Factors associated with healthcare-related frustrations among adults with chronic conditions

Patient Educ Couns. 2017 Jun;100(6):1185-1193. doi: 10.1016/j.pec.2016.12.033. Epub 2017 Jan 6.

Abstract

Objective: Healthcare-related frustrations (HRFs) are common occurrences in patient-provider interactions. Little is known about HRFs experienced by individuals with chronic conditions. The purposes of this study were to: 1) identify the frequency of six HRFs among adults with chronic conditions; 2) assess factors associated with these HRFs; and 3) examine factors associated with multiple HRFs.

Methods: Data were analyzed from 589 middle-aged and older adults with 1+ chronic conditions. A series of logistic regression models were fitted to identify factors associated with each frustration, and an ordinal regression model was fitted to identify factors associated with increasing frustrations.

Results: Participants reported at least two of the six HRFs. The most commonly reported HRFs included feeling tired of describing the same condition (46%) and wishing their doctor had more time to speak with them during visits (44%). Having functional limitations (Beta=0.58, P=0.004), reporting more self-care barriers (Beta=0.41, P<0.001), visiting a physician more frequently (P<0.05), and having less support (Beta=-0.64, P=0.013) were associated with increasing HRFs.

Conclusion: Reducing HRFs may improve patient-provider interactions, chronic disease management, and patients' overall quality of life.

Practice implications: Care coordination, communication and cultural competency training, and a review of materials may help address these frustrations.

Keywords: Chronic disease; Frustration; Healthcare.

MeSH terms

  • Aged
  • Aged, 80 and over
  • Chronic Disease / psychology
  • Chronic Disease / therapy*
  • Communication*
  • Female
  • Frustration*
  • Health Behavior*
  • Health Knowledge, Attitudes, Practice*
  • Health Services Accessibility
  • Health Status
  • Humans
  • Male
  • Middle Aged
  • Patient Participation / psychology*
  • Quality of Life / psychology*
  • Self Care
  • Transportation