RT Journal Article
T1 Healthcare experience among patients with type 2 diabetes: A cross-sectional survey using the IEXPAC tool.
A1 Orozco-Beltrán, Domingo
A1 Artola-Menéndez, Sara
A1 Hormigo-Pozo, Antonio
A1 Cararach-Salami, Daniel
A1 Alonso-Jerez, Juan Luis
A1 Álvaro-Grande, Epifanio
A1 Villabrille-Arias, Covadonga
A1 de Toro-Santos, Francisco Javier
A1 Galindo-Puerto, María José
A1 Marín-Jiménez, Ignacio
A1 Gómez-García, Antón
A1 Ledesma-Rodriguez, Rocío
A1 Fernández, Gonzalo
A1 Ferreira de Campos, Karine
K1 chronic disease
K1 patient experience
K1 patient survey
K1 type 2 diabetes
AB 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. 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). 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. 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.
YR 2021
FD 2021-02-15
LK https://hdl.handle.net/10668/24773
UL https://hdl.handle.net/10668/24773
LA en
DS RISalud
RD Apr 17, 2025