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Healthcare experience among patients with type 2 diabetes: A cross-sectional survey using the IEXPAC tool


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Título :
Healthcare experience among patients with type 2 diabetes: A cross-sectional survey using the IEXPAC tool
Autor :
Orozco-Beltrán, Domingo
Artola-Menéndez, Sara
Hormigo-Pozo, Antonio
Cararach-Salami, Daniel
Alonso-Jerez, Juan Luis
Álvaro-Grande, Epifanio
Villabrille-Arias, Covadonga
de Toro-Santos8, Francisco Javier
Galindo-Puerto, María José
Marín-Jiménez, Ignacio
Gómez-García, Antón
Ledesma-Rodriguez, Rocío
Fernández, Gonzalo
Ferreira de Campos, Karine
Editor :
WILEY
Departamento:
Departamentos de la UMH::Medicina Clínica
Fecha de publicación:
2020
URI :
https://hdl.handle.net/11000/31436
Resumen :
Aim: To assess the experience with health care among patients with type 2 diabetes (T2DM) and to evaluate patients’ demographic variables and healthcare-related char- acteristics which may affect their experience. Methods: A cross-sectional survey was delivered to T2DM adults. Patient experi- ences were assessed with the ‘Instrument for Evaluation of the Experience of Chronic Patients’ (IEXPAC) questionnaire, a validated 12-item survey, which describes patient experience within the last 6 months (items 1–11) and hospitalization in the last 3 years (item 12), with possible scores ranging from 0 (worst) to 10 (best experience). Results: A total of 451 T2DM patients responded to the survey (response rate 72.3%; mean age 69.5 ± 10.1 years, 67.8% men). The mean overall IEXPAC score was 5.92 ± 1.80. Mean scores were higher for productive interactions (7.92 ± 2.15) and self-management (7.08 ± 2.27) than for new relational model (1.72 ± 2.01). Only 32.8% of patients who had been hospitalized in the past 3 years reported having received a follow-up call or visit after discharge. Multivariate analyses identified that regular follow-up by the same physician and follow-up by a nurse were associated with a better patient experience. Continuity of healthcare score was higher only in those patients requiring help from others. Conclusions: The areas of T2DM care which may need to be addressed to ensure bet- ter patient experience are use of the Internet, new technologies and social resources for patient information and interaction with healthcare professionals, closer follow- up after hospitalization, and a comprehensive multidisciplinary approach with regular follow-up by the same physician and a nurse.
Palabras clave/Materias:
chronic disease
type 2 diabetes
patient survey
patient experience
Área de conocimiento :
CDU: Ciencias aplicadas: Medicina
Tipo documento :
application/pdf
Derechos de acceso:
info:eu-repo/semantics/openAccess
Attribution-NonCommercial-NoDerivatives 4.0 Internacional
DOI :
https://doi.org/10.1002/edm2.220
Aparece en las colecciones:
Artículos Medicina Clínica



Creative Commons La licencia se describe como: Atribución-NonComercial-NoDerivada 4.0 Internacional.