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Parental Reporting of Quality of Care as a Determinant of Health Related Quality of Life of Ill Adolescents at a Tertiary Care Hospital in Northern India

Authors
  • Agnihotri, Kasturi1
  • Awasthi, Shally1
  • 1 Chhatrapati Shahuji Maharaj Medical University (Erstwhile King George’s Medical University), Department of Pediatrics, Shahmina Road, Chowk, Lucknow, UP, 226003, India , Lucknow (India)
Type
Published Article
Journal
The Indian Journal of Pediatrics
Publisher
Springer-Verlag
Publication Date
Jul 19, 2011
Volume
79
Issue
1
Pages
62–67
Identifiers
DOI: 10.1007/s12098-011-0528-4
Source
Springer Nature
Keywords
License
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Abstract

ObjectiveTo assess if Quality of Care (QoC) is a determinant of Health Related Quality of Life (HRQoL) in ill adolescents.MethodsThis Cross-sectional study, at a tertiary care hospital of Northern India was conducted after institutional ethical approval on ill adolescents availing ambulatory or in-patient care from Pediatrics department. From August 2009 through November 2010, 300 patients availing ambulatory or in-patient care were recruited, with mean age 11.5 years ±1.5SD, of which 65.7% were males. After obtaining parental written consent and oral assent from subjects, parents reported their perception of QoC as well as adolescent’s HRQoL through Pyramid and culturally modified WHOQOL-BREF, respectively. Pyramid (score range 0–1) has 43 questions about awareness of 8 indices; namely illness, routines, accessibility, medical treatment, care processes, staff attitude, participation and staff work environment. WHOQOL-BREF (score range 0–100) has 4 domains: physical, psychological, social relations and environment.ResultsMean HRQoL was 42.5 ± 5.6, mean QoC was 0.67 ± 0.07 and mean scores were not significantly different for patients on ambulatory and in-patient care. Correlation between overall HRQoL and QoC was 0.32 (p < 0.0001). Information about illness index was the only significant determinant of good HRQoL in binary logistic regression (Odd’s Ratio 4.19, 95% CI 2.39–7.33; p < 0.0001).ConclusionsQoC is a significant determinant of ill adolescent’s HRQoL at a tertiary care hospital.

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