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.
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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
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