Investigating the Factors Behind Patients' Desire and Decision to be Accompanied: A Cross-Sectional Analysis

IF 3 3区医学 Q2 HEALTH CARE SCIENCES & SERVICES Health Expectations Pub Date : 2025-01-05 DOI:10.1111/hex.70102

Mehmet Göktuğ Kılınçarslan, Büşra Dönmez, Yasemin Kaya Beştepe, Büşra Nur Kırıkcıoğlu, Merve Akbaşoğlu, Bezar Karakaya, Erkan Melih Şahin

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Abstract

Introduction

Medical education typically focuses on the dyadic interaction between patient and physician. However, there is another significant presence in the room that can also impact the patient's health outcomes: caregivers. This topic has been relatively underexplored until now, and there is insufficient information available regarding situations in different cultures. In this study, we aimed to separately examine the characteristics of patients that influence the frequency of being accompanied and those that affect patients' preferences regarding the presence of a companion.

Methods

This cross-sectional study was conducted in family medicine clinic of a tertiary hospital. During a period of 15 days, a total of 285 patients who visited the clinic were administered the questionnaire face-to-face. Two logistic regression models were used for dependent variables of “actual” and “desired” situations of admitting to healthcare service with companion.

Results

Of the participants, 167 (58.6%) were female, and the mean age was 36.8 ± 16.2 The sole significant factor, influencing actual visits to be occurred with a companion, was the solution for transportation issues (odds ratio [OR]: 26.25). It was found that unmarried individuals (single/divorced/widowed) (OR: 5.47), those with higher income (OR: 1.84), and older individuals (OR: 1.04) had a higher tendency to prefer visiting the clinic with companion while female are as opposite (OR: 0.50). Anxiety, perceived social support, and health literacy weren't associated with actual situation or desire to have companion.

Conclusion

Patients have companions to address tangible issues. However, different factors may influence the desire to have a companion. There is a large group of individuals who, are accompanied at clinic visits against their wishes, indicating a conflict between being accompanied and the desire for one.

Patient or Public Contribution

Our study was inspired by the unsolicited comments of patients made about their companions during clinical visits. Additionally, community provided valuable feedback during the pilot application phase, particularly in the development of the data form.

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调查患者渴望和决定陪伴背后的因素：一项横断面分析。

导读：医学教育通常侧重于病人和医生之间的二元互动。然而，房间里还有另一个重要的存在也会影响患者的健康结果：护理人员。到目前为止，这一主题的研究相对较少，关于不同文化中的情况的信息也不足。在这项研究中，我们的目的是分别研究影响陪伴频率的患者特征和影响患者对陪伴存在的偏好的患者特征。方法：在某三级医院家庭医学门诊进行横断面研究。在15天的时间里，共有285名到诊所就诊的患者接受了面对面的问卷调查。因变量分别为“实际”和“期望”陪同就诊情况，采用logistic回归模型。结果：167名（58.6%）参与者为女性，平均年龄为36.8±16.2岁。影响实际陪同就诊的唯一显著因素是交通问题的解决方案（优势比[OR]: 26.25）。结果发现，未婚（单身/离异/丧偶）个体（OR: 5.47）、高收入个体（OR: 1.84）和老年个体（OR: 1.04）更倾向于陪伴就诊，而女性则相反（OR: 0.50）。焦虑、感知到的社会支持和健康素养与实际情况或有伴侣的愿望无关。结论：患者有同伴来解决实际问题。然而，不同的因素可能会影响人们对伴侣的渴望。有一大群人在违背自己意愿的情况下被陪同去诊所，这表明在被陪同和渴望被陪同之间存在冲突。患者或公众贡献：我们的研究灵感来自于患者在临床访问期间对其同伴的主动评论。此外，社区在试点应用程序阶段提供了宝贵的反馈，特别是在数据表单的开发阶段。

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来源期刊

Health Expectations 医学-公共卫生、环境卫生与职业卫生

CiteScore

5.20

自引率

9.40%

发文量

251

审稿时长

>12 weeks

期刊介绍： Health Expectations promotes critical thinking and informed debate about all aspects of patient and public involvement and engagement (PPIE) in health and social care, health policy and health services research including: • Person-centred care and quality improvement • Patients'' participation in decisions about disease prevention and management • Public perceptions of health services • Citizen involvement in health care policy making and priority-setting • Methods for monitoring and evaluating participation • Empowerment and consumerism • Patients'' role in safety and quality • Patient and public role in health services research • Co-production (researchers working with patients and the public) of research, health care and policy Health Expectations is a quarterly, peer-reviewed journal publishing original research, review articles and critical commentaries. It includes papers which clarify concepts, develop theories, and critically analyse and evaluate specific policies and practices. The Journal provides an inter-disciplinary and international forum in which researchers (including PPIE researchers) from a range of backgrounds and expertise can present their work to other researchers, policy-makers, health care professionals, managers, patients and consumer advocates.