Association Between Dissatisfaction With Care and Diabetes Self-Care Behaviors, Glycemic Management, and Quality of Life of Adults With Type 2 Diabetes Mellitus. Diabetes Educ 2020 Aug;46(4):370-377
Date
08/12/2020Pubmed ID
32780004Pubmed Central ID
PMC7556702DOI
10.1177/0145721720922953Scopus ID
2-s2.0-85089361599 (requires institutional sign-in at Scopus site) 13 CitationsAbstract
PURPOSE: The purpose of the study was to examine the associations between patient dissatisfaction and diabetes outcomes among patients with type 2 diabetes.
METHODS: Primary data from 615 adults with type 2 diabetes from 2 adult primary care clinics completed validated questionnaires. Patient dissatisfaction was measured by asking participants to what degree over the past 12 months were they very dissatisfied with the care they received from their primary care provider. Diabetes outcomes included self-care behaviors, quality of life, and A1C. A1C was abstracted from the medical record. Multiple linear regression models were used to assess associations between patient dissatisfaction, self-care, blood glucose, and quality of life.
RESULTS: After adjusting for covariates, this study demonstrated that higher patient dissatisfaction was significantly associated with poor general diet, worse blood glucose levels, and lower mental component score for quality of life.
CONCLUSIONS: In patients with type 2 diabetes, patient dissatisfaction had a significant association with higher blood glucose levels, poor general diet, and low quality of life. Demographic factors driving patient dissatisfaction included young age, low income, and low health literacy. Future studies should investigate how to address patient satisfaction in an effort to improve health outcomes.
Author List
Dalal J, Williams JS, Walker RJ, Campbell JA, Davis KS, Egede LEAuthors
Jennifer Annette Campbell PhD, MPH Assistant Professor in the Medicine department at Medical College of WisconsinLeonard E. Egede MD Center Director, Chief, Professor in the Medicine department at Medical College of Wisconsin
Rebekah Walker PhD Associate Professor in the Medicine department at Medical College of Wisconsin
Joni Williams MD, MPH Associate Professor in the Medicine department at Medical College of Wisconsin
MESH terms used to index this publication - Major topics in bold
AdultAged
Blood Glucose
Cross-Sectional Studies
Diabetes Mellitus, Type 2
Female
Health Behavior
Health Knowledge, Attitudes, Practice
Humans
Male
Middle Aged
Patient Satisfaction
Quality of Life
Self Care
Surveys and Questionnaires
