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Quality of Life among Patients with Acute Coronary Syndromes Receiving Care from Public and Private Health Care Systems in Brazil

2022; PAGEPress (Italy); Volume: 12; Issue: 4 Linguagem: Inglês

10.3390/clinpract12040055

2039-7283

Ingrid Maria Novais Barros de Carvalho Costa, Danielle Góes da Silva, Joselina Luzia Menezes Oliveira, José Rodrigo Santos Silva, Fabrício Anjos de Andrade, Juliana de Góes Jorge, Larissa Marina Santana Mendonça de Oliveira, Rebeca Rocha de Almeida, Victor Batista Oliveira, Larissa Santos Martins, Jamille Oliveira Costa, Márcia Ferreira Cândido de Souza, Larissa Monteiro Costa Pereira, Luciana Vieira Sousa Alves, Sílvia Maria Voci, Marcos Antônio Almeida-Santos, Felipe J. Aidar, Leonardo Baumworcel, Antônio Carlos Sobral Sousa,

Blood Pressure and Hypertension Studies

(1) Background: Quality of life (QOL) is used as a health indicator to assess the effectiveness and impact of therapies in certain groups of patients. This study aimed to analyze the QOL of patients with acute coronary syndrome (ACS) who received medical treatment by a public or private health care system. (2) Methods: This observational, prospective, longitudinal study was carried out in four referral hospitals providing cardiology services in Sergipe, Brazil. QoL was evaluated using the Medical Outcomes Study 36-Item Short-Form Health Survey. The volunteers were divided into two groups (public or private health care group) according to the type of health care provided. Multiple linear regression models were used to evaluate QoL at 180 days after ACS. (3) Results: A total of 581 patients were eligible, including 44.1% and 55.9% for public and private health care, respectively. At 180 days after ACS, the public health care group had lower QoL scores for all domains (functional capacity, physical aspects, pain, general health status, vitality, social condition, emotional profile, and health) (p < 0.05) than the private group. The highest QoL level was associated with male sex (p < 0.05) and adherence to physical activity (p ≤ 0.003) for all assessed domains. (4) Conclusions: This shows that social factors and health status disparities influence QoL after ACS in Sergipe.