstract：
BACKGROUND:The national strategy for treatment of chronic diseases - including MS - and changes in the Swedish welfare system, call for analyses of the use of, and patient satisfaction with, care in a long-term perspective. The aim was therefore to explore the use of care and the predictive value of personal factors, disease-specific factors and functioning on the use of care and to explore patient satisfaction with care in a 10-year perspective. METHODS:Information regarding personal factors, disease-specific factors, functioning and satisfaction with care was collected by home-visits; use of care was collected from the Stockholm County Council computerised register. RESULT:Data from 121 people with MS (PwMS) was collected. Primary care accounted for the majority of all care. Neurology and Rehabilitation Departments together accounted for two-thirds of all hospital outpatient care. Rehabilitation Departments accounted for one-third of the total number of inpatient days. Lower coping capacity, impaired manual dexterity and activity of daily living dependency at baseline, together with progress in MS disability predicted a higher use of care. Overall, patient satisfaction with care was stable over time. CONCLUSION:The extensive use of care offers challenges to care coordination. Implementation of person-centred care could be a strategy to increase efficacy/outcome of care.
journal_name
BMC Health Serv Resjournal_title
BMC health services researchauthors
Chruzander C,Johansson S,Gottberg K,Einarsson U,Hillert J,Holmqvist LW,Ytterberg Cdoi
10.1186/s12913-015-1144-1subject
Has Abstractpub_date
2015-10-24 00:00:00pages
480issn
1472-6963pii
10.1186/s12913-015-1144-1journal_volume
15pub_type
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