Vilnius University, Lithuania Panel Discussion
Rima Kavalniene is pursuing her PhD at Vilnius University Medical Faculty in Lithuania. She works as Family Doctor in Primary Health Care Clinic. She is interested in current issues of Mental Health in Primary Health Care. Her PhD is about finding connection between some sociodemographic factors as well as most common mental diseases and patient satisfaction with primary health care services.
Background & Aim: Anxiety and depression are among the most common psychiatric disorders in primary health care (PHC). These diseases are associated with disability and poor quality of life. There is high comorbidity between anxiety, depression and other chronic somatic diseases. Anxiety and depression are also associated with worse treatment outcomes and higher amount of complications in chronic somatic diseases. However, connection between this diseases and patient`s satisfaction with PHC services has not been previously well studied. The main aim of this study is to determine the connections between depression, anxiety and patient`s satisfaction with PHC services.
Methodology: 889 patients in PHC centers were randomly selected and asked to fill out the questionnaire. Patients came to their PHC centers for variouse reasons. Patient satisfaction questionnaire, short version (PSQ-18, Marshall and Hays), was used to determine patient satisfaction. The Hospital Anxiety and Depression scale (HAD, Zigmond and Snaith) was also used. Data analysis was performed using the SPSS 24.0. A ρ-value<0.05 was considered as indicative of statistical significance.
Findings: 887 questionnaires were used in data analysis. Both anxiety and depression subscales strongly correlated with each other (Spearman`s correlation coefficient 0.742) (ρ<0.001). Also, the worse estimates of both anxiety and depression subscales correlated with the worse overall score and all subscales of PSQ-18 (Spearman`s correlation coefficient -0.462 and -0.536 respectively) (ρ<0,001). The linear regression analysis of all data (the dependent variable was total PSQ-18 score) showed that the major factor leading to poorer satisfaction with PHC services was a higher depression subscale score (ρ <0.001) (Table 1). The correlation between anxiety and PSQ-18 score has gone.
Conclusion: The presence of depression leads to poorer satisfaction with PHC services. Depression is a strong factor influencing patients' perception of PSP services, which sometimes can be masked and stay unnoticed among the other factors.
a. Dependent Variable: Total PSQ-18 score
Table 1: Regression Analysis Coefficientsa.
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