Patient perceptions of integrated cardiovascular care in primary healthcare settings in Kazakhstan

Limited MDT awareness suggests that integrated-care structures may not always be perceived by patients as coordinated care.</p> <p>Cardiovascular diseases are a major health problem in Kazakhstan. Their long-term management often requires patients to receive care from several healthcare professionals, obtain regular medications, attend follow-up visits, and take an active role in managing their condition. Integrated care aims to make these different parts of healthcare work together in a coordinated way.

We surveyed 268 patients receiving outpatient care for cardiovascular diseases or cardiovascular risk factors in primary healthcare organizations in Kazakhstan. We examined how patients experienced different aspects of their care, including involvement of multidisciplinary teams, medication support, daycare hospital services, communication with healthcare professionals, treatment adherence, psychological concerns, and support from nurses.

Most participants (82.1%) were satisfied with their outpatient cardiovascular care. However, only 12.7% were aware that a multidisciplinary team was involved in their care. Satisfaction was associated with several aspects of the patient experience, including treatment adherence, awareness of medication support and multidisciplinary care, use of daycare hospital services, psychological concerns, and satisfaction with nurse support.

Satisfaction with nurse support showed the strongest association with overall satisfaction.</p> <p>These findings suggest that providing integrated services may not be sufficient if patients do not recognize how different healthcare professionals and services work together. Improving communication about coordinated care and evaluating ways to strengthen patient support may therefore be important areas for future research and service development.</p> <p></p><p>Patient-reported experience of integrated cardiovascular care was assessed among 268 patients receiving outpatient care in primary healthcare organizations in Kazakhstan.</p><p>Overall, 82.1% of participants were satisfied with outpatient cardiovascular care, while only 12.7% were aware of multidisciplinary team involvement in their care.</p><p>Satisfaction was associated with treatment adherence, awareness of medication support, awareness of multidisciplinary team involvement, use of daycare hospital services, psychological concerns, and satisfaction with nurse support.</p><p>Satisfaction with nurse support showed the strongest association with overall satisfaction in the multivariable analysis.</p><p>Low patient awareness of multidisciplinary team involvement should not be interpreted as evidence that multidisciplinary care was absent; rather, it may reflect limited patient recognition of how care is coordinated.</p><p>The findings highlight a potential gap between the organizational availability of integrated-care structures and patients’ experience of coordinated care and support the need for prospective evaluation of strategies aimed at improving communication, coordination, and patient support.</p><p></p> <p>Patient-reported experience of integrated cardiovascular care was assessed among 268 patients receiving outpatient care in primary healthcare organizations in Kazakhstan.</p> <p>Overall, 82.1% of participants were satisfied with outpatient cardiovascular care, while only 12.7% were aware of multidisciplinary team involvement in their care.</p> <p>Satisfaction was associated with treatment adherence, awareness of medication support, awareness of multidisciplinary team involvement, use of daycare hospital services, psychological concerns, and satisfaction with nurse support.</p> <p>Satisfaction with nurse support showed the strongest association with overall satisfaction in the multivariable analysis.</p> <p>Low patient awareness of multidisciplinary team involvement should not be interpreted as evidence that multidisciplinary care was absent; rather, it may reflect limited patient recognition of how care is coordinated.</p> <p>The findings highlight a potential gap between the organizational availability of integrated-care structures and patients’ experience of coordinated care and support the need for prospective evaluation of strategies aimed at improving communication, coordination, and patient support.</p>