Health-related quality of life in elderly diabetic outpatients in Vietnam.

Nguyen, Huong Thi Thu; Moir, Mackenzie PI; Nguyen, Thanh Xuan; Vu, Anh Phuong; Luong, Long Hoang; Nguyen, Tam Ngoc; Nguyen, Long Hoang; Tran, Bach Xuan; Tran, Tung Thanh; Latkin, Carl A; Zhang, Melvyn WB; Ho, Roger CM; Vu, Huyen Thanh Thi

doi:10.2147/PPA.S162892

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Health-related quality of life in elderly diabetic outpatients in Vietnam.

Author(s): Huong Thi Thu Nguyen ¹ ^, ² , Mackenzie Pi Moir ³ , Thanh Xuan Nguyen ² ^, ⁴ , Anh Phuong Vu ⁵ , Long Hoang Luong ² ^, ⁴ , Tam Ngoc Nguyen ¹ ^, ² , Long Hoang Nguyen ⁶ , Bach Xuan Tran ⁷ ^, ⁸ , Tung Thanh Tran ⁹ , Carl A Latkin ⁸ , Melvyn Wb Zhang ¹⁰ , Roger Cm Ho ¹¹ , Huyen Thanh Thi Vu ¹ ^, ²

Publication date (Electronic): 2018

Journal: Patient preference and adherence

Publisher: Informa UK Limited

Keywords: Vietnam, diabetes, elder, quality of life

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Abstract

Health-related quality of life (HRQoL) is an important indicator for designing care and treatment services for patients with diabetes. This is especially true given its rapid increase among the elderly population in Vietnam. HRQoL data in elderly diabetic Vietnamese are currently limited. This study aimed to 1) measure the HRQoL of elderly patients with type 2 diabetes (T2DM) in Vietnam and 2) identify related factors and their relationship with HRQoL.

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Understanding patients' experiences of treatment burden in chronic heart failure using normalization process theory.

Katie I Gallacher, Carl R May, Victor Montori … (2015)

Our goal was to assess the burden associated with treatment among patients living with chronic heart failure and to determine whether Normalization Process Theory (NPT) is a useful framework to help describe the components of treatment burden in these patients. We performed a secondary analysis of qualitative interview data, using framework analysis, informed by NPT, to determine the components of patient "work." Participants were 47 patients with chronic heart failure managed in primary care in the United Kingdom who had participated in an earlier qualitative study about living with this condition. We identified and examined data that fell outside of the coding frame to determine if important concepts or ideas were being missed by using the chosen theoretical framework. We were able to identify and describe components of treatment burden as distinct from illness burden using the framework. Treatment burden in chronic heart failure includes the work of developing an understanding of treatments, interacting with others to organize care, attending appointments, taking medications, enacting lifestyle measures, and appraising treatments. Factors that patients reported as increasing treatment burden included too many medications and appointments, barriers to accessing services, fragmented and poorly organized care, lack of continuity, and inadequate communication between health professionals. Patient "work" that fell outside of the coding frame was exclusively emotional or spiritual in nature. We identified core components of treatment burden as reported by patients with chronic heart failure. The findings suggest that NPT is a theoretical framework that facilitates understanding of experiences of health care work at the individual, as well as the organizational, level. Although further exploration and patient endorsement are necessary, our findings lay the foundation for a new target for treatment and quality improvement efforts toward patient-centered care.

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Assessing health system performance in developing countries: a review of the literature.

Margaret Kruk, Matthew Freedman (2008)

With the setting of ambitious international health goals and an influx of additional development assistance for health, there is growing interest in assessing the performance of health systems in developing countries. This paper proposes a framework for the assessment of health system performance and reviews the literature on indicators currently in use to measure performance using online medical and public health databases. This was complemented by a review of relevant books and reports in the grey literature. The indicators were organized into three categories: effectiveness, equity, and efficiency. Measures of health system effectiveness were improvement in health status, access to and quality of care and, increasingly, patient satisfaction. Measures of equity included access and quality of care for disadvantaged groups together with fair financing, risk protection and accountability. Measures of efficiency were appropriate levels of funding, the cost-effectiveness of interventions, and effective administration. This framework and review of indicators may be helpful to health policy makers interested in assessing the effects of different policies, expenditures, and organizational structures on health outputs and outcomes in developing countries.