Factors associated with healthcare-related frustrations among adults with chronic conditions

Matthew Lee Smith, Caroline D. Bergeron, Colin H. Adler, Aakash Patel, Sang Nam Ahn, Samuel D. Towne, Michael Bien, Marcia G. Ory

Research output: Contribution to journalArticlepeer-review


Objective Healthcare-related frustrations (HRFs) are common occurrences in patient-provider interactions. Little is known about HRFs experienced by individuals with chronic conditions. The purposes of this study were to: 1) identify the frequency of six HRFs among adults with chronic conditions; 2) assess factors associated with these HRFs; and 3) examine factors associated with multiple HRFs. Methods Data were analyzed from 589 middle-aged and older adults with 1+ chronic conditions. A series of logistic regression models were fitted to identify factors associated with each frustration, and an ordinal regression model was fitted to identify factors associated with increasing frustrations. Results Participants reported at least two of the six HRFs. The most commonly reported HRFs included feeling tired of describing the same condition (46%) and wishing their doctor had more time to speak with them during visits (44%). Having functional limitations (Beta = 0.58, P = 0.004), reporting more self-care barriers (Beta = 0.41, P < 0.001), visiting a physician more frequently (P < 0.05), and having less support (Beta = −0.64, P = 0.013) were associated with increasing HRFs. Conclusion Reducing HRFs may improve patient-provider interactions, chronic disease management, and patients’ overall quality of life. Practice implications Care coordination, communication and cultural competency training, and a review of materials may help address these frustrations.

Original languageEnglish (US)
Pages (from-to)1185-1193
Number of pages9
JournalPatient Education and Counseling
Issue number6
StatePublished - Jun 2017


  • Chronic disease
  • Frustration
  • Healthcare

ASJC Scopus subject areas

  • Medicine(all)


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