Healthcare experience among patients with type 2 diabetes: A cross‐sectional survey using the IEXPAC tool
Abstract Aim To assess the experience with health care among patients with type 2 diabetes (T2DM) and to evaluate patients’ demographic variables and healthcare‐related characteristics which may affect their experience. Methods A cross‐sectional survey was delivered to T2DM adults. Patient experienc...
| Main Authors: | , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2021-04-01
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| Series: | Endocrinology, Diabetes & Metabolism |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/edm2.220 |
| _version_ | 1819117842559139840 |
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| author | Domingo Orozco‐Beltrán Sara Artola‐Menéndez Antonio Hormigo‐Pozo Daniel Cararach‐Salami Juan Luis Alonso‐Jerez Epifanio Álvaro‐Grande Covadonga Villabrille‐Arias Francisco Javier deToro‐Santos María José Galindo‐Puerto Ignacio Marín‐Jiménez Antón Gómez‐García Rocío Ledesma‐Rodriguez Gonzalo Fernández Karine Ferreira de Campos |
| author_facet | Domingo Orozco‐Beltrán Sara Artola‐Menéndez Antonio Hormigo‐Pozo Daniel Cararach‐Salami Juan Luis Alonso‐Jerez Epifanio Álvaro‐Grande Covadonga Villabrille‐Arias Francisco Javier deToro‐Santos María José Galindo‐Puerto Ignacio Marín‐Jiménez Antón Gómez‐García Rocío Ledesma‐Rodriguez Gonzalo Fernández Karine Ferreira de Campos |
| author_sort | Domingo Orozco‐Beltrán |
| collection | DOAJ |
| description | Abstract Aim To assess the experience with health care among patients with type 2 diabetes (T2DM) and to evaluate patients’ demographic variables and healthcare‐related characteristics which may affect their experience. Methods A cross‐sectional survey was delivered to T2DM adults. Patient experiences were assessed with the ‘Instrument for Evaluation of the Experience of Chronic Patients’ (IEXPAC) questionnaire, a validated 12‐item survey, which describes patient experience within the last 6 months (items 1–11) and hospitalization in the last 3 years (item 12), with possible scores ranging from 0 (worst) to 10 (best experience). Results A total of 451 T2DM patients responded to the survey (response rate 72.3%; mean age 69.5 ± 10.1 years, 67.8% men). The mean overall IEXPAC score was 5.92 ± 1.80. Mean scores were higher for productive interactions (7.92 ± 2.15) and self‐management (7.08 ± 2.27) than for new relational model (1.72 ± 2.01). Only 32.8% of patients who had been hospitalized in the past 3 years reported having received a follow‐up call or visit after discharge. Multivariate analyses identified that regular follow‐up by the same physician and follow‐up by a nurse were associated with a better patient experience. Continuity of healthcare score was higher only in those patients requiring help from others. Conclusions The areas of T2DM care which may need to be addressed to ensure better patient experience are use of the Internet, new technologies and social resources for patient information and interaction with healthcare professionals, closer follow‐up after hospitalization, and a comprehensive multidisciplinary approach with regular follow‐up by the same physician and a nurse. |
| first_indexed | 2024-12-22T05:39:24Z |
| format | Article |
| id | doaj.art-370f5b0749c54a578e66c287c11ffe02 |
| institution | Directory Open Access Journal |
| issn | 2398-9238 |
| language | English |
| last_indexed | 2024-12-22T05:39:24Z |
| publishDate | 2021-04-01 |
| publisher | Wiley |
| record_format | Article |
| series | Endocrinology, Diabetes & Metabolism |
| spelling | doaj.art-370f5b0749c54a578e66c287c11ffe022022-12-21T18:37:14ZengWileyEndocrinology, Diabetes & Metabolism2398-92382021-04-0142n/an/a10.1002/edm2.220Healthcare experience among patients with type 2 diabetes: A cross‐sectional survey using the IEXPAC toolDomingo Orozco‐Beltrán0Sara Artola‐Menéndez1Antonio Hormigo‐Pozo2Daniel Cararach‐Salami3Juan Luis Alonso‐Jerez4Epifanio Álvaro‐Grande5Covadonga Villabrille‐Arias6Francisco Javier deToro‐Santos7María José Galindo‐Puerto8Ignacio Marín‐Jiménez9Antón Gómez‐García10Rocío Ledesma‐Rodriguez11Gonzalo Fernández12Karine Ferreira de Campos13Clinical Medicine Department Miguel Hernandez University San Juan de Alicante SpainJosé Marvá Heath Care Center SED (Spanish Diabetes Society) Diabetes Group Madrid SpainSan Andres‐Torcal Health Care Center Málaga SpainLes Corts Health Care Center Barcelona SpainTejina Health Care Center Tenerife SpainSantutxu‐Solokoetxe Health Care Center Bilbao SpainPumarín Health Care Center Oviedo SpainRheumatology Department A Coruña University Hospital A Coruña SpainInternal Medicine Department Clinic University Hospital Valencia SpainGastroenterology Department Hospital Universitario Gregorio Marañón Madrid SpainMedical Affairs Department Merck Sharp & Dohme Madrid SpainMedical Affairs Department Merck Sharp & Dohme Madrid SpainMedical Affairs Department Merck Sharp & Dohme Madrid SpainMedical Affairs Department Merck Sharp & Dohme Madrid SpainAbstract Aim To assess the experience with health care among patients with type 2 diabetes (T2DM) and to evaluate patients’ demographic variables and healthcare‐related characteristics which may affect their experience. Methods A cross‐sectional survey was delivered to T2DM adults. Patient experiences were assessed with the ‘Instrument for Evaluation of the Experience of Chronic Patients’ (IEXPAC) questionnaire, a validated 12‐item survey, which describes patient experience within the last 6 months (items 1–11) and hospitalization in the last 3 years (item 12), with possible scores ranging from 0 (worst) to 10 (best experience). Results A total of 451 T2DM patients responded to the survey (response rate 72.3%; mean age 69.5 ± 10.1 years, 67.8% men). The mean overall IEXPAC score was 5.92 ± 1.80. Mean scores were higher for productive interactions (7.92 ± 2.15) and self‐management (7.08 ± 2.27) than for new relational model (1.72 ± 2.01). Only 32.8% of patients who had been hospitalized in the past 3 years reported having received a follow‐up call or visit after discharge. Multivariate analyses identified that regular follow‐up by the same physician and follow‐up by a nurse were associated with a better patient experience. Continuity of healthcare score was higher only in those patients requiring help from others. Conclusions The areas of T2DM care which may need to be addressed to ensure better patient experience are use of the Internet, new technologies and social resources for patient information and interaction with healthcare professionals, closer follow‐up after hospitalization, and a comprehensive multidisciplinary approach with regular follow‐up by the same physician and a nurse.https://doi.org/10.1002/edm2.220chronic diseasepatient experiencepatient surveytype 2 diabetes |
| spellingShingle | Domingo Orozco‐Beltrán Sara Artola‐Menéndez Antonio Hormigo‐Pozo Daniel Cararach‐Salami Juan Luis Alonso‐Jerez Epifanio Álvaro‐Grande Covadonga Villabrille‐Arias Francisco Javier deToro‐Santos María José Galindo‐Puerto Ignacio Marín‐Jiménez Antón Gómez‐García Rocío Ledesma‐Rodriguez Gonzalo Fernández Karine Ferreira de Campos Healthcare experience among patients with type 2 diabetes: A cross‐sectional survey using the IEXPAC tool Endocrinology, Diabetes & Metabolism chronic disease patient experience patient survey type 2 diabetes |
| title | Healthcare experience among patients with type 2 diabetes: A cross‐sectional survey using the IEXPAC tool |
| title_full | Healthcare experience among patients with type 2 diabetes: A cross‐sectional survey using the IEXPAC tool |
| title_fullStr | Healthcare experience among patients with type 2 diabetes: A cross‐sectional survey using the IEXPAC tool |
| title_full_unstemmed | Healthcare experience among patients with type 2 diabetes: A cross‐sectional survey using the IEXPAC tool |
| title_short | Healthcare experience among patients with type 2 diabetes: A cross‐sectional survey using the IEXPAC tool |
| title_sort | healthcare experience among patients with type 2 diabetes a cross sectional survey using the iexpac tool |
| topic | chronic disease patient experience patient survey type 2 diabetes |
| url | https://doi.org/10.1002/edm2.220 |
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