Patient-reported Satisfaction with Current Clinical Management of Systemic Lupus Erythematosus in Kazakhstan

Yeldos  Khamitov; Zaituna Khismetova; Maiya Goremykina; Sandro Vento; Arkadiy Kotlyar; Natalya Glushkova

doi:10.3889/oamjms.2020.4068

Authors

Yeldos Khamitov Department of Public Health and Evidence Based Medicine, Semey Medical University, Semey, Kazakhstan
Zaituna Khismetova Department of Public Health and Evidence Based Medicine, Semey Medical University, Semey, Kazakhstan
Maiya Goremykina Department of Public Health and Evidence Based Medicine, Semey Medical University, Semey, Kazakhstan
Sandro Vento Faculty of Medicine, University of Puthisastra, Phnom Penh, Cambodia
Arkadiy Kotlyar Integrative Medicine Clinic, Rishon LeZion, Israel
Natalya Glushkova Department of Personalized Medicine, Semey Medical University, Semey, Kazakhstan

DOI:

https://doi.org/10.3889/oamjms.2020.4068

Keywords:

Patient satisfaction, Systemic lupus erythematosus, Healthcare, Kazakhstan

Abstract

BACKGROUND: Over the past decades, patient satisfaction has been increasingly recognized as a powerful tool to measure the quality of health-care services.

AIM: This study evaluated the satisfaction of systemic lupus erythematosus (SLE) patients with current clinical management in Semey, East Kazakhstan, and explored the factors associated with dissatisfaction.

METHODS: All adult SLE patients registered at health-care facilities of Semey were enrolled in a cross-sectional study.

RESULTS: Out of 67 patients, 66 were females and their mean age was 39 years. Symptoms associated with the musculoskeletal system were the most commonly reported (95.5%), followed by fatigue (88.1%) and neurological symptoms (53.7%). None of the patients were very satisfied or satisfied with current clinical management and the overall rate of patient dissatisfaction was 83.6%. Education (p = 0.04), monthly income (p = 0.01), SLE disease activity index score (p = 0.031), therapy with biologic agents (p = 0.029), immunosuppressants (p = 0.01), and corticosteroids (p = 0.01) were predictors of patient dissatisfaction in multiple logistic regression analysis.

CONCLUSION: This real-world study is the first effort to understand the experience of SLE patients within the health-care system of Kazakhstan and the results may facilitate doctor-patient discussions on the initiatives that need to be taken to improve the quality of the medical services provided.

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