The relationship between primary care physicians’ adherence to guidelines for the treatment of diabetes and patient satisfaction: findings from a pilot study

Abstract

Patients who report being treated as recommended in practice guidelines were more likely to be satisfied with their care. This finding may encourage primary care physicians to adhere to clinical practice guidelines.

Quality assessment of care provided to patients with type 2 diabetes based on Clinical Practice Guidelines

“…It is well recognized that the risk of micro-vascular and macro-vascular complications is much higher when these risk factors are present (22). The evidence also suggested that the strict attention to blood pressure and blood lipids can reduce the risk of type 2 diabetes complications (6,7,17). Consistent with previous studies (23), almost all participants in our study reported receiving serum lipids and blood pressure measurements at the recommended level.…”

“…According to WHO, the number of people affected with diabetes will increase to around 300 million by 2025 (1) .Most diabetes complications are related to the individuals' lifestyle and poorly controlled blood glucose (2). Regular monitoring of clinical indicators, such as eye and feet examination, blood pressure and serum lipid controls, are associated with decreased complications (3).Standard diabetes management guidelines have been broadly demonstrated to improve diabetes control, increase quality of health services (4,5), prevent micro and macro-vascular complications (6), improve patients' satisfaction and decrease inappropriate medication, referrals (7) and hospital admissions (8). Donabedian 1980 in defines the quality of health services as "the degree to which health services meet the needs, expectations and standards of care of the patients".…”

“…Technical quality is one of the most important dimensions of quality in health care. It is widely accepted that improving disease specific aspects of care (technical quality) improves health outcomes (7,10,11).Technical Quality deals with the disease specific aspects of care as reflected by care processes and care outcomes (12).Technical quality differs from condition to condition and shows how well health systems deal with the specific condition (13). Service quality includes such aspects as communication or interaction between providers and patients, autonomy, attentiveness or respect for patients (14).…”

Perfil de usuários e percepção sobre a qualidade do atendimento nutricional em um programa de saúde para a terceira idade

“…23 Estudos sobre a satisfação mostram que, geralmente, os usuários estão mais satisfeitos com os aspectos relacionais (atendimento, cuidado, comunicação interpessoal e outros) do que os organizacionais (estrutura física, acesso a consultas e medicamentos). 24,25 Tais constatações levam a crer que o sucesso final do tratamento pode ter forte relação com o estilo de comunicação entre profissional e paciente, sendo este aspecto predominante sobre a qualidade técnica no transcorrer da consulta, sobretudo após ter sido feita a escolha ou indicação do profissional. 26 Foi possível observar, por meio do relato do(a) idoso(a) que percebeu a pouca experiência de quem o atendia, que o usuário de um serviço para a terceira idade pode ser um observador crítico do comportamento de quem o atende.…”

Recursos humanos para la atención de pacientes con diabetes en unidades de medicina familiar del Instituto Mexicano del Seguro Social

“…12 Lo anteriormente expuesto permite plantear el cuestionamiento de la suficiencia de recursos humanos (RH) en las UMF del IMSS para que los pacientes reciban atención de alta calidad y de acuerdo con las mejores prácticas. La presente investigación tuvo como objetivo determinar las necesidades de RH para la atención de pacientes con diabetes en el modelo de atención convencional y en modelo DiabetIMSS.…”