Lilli Herzig|Andreas Zeller|Jérôme Pasquier|Sven Streit|Stefan Neuner?Jehle|Sophie Excoffier|Dagmar M. Haller
Factors associated with patients’ and GPs’ assessment of the burden of treatment in multimorbid patients: a cross-sectional study in primary care
University of Lausanne|University of Basel|Institute of Social and Preventive Medicine|University of Bern|University Hospital of Zurich|University of Geneva|University of Geneva
multimorbid patients may experience high burden treatment negative impact treatment adherence health outcomes health care costs objective study identify factors associated selfperceived burden treatment multimorbid patients primary care compare factors associated gps assessment burdena cross sectional study general practices 100 gps switzerland 10 multimorbid patients per gp patients reported selfperceived burden treatment using treatment burden questionnaire tbq possible score 0150 whereas gps evaluated burden treatment visual analog scale vas 1 9 study explored medical social psychological factors associated burden treatment number type chronic conditions drugs severity chronic conditions cirs score age quality life deprivation health literacythe gps included 888 multimorbid patients overall median tbq 20 median vas 4 patients gps assessment burden treatment inversely associated patients age quality life addition patients assessment burden treatment associated higher deprivation score lower health literacy diabetes atrial fibrillation whereas gps assessment burden associated patient greater number chronic conditions drugs higher cirs scoreboth patients gps perspectives tb appears higher younger patients whereas patients burden treatment associated socioeconomic psychological factors gps assessments burden associated medical factors including socioeconomic psychological factors patients selfperception likely improve gps assessments patients burden treatment thus favoring patientcentered care