Relationship between patient satisfactions with diabetes care and treatment

被引:17
作者
Bener, A. [1 ,2 ,3 ,4 ]
Al-Hamaq, A. O. [5 ,6 ]
Yousafzai, M. T. [1 ,2 ]
Abdul-Ghani, M. [7 ]
机构
[1] Hamad Med Corp, Dept Med Stat & Epidemiol, Doha, Qatar
[2] Weill Cornell Med Coll, Dept Publ Hlth, Ar Rayyan, Qatar
[3] Univ Manchester, Dept Evidence, Manchester, Lancs, England
[4] Univ Manchester, Populat Hlth Unit, Sch Epidemiol & Hlth Sci, Manchester, Lancs, England
[5] Qatar Diabet Assoc, Doha, Qatar
[6] Qatar Fdn, Doha, Qatar
[7] Univ Texas Hlth Sci Ctr San Antonio, Div Diabet, San Antonio, TX USA
关键词
Diabetes care; DTSQ; health status; patient satisfaction; quality of life; treatment adherence; PREVALENCE; MELLITUS; QUALITY;
D O I
10.4103/1119-3077.127562
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Background: Measurement of treatment satisfaction in diabetes is important as it has been shown to be associated with positive outcomes, reduced disease cost and better health. Aim: The aim of this study was to assess the relationship between treatment satisfaction of diabetes patients and socioeconomic, clinical, medication adherence and health-related factors in Qatar. Design: This is a cross-sectional study. Setting: The survey was carried out in primary health care centers and hospitals from April 2010 to May 2011. Subjects: Of a total of 3000 diabetic patients, 2582 patients gave their consent to take part in the study, with a response rate of 86.1%. Materials and Methods: The Diabetes Treatment Satisfaction Questionnaire was used to measure the patient satisfaction. The modified Morisky Medication Adherence was used to measure medication taking behavior. A multivariate stepwise linear regression model was performed to identify factors independently associated with patients satisfaction instrument. Results: Of the studied patients, majority of the diabetes patients were Qataris (61.2%), married (86.1%), above secondary education (46.9%) and unemployed (28.6%). Diabetes patients who had professional jobs (3.97 0.65; P = 0.009) and those who were staying alone had a significantly higher treatment satisfaction score (4.01 0.64; P = 0.001) compared with the other patients. Patients who were taking tablets were significantly more satisfied with treatment (4.08 0.60; P < 0.001). Diabetes patients of primary health care centers (3.96 vs. 3.80; P < 0.001) were more satisfied with treatment than patients visiting hospitals. Multivariate regression analysis revealed that age of the patient (P < 0.001), expatriates (P = 0.023), patients visiting hospitals (P < 0.001), treatment with insulin (P < 0.001) and any diabetes complications (P < 0.001) were significantly less satisfied with the treatment. Conclusion: The study findings revealed that patient satisfaction was positively associated with sociodemographic variables like high income, employment, married individuals and those with higher levels of education. We found a lower treatment satisfaction in patients with diabetes-related complications and insulin treatment.
引用
收藏
页码:218 / 225
页数:8
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