Orozco-Beltrán, Domingode Toro, JavierGalindo, María JMarín-Jiménez, IgnacioCasellas, FrancescFuster-RuizdeApodaca, María JGarcía-Vivar, María LHormigo-Pozo, AntonioGuilabert, MercedesSánchez-Vega, NuriaFernández, GonzaloCea-Calvo, Luis2023-01-252023-01-252019http://hdl.handle.net/10668/13191Patient experience is acknowledged as a principal aspect of quality healthcare delivery, and it has implications with regard to outcomes. Our objective was to evaluate the healthcare experience of patients with chronic diseases to identify patient-perceived healthcare gaps and to assess the influence of demographic and healthcare-related variables on patient experiences. A cross-sectional survey was delivered to adult patients with chronic diseases: diabetes mellitus (DM), human immunodeficiency virus (HIV) infection, inflammatory bowel disease (IBD) or rheumatic diseases. Patient experiences were assessed with the Instrument for Evaluation of the Experience of Chronic Patients (IEXPAC) questionnaire, with possible scores ranging from 0 (worst) to 10 (best experience). Of the 2474 patients handed the survey, 1618 returned it (response rate 65.4%). Patients identified gaps in healthcare related mainly to access to reliable information and services, interaction with other patients and continuity of healthcare after hospital discharge. The mean ± standard deviation (SD) IEXPAC score was 6.0 ± 1.9 and was higher for patients with HIV (6.6 ± 1.7) than for those with rheumatic disease (5.5 ± 2.0), IBD (5.9 ± 2.0) or DM (5.9 ± 1.9) (p  Through IEXPAC, patients identified aspects for healthcare quality improvements and circumstances associated with better experience, which may permit greater redirection of healthcare toward patient-centered goals while facilitating improvements in social care and long-term healthcare quality.enAttribution-NonCommercial 4.0 Internationalhttp://creativecommons.org/licenses/by-nc/4.0/AgedChronic DiseaseCross-Sectional StudiesDemographyFemaleHumansMaleMiddle AgedPatient SatisfactionQuality of Health CareSurveys and Questionnairesresearch article30430456open access10.1007/s40271-018-0345-11178-1661PMC6525115https://link.springer.com/content/pdf/10.1007/s40271-018-0345-1.pdfhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6525115/pdf