Use and satisfaction with the Healthcare System of the chronic pain patients in Spain. Result from a nationwide study

Abstract

Objective: To analyze the use of healthcare resources by chronic pain (CP) patients in Spain and their satisfaction with them. Research design and methods: A nationwide, cross-sectional study was carried out on a representa tive sample of 1957 Spanish adults. A telephone survey was conducted with the aim of analyzing the prevalence of CP, the characteristics and consequences of pain, the use of healthcare resources and patients’ satisfaction with them. Descriptive, bivariate and multivariate analyses were performed. Results: Of the 1957 subjects interviewed, 325 suffered CP. The mean duration of CP was 10 years (SD: 11.3) and 48.9% of the CP sufferers reported severe/unbearable pain. Moreover, about 30% felt sad/very sad or anxious/very anxious, 24.4% had been on sick leave, 12% had left/lost their jobs and 47.2% considered their pain affected their families. Likewise, 92.9% had consulted a healthcare profes sional due to their CP, on average 3.49 times (SD: 3.9), and 69.2% took medication. In addition, 67.3% and 63.8% were satisfied/very satisfied with the care and the healthcare information they received, respectively. Individuals who reported headache (OR¼ 0.34) and feeling sad (OR ¼0.38) were least sat isfied with the care they received. In addition, CP sufferers who made greater use of consultations were those who had left/lost their jobs (b ¼ 1.44), those who took medication (b ¼ 1.67), those who considered their pain affected their families (b ¼ 0.97) and those with a shorter duration of pain (b ¼ 0.003). Conclusions: CP produces relevant demands on healthcare resources, conditioned by the consequen ces within the family and the effects on their employment. To achieve greater patient satisfaction, pro fessionals need to pay particular attention to certain sites of pain and to patients’ mental health.