Tintore, Mar and Alexander, Maggie and Costello, Kathleen and Duddy, Martin and Jones, David E. and Law, Nancy and O'Neill, Gilmore and Uccelli, Antonio and Weissert, Robert and Wray, Sibyl (2017) The state of multiple sclerosis: current insight into the patient/health care provider relationship, treatment challenges, and satisfaction. PATIENT PREFERENCE AND ADHERENCE, 11. pp. 33-45. ISSN 1177-889X,
Full text not available from this repository. (Request a copy)Abstract
Background: Managing multiple sclerosis (MS) treatment presents challenges for both patients and health care professionals. Effective communication between patients with MS and their neurologist is important for improving clinical outcomes and quality of life. Methods: A closed-ended online market research survey was used to assess the current state of MS care from the perspective of both patients with MS (>= 18 years of age) and neurologists who treat MS from Europe and the US and to gain insight into perceptions of treatment expectations/goals, treatment decisions, treatment challenges, communication, and satisfaction with care, based on current clinical practice. Results: A total of 900 neurologists and 982 patients completed the survey, of whom 46% self-identified as having remitting-relapsing MS, 29% secondary progressive MS, and 11% primary progressive MS. Overall, patients felt satisfied with their disease-modifying therapy (DMT); satisfaction related to comfort in speaking with their neurologist and participation in their DMT decision-making process. Patients who self-identified as having relapsing-remitting MS were more likely to be very satisfied with their treatment. Top challenges identified by patients in managing their DMT were cost, side effects/tolerability of treatment, and uncertainty if treatment was working. Half of the patients reported skipping doses, but only 68% told their health care provider that they did so. Conclusion: Several important differences in perception were identified between patients and neurologists concerning treatment selection, satisfaction, expectations, goals, and comfort discussing symptoms, as well as treatment challenges and skipped doses. The study results emphasize that patient/neurologist communication and patient input into the treatment decision-making process likely influence patient satisfaction with treatment.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | REPORTED OUTCOMES; DEPRESSION; ADHERENCE; THERAPIES; health care provider survey; multiple sclerosis; patient-health care provider relationship; patient survey; treatment expectations; treatment satisfaction |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Neurologie |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 14 Dec 2018 12:58 |
| Last Modified: | 25 Feb 2019 13:58 |
| URI: | https://pred.uni-regensburg.de/id/eprint/153 |
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