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Trends in Self-Rated Health Status and Health Services Use in COPD Patients (2006–2012). A Spanish Population-Based Survey

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Abstract

Background

Chronic obstructive pulmonary disease (COPD) patients often have a significant impairment in their health status, which is an independent predictor of health services use.

Objectives

To describe the self-rated health status and the prevalence of health services use among COPD Spanish patients; to identify which factors are independently associated with a worse health status and a higher use of health services; and to study the time trends in the health status and prevalence of use of health services (2006–2012).

Methods

Observational study: We analyzed data from the Spanish National Health Surveys conducted in 2006 and 2012. We included responses from adults aged 40 years or over. Subjects described their health status as very good, good, fair, poor, or very poor, which was dichotomized into very good/good or fair/poor/very poor self-perceived health status.

Results

We identified 2,321 COPD patients. The percentage of patients with health status fair, poor, or very poor was 76.8 % in 2006 and 74.8 % in 2012 (p > 0.05). Regarding the health resources use, we observed a significant decrease in the number of visits to primary care over time in women (67.8 vs. 57.2 %, p < 0.05) and men (62.2 vs. 54.0 %, p < 0.05). However, we did not find improvement in the prevalence of emergency department visits or hospitalizations. Associated factors with a worse self-rated health status and a higher use of health services in women and men included: having three or more chronic diseases, presence of mental disorders, and absence of leisure time physical activity.

Conclusions

The current study revealed a decrease in the general practitioner visits, without changes in use of other health care services in the COPD Spanish population from 2006 to 2012. The self-rated health status did not changed significantly during this period.

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Conflict of interest

The authors report no conflicts of interest.

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Authors and Affiliations

  1. Department of Respiratory Medicine, Hospital General Universitario Gregorio Marañón, Instituto de Investigación Sanitaria Gregorio Marañón (IiSGM), Universidad Complutense de Madrid, C/Doctor Esquerdo 46, 28007, Madrid, Spain

    Javier de Miguel Díez & Luis Puente Maestu

  2. Preventive Medicine and Public Health Teaching and Research Unit, Department of Health Sciences, Universidad Rey Juan Carlos, Madrid, Spain

    Rodrigo Jiménez García, Valentín Hernández Barrera, Pilar Carrasco Garrido & Ana López de Andrés

  3. Unit of Research Support, Technical Direction for Teaching and Research, Attached Management of Planning and Quality, Madrid, Spain

    Maria Isabel del Cura González

  4. Department of Internal Medicine, Hospital Clínico San Carlos, Madrid, Spain

    Manuel Méndez Bailón

Authors
  1. Javier de Miguel Díez
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  2. Rodrigo Jiménez García
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  3. Valentín Hernández Barrera
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  4. Luis Puente Maestu
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  5. Maria Isabel del Cura González
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  6. Manuel Méndez Bailón
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  7. Pilar Carrasco Garrido
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  8. Ana López de Andrés
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Correspondence to Javier de Miguel Díez.

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de Miguel Díez, J., Jiménez García, R., Hernández Barrera, V. et al. Trends in Self-Rated Health Status and Health Services Use in COPD Patients (2006–2012). A Spanish Population-Based Survey. Lung 193, 53–62 (2015). https://doi.org/10.1007/s00408-014-9682-6

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  • DOI: https://doi.org/10.1007/s00408-014-9682-6

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