Skip to main content
Article thumbnail
Location of Repository

Patients' satisfaction and quality of life in coronary artery disease

By M. Asadi-Lari, C. Packham and D. Gray


OBJECTIVES: To assess satisfaction of survivors of coronary artery diseases (CAD) with healthcare services and to determine whether specific components of standard health-related quality of life (HRQL) assessment tools might identify areas of satisfaction and dissatisfaction. METHOD: A specific tool developed to provide a comprehensive assessment of healthcare needs was administered concomitantly with generic and specific HRQL instruments, on 242 patients with CAD, admitted to an acute coronary unit during a single year. RESULTS: 92.5% of patients confirmed their trust in and satisfaction with the care given by their General Practitioner; even so, one third experienced difficulty getting an appointment and a quarter wanted more time for each consultation or prompt referral to a specialist when needed. Around a third expressed dissatisfaction with advice from the practice nurse or hospital consultant. Overall 54% were highly satisfied with services, 33% moderately satisfied and 13% dissatisfied.Cronbach's alpha was 0.87; the corrected total-item correlation ranged between 0.55-0.75, with trivial 'floor' score and low 'ceiling' effect. Several domains in all three HRQL tools correlated with items relating to satisfaction. The Seattle Angina Questionnaire Treatment Score correlated significantly with all satisfaction items and with the global satisfaction score. CONCLUSION: Cardiac patients' demanded better services and advice from, and more time with, health professionals and easier surgery access. The satisfaction tool showed acceptable psychometric properties. In this patient group, disease-specific HRQL tools seem more appropriate than generic tools for surveys of patient satisfactio

Year: 2003
OAI identifier:
Provided by: Nottingham ePrints

Suggested articles


  1. (1997). A shorter form health survey: can the SF-12 replicate results from the SF-36 in longitudinal studies? J Public Health Med doi
  2. (1999). Can patient satisfaction improve health among patients with angina pectoris? doi
  3. (1998). Comparison of three quality of life instruments in stable angina pectoris: Seattle Angina Questionnaire, Short Form Health Survey (SF-36), and Quality of Life Index-Cardiac Version III.
  4. (1978). Davies-Avery A and Stewart AL: The measurement and meaning of patient satisfaction. Health Med Care Serv Rev
  5. (1993). Impact of hospital thrombolysis policy on out-of-hospital response to suspected myocardial infarction. Lancet
  6. (2003). Is quality of life measurement likely to be a proxy for health needs assessment in patients with coronary artery disease? Health Qual Life Outcomes
  7. Krabbe PF and Bonsel GJ: Test-retest reliability of health state valuations collected with the Euro- doi
  8. (1994). Monitoring the quality of life in patients with coronary artery disease.
  9. (1999). Patient and public involvement in the new NHS. Department of Health;
  10. (1993). Patient satisfaction: what we know about and what we still need to explore. Med Care Rev doi
  11. (1998). Predictors of health-related quality of life with cardiac rehabilitation after acute myocardial infarction. J Cardiopulm Rehabil
  12. (2003). Quality of life assessment using the SF-12 is as reliable and sensitive as the SF-36 in distinguishing symptom severity in myocardial infarction survivors. Heart
  13. (2002). Satisfaction with care': associations with health-related quality of life and psychosocial function among Swedish patients with endocrine gastrointestinal tumours. Eur J Cancer Care (Engl) doi
  14. (1993). Scope and measurement of patient satisfaction. Measurement of Patients' Satisfaction with Their Care Edited by: Fitzpatrick R and Hopkins A. London, Royal College of Physicans of London;
  15. (1988). The quality of care. How can it be assessed? Jama
  16. (1993). Twenty years' experience of myocardial infarction: the value of a heart attack register.
  17. (2003). Unmet health needs in patients with coronary heart disease: implications and potential for improvement in caring services. Health Qual Life Outcomes
  18. (1992). Validating the SF-36 health survey questionnaire: new outcome measure for primary care. Bmj
  19. (1998). Variations in population health status: results from a United Kingdom national questionnaire survey. Bmj doi

To submit an update or takedown request for this paper, please submit an Update/Correction/Removal Request.