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Attitudes and satisfaction in the care of chronically ill children

Toward an integrated model of family and professional support

Bibliographic Data

ID22082587
AuthorsBeáta Erika Nagy (0000-0002-5019-5809, University of Debrecen), Péter Boris (University of Debrecen), Karolina Eszter Kovács (0000-0002-1186-7836, University of Debrecen)
Year2026
Volume14
Pages1789430-1789430
Publication date2026-05-07
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueFrontiers in Public Health (JOURNAL)
Journal identifiersISSN: 2296-2565 • E-ISSN: 2296-2565
PublisherFrontiers Media SA (PUBLISHER • CH)
DOI10.3389/fpubh.2026.1789430
PMID42180505
OpenAlexW7160531481
LanguageEN
References cited34

Background: Childhood chronic illness affects not only medical outcomes but also psychosocial wellbeing, requiring coordinated support from families, schools, and healthcare systems. While patient satisfaction and attitudes toward chronic illness have been studied separately, less is known about how these perspectives interact across key reference groups. Methods: A cross-sectional quantitative study was conducted among children aged 10-18 years with chronic illnesses and their reference persons in a university paediatric clinic. The sample included 107 children and their parents, along with teachers and healthcare professionals. Patient and parental satisfaction with care were assessed using a structured satisfaction questionnaire, while attitudes toward chronic illness among parents, teachers, and healthcare workers were measured across educational, social/community, and future-oriented dimensions. Factor analysis, cluster analysis, correlation analyses, and regression models were applied to explore satisfaction patterns, attitudinal differences, and interrelationships. Results: Three distinct parental satisfaction profiles were identified: parents satisfied with all aspects of care, parents dissatisfied with disease-specific information, and parents dissatisfied with examinations and information. Higher parental satisfaction was associated with better child psychosocial outcomes, including lower illness burden and higher health-related quality of life. Attitude profiles differed across reference groups: parents showed the strongest educational attitudes but more negative perceptions of community inclusion and future prospects, whereas teachers and healthcare professionals demonstrated more positive community-focused and future-oriented attitudes. Intergroup analyses revealed meaningful associations, particularly in future-oriented attitudes, which were positively related to parental satisfaction. Conclusion: The findings suggest potentially complementary roles of parents, teachers, and healthcare professionals in supporting children with chronic illness. Strengthening cross-sectoral collaboration and aligning attitudes across family, educational, and healthcare contexts may enhance patient satisfaction and promote psychosocial wellbeing

Cross-sectional study · Health care · Health professionals · Perception · Psychosocial · Adolescent and Pediatric Healthcare · Childhood Cancer Survivors' Quality of Life · Pediatric Pain Management Techniques

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