Impact of Advanced Diabetes Centers on the healthcare experience of patients with type 2 diabetes using the IEXPAC tool.

Endocrinología, Diabetes Y Nutrición
Antón Gómez-GarcíaGonzalo Fernández

Abstract

To determine the experience with healthcare among patients with type 2 diabetes according to the assistance model provided in their primary care centers, and to determine factors related with their experience. This was a cross-sectional study performed in patients with type 2 diabetes with cardiovascular or renal complications. The patients were divided in two groups according to whether they had been attended in Advanced Diabetes Centers (ADC) or the traditional assistance centers. Patient's healthcare experience was assessed with the «Instrument for Evaluation of the Experience of Chronic Patients» (IEXPAC) questionnaire, with possible scores ranging from 0 (worst experience) to 10 (best experience). A total of 451 patients (215 from ADC and 236 from traditional assistance centers) were included. The mean overall IEXPAC scores were 5.9 ± 1.7 (ADC) and 6.0 ± 1.9 (traditional assistance centers; p = 0.82). In the multivariant analyses, in ADC, the regular follow-up by the same physician (p = 0.01) and follow-up by a nurse (p = 0.01), were associated with a better patient experience, whereas receiving a higher number of medications was associated with a worse patient experience (p = 0.04). In the traditional assistance centers, ...Continue Reading

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Citations

Jul 3, 2021·Journal of Clinical Medicine·Domingo Orozco-BeltránKarine Ferreira de Campos

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