Linking quality of healthcare and health-related quality of life of patients with type 2 diabetes: an evaluative study in Mexican family practice

Abstract

ObjectiveTo assess the association between quality of care and health-related quality of life among type 2 diabetes patients.DesignA cross-sectional study assessing the association between quality of care and quality of life using multiple linear regression analysis.SettingFamily medicine clinics (FMC) (n = 39) of the Mexican Institute of Social Security (IMSS) in Mexico City.ParticipantsType 2 diabetes patients (n = 312), older than 19 years.Main Outcome Measure(s)Health-related quality of life was measured using the MOS Short-Form-12 (SF-12); quality of healthcare was measured as the percentage of recommended care received under each of four domains: early detection of diabetes complications, non-pharmacological treatment, pharmacological treatment and health outcomes.ResultsThe average quality of life score was 41.4 points on the physical component and 47.9 points on the mental component. Assessment of the quality of care revealed deficiencies. The average percentages of recommended care received were 21.9 for health outcomes and 56.6 for early detection of diabetes complications and pharmacological treatment; for every 10 percent additional points on the pharmacological treatment component, quality of life improved by 0.4 points on the physical component (coefficient 0.04, 95% confidence intervals 0.01–0.07).ConclusionsThere was a positive association between the quality of pharmacological care and the physical component of quality of life. The quality of healthcare for type 2 diabetes patients in FMC of the IMSS in Mexico City is not optimal.

Heath related quality of life and associated factors among adults with and without diabetes in Adama city East Shewa, Ethiopia 2019; using generalized structural equation modeling

“…Our finding demonstrated that, among domains of HRQoL, the physical health was the most affected domain in diabetic group and this is of course in agreement with other reports [14,16,31]. This consistency could be defensible by diabetes has more physical than mental (psychological) manifestations [32]. This could also be described by patients with diabetes, having higher degrees of complications like diabetic foot, which can disturb their physical ability to do day-to-day activities.…”

“…This finding is in line with other studies that was conducted southwest [15] and northwest [14] Ethiopia and other countries [5,9,31]. This consistence result in social relation and psychological health might be their social-culture that gives support for diseased individuals & diabetic patients manifest more physically than mentally (psychologically) respectively [32].…”

A Systematic Review Of Mexican American Elders With Type-2 Diabetes Under Family Care Of Medication Administration In Borderland

“…27 adherence and normal HbA1c levels. Also, 85% of patients using diabetes medications agreed that the medication was beneficial.…”

Quality criteria/key components for high quality of diabetes management to avoid diabetes-related complications

“…After the search strategy, inclusive limitations and screening of abstracts and papers, key components for quality on structure (Greenhalgh 1994;Hunter and Fairfield 1997;Rijken et al 2012;Rothe 2010;Rothe et al 2008) (see Table 1), process (Bodicoat et al 2014;Burgers 2010;Coppell et al 2011;Correa-de-Araujo et al 2006;Doubova et al 2013;Gandjour et al 2002;Grintsova et al 2014;Guthrie et al 2003;Guthrie et al 2005;Pedersen and Jacobsen 2011;Schulze et al 2009) (see Table 2) and outcome-level (Bodicoat et al 2014;Elissen et al 2012;Fung et al 2012;Grintsova et al 2014;Guthrie et al 2003;Hermans et al 2013;Liu et al 2010;Marley et al 2012;Nobels et al 2011;Pajunen et al 2010b;Schäfer et al 2010a;Schulze et al 2009;Schunk et al 2011;Sidorenkov et al 2013a;Voorham et al 2008;Wee et al 2008) were identified and suggested.…”