Improving quality care for diabetes in the community: What do Cypriot patients want?

Tinelli, Michela; Petrou, Panagiotis; Samoutis, George; Olympios, George; McGuire, Alistair

doi:10.1093/intqhc/mzy046

Cited by 3 publications

(2 citation statements)

References 21 publications

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“…Furthermore, there is a lack of evidence-based in terms of cardiovascular disease risk scoring in this elderly age group (34)(35)(36). However, elderly care has become more important considering predictors of quality of life play a major role in the treatment outcome in the elderly patient (31,37). This study is among the pilot studies in this region focusing on the disease burden, control among the elderly and identifying the predictors.…”

Section: Discussionmentioning

confidence: 99%

Diabetes Quality of Life Among Elderly Diabetic Patients and Its Associations

Shalihin¹,

Mukhali²,

Zubaidi³

et al. 2022

MJMHS

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Introduction: The number of elderly diabetes patients is rising all over the world. Therefore, the quality of life of older people as well as the factors that influence it are aimed to be evaluated in this study. Method: A cross-sectional study was carried out on 269 senior diabetes patients from government health clinic in Kuantan, Pahang. Their sociodemographic information was gathered, and the Diabetes Quality of Life Instrument (DQoL) was used to assess their quality of life. The connection between DQoL domains and covariates was determined by Mann-Whitney U test and the Kruskal-Wallis test. Linear regression analysis was used to find the predictors. Results: : The majority of patients in the B40 groups had at least a primary level of education (52.2%) and a source of income (97.3%).The majority of the clinics (61.3 %) were located in rural areas and did not have a family medicine specialist on staff (77.7 %). The majority of the patients had uncontrolled diabetes (71.7%), uncontrolled blood pressure (63.2%), uncontrolled cholesterol levels (74.0%), and abnormal abdominal circumferences (84.8%). Clinic location, diabetes control status, and old age were statistically significant in predicting the quality of life. Conclusion: Despite the perception of a significant risk of problems, this study found that decreasing the HbA1c goal further improved the quality of life of older patients. Those clinic headed by family medicine specialist gave the highest degree of patient quality of life. As a result, additional primary care physicians should be trained, as well as local treatment measures.

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Section: Discussionmentioning

confidence: 99%

Diabetes Quality of Life Among Elderly Diabetic Patients and Its Associations

Shalihin¹,

Mukhali²,

Zubaidi³

et al. 2022

MJMHS

View full text Add to dashboard Cite

show abstract

“…36 37 Traditionally, a continuous caring relationship with the same healthcare professionals was found in previous DCEs. [38][39][40][41][42] However, for providers in vertically Open access integrated healthcare systems, the contrasting ideal is the delivery of a 'seamless service'. 43 Similarly, multidisciplinary care became an attribute in a DCE that measured preferences for urban integrated primary care among type 2 diabetes patients.…”

Section: Identification Of Attributes and Levelsmentioning

confidence: 99%

Preferences for healthcare services among hypertension patients in China: a discrete choice experiment

Bao

Shi

et al. 2021

BMJ Open

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ObjectivesOur study aimed to support evidence-informed policy-making on patient-centred care by investigating preferences for healthcare services among hypertension patients.DesignWe identified six attributes of healthcare services for a discrete choice experiment (DCE), and applied Bayesian-efficient design with blocking techniques to generate choice sets. After conducting the DCE, we used a mixed logit regression model to investigate patients’ preferences for each attribute and analysed the heterogeneities in preferences. Estimates of willingness to pay were derived from regression coefficients.SettingThe DCE was conducted in Jiangsu province and Shanghai municipality in China.ParticipantsPatients aged 18 years or older with a history of hypertension for at least 2 years and who took medications regularly were recruited.ResultsPatients highly valued healthcare services that produced good treatment effects (β=4.502, p<0.001), followed by travel time to healthcare facilities within 1 hour (β=1.285, p<0.001), and the effective physician–patient communication (β=0.771, p<0.001). Continuity of care and minimal waiting time were also positive predictors (p<0.001). However, the out-of-pocket cost was a negative predictor of patients’ choice (β=−0.168, p<0.001). Older adults, patients with good health-related quality of life, had comorbidities, and who were likely to visit secondary and tertiary hospitals cared more about favourable effects (p<0.05). Patients were willing to pay ¥2489 (95% CI ¥2013 to ¥2965) as long as the clinical benefits gained were substantial.ConclusionsOur findings highlight the importance of effective, convenient, efficient, coordinated and patient-centred care for chronic diseases like hypertension. Policy-makers and healthcare providers are suggested to work on aligning the service provision with patients’ preferences.

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Compassionate Care and Health Economics

Tinelli

Samoutis

2023

The Art and Science of Compassionate Care: A Practical Guide

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Improving quality care for diabetes in the community: What do Cypriot patients want?

Cited by 3 publications

References 21 publications

Diabetes Quality of Life Among Elderly Diabetic Patients and Its Associations

Diabetes Quality of Life Among Elderly Diabetic Patients and Its Associations

Preferences for healthcare services among hypertension patients in China: a discrete choice experiment

Compassionate Care and Health Economics

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