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Schunk, M. ; Stark, R.G. ; Reitmeir, P. ; Meisinger, C. ; Holle, R.

Towards patient-oriented diabetes care: Results from two KORA surveys in Southern Germany:

J. Diabetes Res. 2015:368570 (2015)
Publ. Version/Full Text DOI PMC
Open Access Gold
Creative Commons Lizenzvertrag
Objective. This study aims to examine the relationship of diabetes care processes and patient outcomes with an expanded set of indicators regarding patient-oriented care delivery, such as treatment satisfaction, the quality of patient-physician relationship, and a wider range of patient outcomes such as self-management, health behaviour, disease-related burden, and health-related quality of life (HRQL). Methods. The study population consisted of 486 participants with type 2 diabetes in two population-based follow-up surveys, conducted in 2003 to 2005 and 2006 to 2008 in Southern Germany. Data were self-reported and questionnaire-based, including the SF-12 for HRQL. Multiple regression models were used to identify associations between care processes and outcomes with adjustment for confounders. Results. Frequent medical examinations increased the likelihood of self-monitoring activities, such as foot care. A positive patient experienced relationship with their physician is associated with higher adherence to medical recommendations, such as medication intake, and the score of the SF-12 mental component. Participants with diabetes-related complications reported higher levels of medical examinations and multiprofessional care. Conclusions. Indicators of patient-oriented care should become an indispensable part of diabetes clinical practice guidelines with the aim of striving for more effective support of patients.
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Publication type Article: Journal article
Document type Scientific Article
Corresponding Author
Keywords Quality-of-life; Randomized Controlled-trials; Self-management; Psychometric Properties; Clinical-outcomes; Chronic Disease; Mellitus; Indicators; Illness; Adults
ISSN (print) / ISBN 2314-6753
e-ISSN 2314-6745
Journal Journal of Diabetes Research
Quellenangaben Volume: 2015, Issue: , Pages: , Article Number: 368570 Supplement: ,
Publisher Hindawi
Publishing Place New York, NY [u.a.]
Non-patent literature Publications
Reviewing status Peer reviewed
Institute(s) Institute of Health Economics and Health Care Management (IGM)
Institute of Epidemiology II (EPI2)