Serial multiple mediation of treatment adherence and disease activity in the relationship between continuity of care and health outcomes among rheumatoid arthritis patients

dc.authorid0000-0003-0128-4001
dc.authorid0000-0003-2772-3033
dc.contributor.authorİlgün, Gülnur
dc.contributor.authorŞahin, Bayram
dc.date.accessioned2022-09-01T06:41:18Z
dc.date.available2022-09-01T06:41:18Z
dc.date.issued2022
dc.departmentSağlık Bilimleri Fakültesi
dc.description.abstractTo evaluate the effect of continuity of care on health outcomes (quality of life and functionality) in patients with rheumatoid arthritis and to reveal whether treatment adherence and disease activity have a serial multiple mediator role on this relationship. Methods: The study was cross-sectional on 440 rheumatoid arthritis patients who applied to a university hospital rheumatology outpatient clinic. Research data were obtained from both the questionnaire method, which is the primary data source, and the patient files, which are the secondary data source. Process analysis was used in the analysis of the data. Results: It was found that the continuity of care has a direct effect on the quality of life and the functionality. In addition, it is seen that treatment adherence has a single partial mediator role on the relationship between continuity of care and quality of life; It has been determined that treatment adherence and disease activity have both partial single mediation and serial multiple mediation roles on the relationship between continuity of care and functionality. Conclusion: It is thought that these findings will provide clinicians with important data and information in the management of rheumatoid arthritis.
dc.identifier.doi10.1002/hpm.3537
dc.identifier.endpage-en_US
dc.identifier.issn0749-6753
dc.identifier.issue-en_US
dc.identifier.pmid35791505
dc.identifier.scopusqualityQ2
dc.identifier.startpage-en_US
dc.identifier.urihttps:/dx.doi.org/10.1002/hpm.3537
dc.identifier.urihttps://hdl.handle.net/20.500.12451/9660
dc.identifier.volume-en_US
dc.identifier.wosWOS:000820933600001
dc.identifier.wosqualityQ3
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherJohn Wiley and Sons Ltd
dc.relation.ispartofInternational Journal of Health Planning and Management
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/embargoedAccess
dc.subjectContinuity of Care
dc.subjectDisease Activity
dc.subjectFunctionality
dc.subjectrheumatoid Arthritis
dc.subjectTreatment Adherence
dc.titleSerial multiple mediation of treatment adherence and disease activity in the relationship between continuity of care and health outcomes among rheumatoid arthritis patients
dc.typeArticle

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