Abstract 20713: Patient Perspectives on Cardiac Care Experiences Differ According to Gender
Introduction: Patients undergoing investigation for coronary artery disease (CAD) vary in their understanding of CAD prevalence, factors contributing to risk and symptomatic presentation. The role of patient gender in the understanding of their medical care is unknown. We sought to identify omnipresent themes that mould patient experiences in cardiac care using a gender-centred perspective.
Hypothesis: We hypothesize that patient perspectives of CAD vary according to gender and likely influence the patient perspective and experience.
Methods: Patients were recruited from a tertiary cardiac care centre using theoretical purposeful sampling. Eligible participants were referred for their first coronary angiogram for suspected CAD with ≥ 1 prior abnormal test and interviewed immediately prior to angiogram. Patient perspectives on risk factor knowledge, sources of medical information and relationship with primary care physician (PCP) were explored through in-depth semi-structured interviews, transcribed verbatim and analyzed using modified grounded theory approach.
Results: The study population included 17 women and 14 men, mean age 66±12 years and 60 ±10 years, respectively. Women had a higher risk factor load than men yet felt less confident recalling CAD risk factors. Most patients report good relationships with their PCPs, yet men did not describe them as a primary source of medical information. All patients use a variety of media outlets (television, magazines, newspapers, pamphlets); however, women access the internet more often than men. Three themes emerged as important to patients in their relationships with their physicians that array along a gender continuum: 1) comfort to communicate concerns, 2) ability for physician to relate to their concerns, and 3) physician availability/accessibility.
Conclusions: In this encroaching era of prevention medicine and shared-decision making it is important to consider the complexity of patient perspectives in cardiac care. While not often realised the patient’s perspectives are often overlooked. Understanding gender differences in patient perspectives may aid shared decision-making and outcomes. Balanced research studies that consider patient perspectives are needed.
Author Disclosures: C. Taheri: None. P. Panchal: None. T. Kakkar: None. N. Pattathil: None. C. Kreatsoulas: None.
- © 2016 by American Heart Association, Inc.