Patient Preference and Adherence (Nov 2019)
What Means A Quality Professional–Patient Relationship From The Asthmatic Patients’ Perspective? A Narrative Review Of Their Needs And Expectations
Abstract
Jehan Seret,1 Fabienne Gooset,1 Valérie Durieux,2 Dan Lecocq,1 Magali Pirson1 1Health Economics, Hospital Management and Nursing Research Department, School of Public Health, Université Libre de Bruxelles, Brussels, Belgium; 2Health Sciences Library Department, School of Public Health, Université Libre de Bruxelles, Brussels, BelgiumCorrespondence: Jehan SeretCentre de recherche en économie de la santé, gestion des institutions de soins et sciences infirmières, École de Santé Publique, ULB, Route de Lennik, 808, 1070, Bruxelles CP 592, BelgiumEmail [email protected]: Poor treatment adherence among asthmatic patients currently remains a public health challenge. One of the most quoted determinants is the quality of the professional–patient relationship although it has clearly not been fully described.Purpose: This study aims at deeply exploring asthmatic patients’ needs and expectations about the accompaniment proposed by their healthcare professionals.Methods: A rigorous narrative review was performed.Results: According to patients, what they expect from professionals can be split into eight themes: getting exhaustive information, relying on an available healthcare professional, being more involved into life with one’s asthma, being accompanied by a multidisciplinary team, being respected in one’s uniqueness, being cared through a humanist approach, feeling the professional is skilled and Other needs.Discussion and conclusion: Asthmatic patients’ needs have little evolved in 20 years illustrating that if they are met, that would positively affect the way patients want to be followed by healthcare professionals and so, that would increase their treatment adherence. Several recommendations such as setting up a doctor – asthma nurse practitioner binomial or studying a concrete care pathway may help in fulfilling these needs. Finally, this research opens the way to other studies since similar results have been found in populations suffering from other chronic diseases than asthma.Keywords: asthma, needs assessment, professional–patient relations, patient compliance
