Effects of FamilyDoctor Concept and Doctor-Patient Interaction Satisfaction on Glycaemic Control among Type 2 Diabetes Mellitus Patients in the Northeast Region of Peninsular Malaysia

Nordin, Noorfariza; Hairon, Suhaily Mohd; Yaacob, Najib Majdi; Hamid, Anees Abdul; Hassan, Norzaihan

doi:10.3390/ijerph17051765

Cited by 3 publications

(10 citation statements)

References 21 publications

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“…A cross-sectional study involving 20 primary healthcare clinics, organized into FDC ( n = 10) and non-FDC ( n = 10), throughout all 10 districts in Kelantan was conducted from February to May 2019. The profile of the selected 20 primary healthcare clinics was presented in another publication [ 21 ]. FDC clinics had more human and technical resources than non-FDC clinics.…”

Section: Methodsmentioning

confidence: 99%

“…There were differences between FDC and non-FDC clinics in terms of the average number of people with T2DM who visited clinics per day ( p = 0.018); number of medical officers ( p = 0.005), pharmacists ( p = 0.001), and physiotherapists ( p < 0.001); and availability of a fundus camera ( p = 0.003) and X-ray machine ( p = 0.005) at the clinics [ 21 ]. The median (interquartile range [IQR]) of the number of medical officers available at each clinic was 6 [ 7 ], with FDC clinics having a higher number of medical officers (8.5 [ 4 ]) than non-FDC clinics (2 [ 3 ]) ( p = 0.001) [ 21 ]. The significant differences in the aforementioned variables were controlled in multivariate analysis.…”

Section: Methodsmentioning

confidence: 99%

“…In both clinic settings, people with T2DM are seen together with those presenting with acute minor ailments, and medical officers need to equip themselves with comprehensive medical knowledge for both acute and chronic illnesses. The major differences are the availability of equipment (e.g., fundus camera and X-ray modality) and specialty services (e.g., FMS, radiology, laboratory, nutrition and diet, physiotherapy, and occupational therapy) that are more available at FDC clinics than at non-FDC clinics [ 21 ]. Hence, equipment and specialty services are shared between FDC and non-FDC clinics in the same district [ 21 ].…”

Section: Introductionmentioning

confidence: 99%

“…The major differences are the availability of equipment (e.g., fundus camera and X-ray modality) and specialty services (e.g., FMS, radiology, laboratory, nutrition and diet, physiotherapy, and occupational therapy) that are more available at FDC clinics than at non-FDC clinics [ 21 ]. Hence, equipment and specialty services are shared between FDC and non-FDC clinics in the same district [ 21 ].…”

Section: Introductionmentioning

confidence: 99%

“…Furthermore, the implementation of FDC in Malaysia was expected to increase the satisfaction of doctor–patient interaction and improve the quality of the CCM for diabetes care by providing the “One Family One Doctor” concept. A previous study describing the difference in doctor–patient interaction satisfaction between people with T2DM who visited FDC and non-FDC clinics and determining the association between FDC clinic and doctor–patient interaction satisfaction toward glycemic control was performed and published [ 21 ]. However, it did not explore the aspect on perceived quality of care and whether doctor–patient interaction satisfaction influenced the perceived quality of care.…”

Section: Introductionmentioning

confidence: 99%

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Perceived quality of care among people with type 2 diabetes mellitus in the north east region of peninsular Malaysia

et al. 2021

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Background People with type 2 diabetes mellitus (T2DM) are best managed by a chronic care model that is associated with enhanced quality of care and improved patient outcome. Assessing patients’ perceived quality of care is crucial in improving the healthcare delivery system. Hence, this study determined the perceived quality of care among people with T2DM and explored its associations with (i) sociodemographic and clinical characteristics and (ii) types of healthcare clinics to guide future planning. Methods A cross-sectional study involving 20 primary healthcare clinics in the North East Region of Peninsular Malaysia and people with T2DM as the sampling unit was conducted from February to May 2019. The pro forma checklist, interview-guided Skala Kepuasan Interaksi Perubatan-11, and Patient Assessment of Chronic Illness Care (Malay version; PACIC-M) questionnaire were used for data collection. Univariate analysis and linear regression were used to determine the status of perceived quality of care and the factors associated with the perceived quality of care, respectively. Results Overall, data from 772 participants were analyzed. The majority was from the Malay ethnic group (95.6%) with a mean (standard deviation [SD]) glycated hemoglobin A1c (HbA1c) level of 8.91% (2.30). The median (interquartile range [IQR]) of the number of medical officers available at each clinic was 6 (7), with Family Doctor Concept (FDC) clinics having a higher number of medical officers than non-FDC clinics (p = 0.001). The overall mean (SD) PACIC-M score was 2.65 (0.54) with no significant difference between scores of patients treated in the two clinic types (p = 0.806). Higher perceived quality of care was associated with lower number of medical officers (adjusted regression coefficient [Adj.β], − 0.021; p-value [p], 0.001), and greater doctor–patient interaction in all domains: distress relief (Adj.β, 0.033; p, < 0.001), rapport (Adj.β, 0.056; p, < 0.001), and interaction outcome (Adj.β, 0.022; p, 0.003). Conclusion Although there was no significant difference found between clinic type, this study reflects that patients are comfortable when managed by the same doctor, which may support a better doctor-patient interaction. A larger specialized primary care workforce could improve diabetes care in Malaysia.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Perceived quality of care among people with type 2 diabetes mellitus in the north east region of peninsular Malaysia

et al. 2021

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Stated preferences for family doctor contract services: a survey of the rural elderly in Anhui Province, China

Wang

Zhao

et al. 2022

BMJ Open

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ObjectiveA number of factors contribute to the utilisation of family doctor contract services (FDCS) in China. This study aims to measure the preferences of the elderly for the FDCS and identify the key factors (and their relative importance) that may guide policymakers in more accurately providing the FDCS.Participants and methodsA discrete choice experiment was performed to elicit the preferences for FDCS among the rural elderly in China. Attributes and levels were established based on qualitative methods. Four attributes were included: service type, service package, physician’s reputation and annual contract costs. A D-efficient design was used to create a set of profiles that represented FDCS. The survey was conducted face to face using a sample of participants aged 60 and above in rural areas of Anhui Province. The data were analysed using a latent class logit (LCL) model.ResultsA total of 545 valid questionnaires were included in the analysis. The average age of the participants was 69.44 (SD 5.80). Two latent classes were identified with the LCL model. All four attributes proved statistically significant at the level of both the population mean and the two classes. The rural elderly showed a preference for FDCS with a relatively good reputation, lower annual contract costs, the basic service with the add-on of chronic disease service and home visit. Age, gender, education, self-reported health status and the number of chronic diseases were found to be associated with latent class membership.ConclusionIn this study, the physician’s reputation had the largest impact on the rural elderly’s choice of FDCS. Policy recommendations included the need to strengthen family doctor team training, devote greater attention to improving the family doctor’s medical skills and service approaches, and increased FDCS efficiency for the care of the rural elderly.

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Patient Trust in Primary Care Physicians: A Mixed Methods Study of Persons with Diabetes at University- Based Clinics in the Eastern Province of Saudi Arabia

Boubshait¹,

AlShamlan²,

AlShammari³

et al. 2022

PPA

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Background The establishment of patient trust in physicians is becoming increasingly valuable. Trust can be fundamental to successful patient care, favorable patient outcomes and improved financial savings for healthcare organizations. This study aims to explore patients’ perceptions of trust in physicians, determine factors that play a role in this relationship, and to identify ways to improve patient trust. Methods The study was conducted via a mixed-method design using semi-structured in-depth interviews until data saturation was reached (n=24), followed by a cross sectional survey of consecutive sampling until the number of participants (n=256) exceeded the required sample size. Adult patients with diabetes, aged 18–65, attending internal medicine (IM) or family medicine (FM) clinics of King Fahd Hospital of the University, Saudi Arabia were included in the interviews and surveys. Patients’ interview transcripts were analyzed into trust dimensions resulting in a 51-item scale. Quality function deployment (QFD) was used to define the highest priority patient requirements. Overall satisfaction was calculated as a satisfaction percent, and factors related to satisfaction were tested using independent samples t -test and ANOVA. Results Significant domains for establishing patient trust in physicians were the perceived physician’s competency level, comprehensiveness of care, morals, personal traits, and establishing continuity of care. The trust score ranged from 42.0% to 100% with an average of 90.4%. There was no difference between the FM and IM setting, nor between the sociodemographic factors and the patients’ satisfaction level. No statistically significant results were found between diabetes type, years of diagnoses, achieving the target HbA1c with patients’ satisfaction level and trust. Patients reporting hypo or hyperglycemic symptoms had lower levels of satisfaction than those who did not. Conclusion Persons with diabetes were more trustful of primary care physicians if they displayed satisfactory communication skills, experience, and a caring attitude.

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Effects of FamilyDoctor Concept and Doctor-Patient Interaction Satisfaction on Glycaemic Control among Type 2 Diabetes Mellitus Patients in the Northeast Region of Peninsular Malaysia

Cited by 3 publications

References 21 publications

Perceived quality of care among people with type 2 diabetes mellitus in the north east region of peninsular Malaysia

Perceived quality of care among people with type 2 diabetes mellitus in the north east region of peninsular Malaysia

Stated preferences for family doctor contract services: a survey of the rural elderly in Anhui Province, China

Patient Trust in Primary Care Physicians: A Mixed Methods Study of Persons with Diabetes at University- Based Clinics in the Eastern Province of Saudi Arabia

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