Biderman Aya, Noff Enav, Harris Stewart B, Friedman Nurit, Levy Amalia
Department of Family Medicine, Siaal Research Center for Family Medicine and Primary Care, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel.
Fam Pract. 2009 Apr;26(2):102-8. doi: 10.1093/fampra/cmp007. Epub 2009 Mar 2.
Treatment satisfaction is an important factor of quality of care, especially in treating chronic diseases such as diabetes mellitus. Identifying factors that independently influence treatment satisfaction may help in improving clinical outcomes.
To find the relationship between treatment satisfaction of diabetic patients and socio-demographic, clinical, adherence, treatment and health perception factors.
Patients were interviewed by telephone about their socio-demographic parameters, health status, clinical data and treatment factors. The Diabetes Treatment Satisfaction Questionnaire (DTSQ) was used to measure satisfaction and adherence. This is a cross-sectional study, as part of a larger study of chronic patients in Israel. Subjects were randomly selected diabetes patients. The main outcome measures were DTSQ levels. A multivariate linear regression model was constructed to identify factors independently associated with patients' satisfaction.
In all, 630 patients were included in the study. Multivariate analysis indicated that demographic parameters (e.g. female gender, P = 0.036), treatment factors (e.g. type of medication, P < 0.001), adherence factors (e.g. difficulty attending follow-up or taking medications, P < 0.001) and clinical factors (e.g. diabetes complications, P < 0.01) were independently associated with lower treatment satisfaction.
Treatment satisfaction is lower among diabetic patients who have a lower educational level, who are insulin treated or have a diabetic complication and is related to difficulties in taking medications and coming to follow-up visits. Addressing the specific needs of these patients might be effective in improving their satisfaction, thus having a positive influence on other clinical outcomes.
治疗满意度是医疗质量的一个重要因素，尤其是在治疗糖尿病等慢性病时。识别独立影响治疗满意度的因素可能有助于改善临床结局。
探讨糖尿病患者的治疗满意度与社会人口学、临床、依从性、治疗及健康认知因素之间的关系。
通过电话访谈患者的社会人口学参数、健康状况、临床数据和治疗因素。使用糖尿病治疗满意度问卷（DTSQ）来衡量满意度和依从性。这是一项横断面研究，是以色列一项针对慢性病患者的更大规模研究的一部分。研究对象为随机选取的糖尿病患者。主要结局指标为DTSQ水平。构建多元线性回归模型以识别与患者满意度独立相关的因素。
该研究共纳入630例患者。多因素分析表明，人口学参数（如女性，P = 0.036）、治疗因素（如药物类型，P < 0.001）、依从性因素（如随访或服药困难，P < 0.001）和临床因素（如糖尿病并发症，P < 0.01）与较低的治疗满意度独立相关。
教育水平较低、接受胰岛素治疗或患有糖尿病并发症的糖尿病患者治疗满意度较低，且与服药困难和随访就诊困难有关。满足这些患者的特定需求可能有效提高他们的满意度，从而对其他临床结局产生积极影响。
