Association between education and quality of diabetes care in Switzerland

International Journal of General Medicine
Aline FlatzIsabelle Peytremann-Bridevaux

Abstract

Low socioeconomic status is associated with higher prevalence of diabetes, worse outcomes, and worse quality of care. We explored the relationship between education, as a measure of socioeconomic status, and quality of care in the Swiss context. Data were drawn from a population-based survey of 519 adults with diabetes during fall 2011 and summer 2012 in a canton of Switzerland. We assessed patients and diabetes characteristics. Eleven indicators of quality of care were considered (six of process and five of outcomes of care). After bivariate analyses, regression analyses adjusted for age, sex, and diabetic complications were performed to assess the relationship between education and quality of care. Of 11 quality-of-care indicators, three were significantly associated with education: funduscopy (patients with tertiary versus primary education were more likely to get the exam: odds ratio, 1.8; 95% confidence interval [CI], 1.004-3.3) and two indicators of health-related quality of life (patients with tertiary versus primary education reported better health-related quality of life: Audit of Diabetes-Dependent Quality of Life: β=0.6 [95% CI, 0.2-0.97]; SF-12 mean physical component summary score: β=3.6 [95% CI, 0.9-6.4]). Our res...Continue Reading

Citations

Jun 22, 2016·International Journal of Nursing Practice·Su Hyun Kim
Aug 31, 2019·Diabetes, Obesity & Metabolism·Kamlesh KhuntiUNKNOWN DISCOVER investigators
Apr 7, 2020·Clinical Nurse Specialist CNS·Isabel Font-JimenezLourdes Rubio-Rico
Oct 30, 2020·Diabetes, Metabolic Syndrome and Obesity : Targets and Therapy·Sylwia KrzemińskaMilan Laurinc

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