Clinical and psychological characteristics predict future healthcare use in adults with congenital heart disease

D. Schoormans, M.A. Sprangers, J.P. van Melle, P.G. Pieper, A.P. van Dijk, G.T. Sieswerda, M.S. Hulsbergen-Zwarts, T.H. Plokker, L.G. Brunninkhuis, H.W. Vliegen, B.J. Mulder

Research output: Contribution to journalArticleScientificpeer-review

Abstract

Background:
To deliver adequate care to patients with congenital heart disease (CHD), it is important to know which patients use what type of care. This knowledge is valuable, as modification of these factors may be used as means to regulate healthcare use. Our objective was to examine the predictive value of psychological characteristics for future healthcare use, independent of clinical characteristics.

Methods:
In total 845 adult CHD-patients participated in a longitudinal questionnaire study, with a two-year follow-up period. Linear regression analyses with negative binomial log link function were performed predicting healthcare used during the previous year. Psychological predictors were Type D personality, quality of life (QoL), depressive symptoms, trait-anxiety, happiness, optimism, and illness perceptions, independent of the number of co-morbidities, disease complexity and functional status. To control for clustering we included the variable type of centre (regional versus tertiary referral).

Results:
Patients who reported more healthcare use had a complex defect, a poor functional status, no Type D personality, and a poor QoL. They moreover felt their CHD had a severe impact on their life and believed their CHD could be managed by themselves or treatment.

Conclusions:
Healthcare use is not entirely determined by disease complexity and functional status but also by psychological patient characteristics. It can by hypothesised that reducing the negative impact experienced and informing patients about strategies to manage their CHD, will modify their future healthcare use. Additional research is necessary to examine this possibility.
Original languageEnglish
Pages (from-to)72-81
JournalEuropean Journal of Cardiovascular Nursing
Volume15
Issue number1
DOIs
Publication statusPublished - 2016

Fingerprint

Delivery of Health Care
Happiness
Cluster Analysis
Linear Models
Depression

Cite this

Schoormans, D. ; Sprangers, M.A. ; van Melle, J.P. ; Pieper, P.G. ; van Dijk, A.P. ; Sieswerda, G.T. ; Hulsbergen-Zwarts, M.S. ; Plokker, T.H. ; Brunninkhuis, L.G. ; Vliegen, H.W. ; Mulder, B.J. / Clinical and psychological characteristics predict future healthcare use in adults with congenital heart disease. In: European Journal of Cardiovascular Nursing. 2016 ; Vol. 15, No. 1. pp. 72-81.
@article{bc135ddafa494e7ca22501be5f532ed1,
title = "Clinical and psychological characteristics predict future healthcare use in adults with congenital heart disease",
abstract = "Background: To deliver adequate care to patients with congenital heart disease (CHD), it is important to know which patients use what type of care. This knowledge is valuable, as modification of these factors may be used as means to regulate healthcare use. Our objective was to examine the predictive value of psychological characteristics for future healthcare use, independent of clinical characteristics.Methods: In total 845 adult CHD-patients participated in a longitudinal questionnaire study, with a two-year follow-up period. Linear regression analyses with negative binomial log link function were performed predicting healthcare used during the previous year. Psychological predictors were Type D personality, quality of life (QoL), depressive symptoms, trait-anxiety, happiness, optimism, and illness perceptions, independent of the number of co-morbidities, disease complexity and functional status. To control for clustering we included the variable type of centre (regional versus tertiary referral).Results: Patients who reported more healthcare use had a complex defect, a poor functional status, no Type D personality, and a poor QoL. They moreover felt their CHD had a severe impact on their life and believed their CHD could be managed by themselves or treatment.Conclusions: Healthcare use is not entirely determined by disease complexity and functional status but also by psychological patient characteristics. It can by hypothesised that reducing the negative impact experienced and informing patients about strategies to manage their CHD, will modify their future healthcare use. Additional research is necessary to examine this possibility.",
author = "D. Schoormans and M.A. Sprangers and {van Melle}, J.P. and P.G. Pieper and {van Dijk}, A.P. and G.T. Sieswerda and M.S. Hulsbergen-Zwarts and T.H. Plokker and L.G. Brunninkhuis and H.W. Vliegen and B.J. Mulder",
year = "2016",
doi = "10.1177/1474515114555819",
language = "English",
volume = "15",
pages = "72--81",
journal = "European Journal of Cardiovascular Nursing",
issn = "1474-5151",
publisher = "Elsevier",
number = "1",

}

Schoormans, D, Sprangers, MA, van Melle, JP, Pieper, PG, van Dijk, AP, Sieswerda, GT, Hulsbergen-Zwarts, MS, Plokker, TH, Brunninkhuis, LG, Vliegen, HW & Mulder, BJ 2016, 'Clinical and psychological characteristics predict future healthcare use in adults with congenital heart disease', European Journal of Cardiovascular Nursing, vol. 15, no. 1, pp. 72-81. https://doi.org/10.1177/1474515114555819

Clinical and psychological characteristics predict future healthcare use in adults with congenital heart disease. / Schoormans, D.; Sprangers, M.A.; van Melle, J.P.; Pieper, P.G.; van Dijk, A.P.; Sieswerda, G.T.; Hulsbergen-Zwarts, M.S.; Plokker, T.H.; Brunninkhuis, L.G.; Vliegen, H.W.; Mulder, B.J.

In: European Journal of Cardiovascular Nursing, Vol. 15, No. 1, 2016, p. 72-81.

Research output: Contribution to journalArticleScientificpeer-review

TY - JOUR

T1 - Clinical and psychological characteristics predict future healthcare use in adults with congenital heart disease

AU - Schoormans, D.

AU - Sprangers, M.A.

AU - van Melle, J.P.

AU - Pieper, P.G.

AU - van Dijk, A.P.

AU - Sieswerda, G.T.

AU - Hulsbergen-Zwarts, M.S.

AU - Plokker, T.H.

AU - Brunninkhuis, L.G.

AU - Vliegen, H.W.

AU - Mulder, B.J.

PY - 2016

Y1 - 2016

N2 - Background: To deliver adequate care to patients with congenital heart disease (CHD), it is important to know which patients use what type of care. This knowledge is valuable, as modification of these factors may be used as means to regulate healthcare use. Our objective was to examine the predictive value of psychological characteristics for future healthcare use, independent of clinical characteristics.Methods: In total 845 adult CHD-patients participated in a longitudinal questionnaire study, with a two-year follow-up period. Linear regression analyses with negative binomial log link function were performed predicting healthcare used during the previous year. Psychological predictors were Type D personality, quality of life (QoL), depressive symptoms, trait-anxiety, happiness, optimism, and illness perceptions, independent of the number of co-morbidities, disease complexity and functional status. To control for clustering we included the variable type of centre (regional versus tertiary referral).Results: Patients who reported more healthcare use had a complex defect, a poor functional status, no Type D personality, and a poor QoL. They moreover felt their CHD had a severe impact on their life and believed their CHD could be managed by themselves or treatment.Conclusions: Healthcare use is not entirely determined by disease complexity and functional status but also by psychological patient characteristics. It can by hypothesised that reducing the negative impact experienced and informing patients about strategies to manage their CHD, will modify their future healthcare use. Additional research is necessary to examine this possibility.

AB - Background: To deliver adequate care to patients with congenital heart disease (CHD), it is important to know which patients use what type of care. This knowledge is valuable, as modification of these factors may be used as means to regulate healthcare use. Our objective was to examine the predictive value of psychological characteristics for future healthcare use, independent of clinical characteristics.Methods: In total 845 adult CHD-patients participated in a longitudinal questionnaire study, with a two-year follow-up period. Linear regression analyses with negative binomial log link function were performed predicting healthcare used during the previous year. Psychological predictors were Type D personality, quality of life (QoL), depressive symptoms, trait-anxiety, happiness, optimism, and illness perceptions, independent of the number of co-morbidities, disease complexity and functional status. To control for clustering we included the variable type of centre (regional versus tertiary referral).Results: Patients who reported more healthcare use had a complex defect, a poor functional status, no Type D personality, and a poor QoL. They moreover felt their CHD had a severe impact on their life and believed their CHD could be managed by themselves or treatment.Conclusions: Healthcare use is not entirely determined by disease complexity and functional status but also by psychological patient characteristics. It can by hypothesised that reducing the negative impact experienced and informing patients about strategies to manage their CHD, will modify their future healthcare use. Additional research is necessary to examine this possibility.

U2 - 10.1177/1474515114555819

DO - 10.1177/1474515114555819

M3 - Article

VL - 15

SP - 72

EP - 81

JO - European Journal of Cardiovascular Nursing

JF - European Journal of Cardiovascular Nursing

SN - 1474-5151

IS - 1

ER -