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旅行距离、旅行时间和等待时间对糖尿病患者健康相关生活质量的影响：一项在六个欧洲国家开展的调查。

The impact of travel distance, travel time and waiting time on health-related quality of life of diabetes patients: An investigation in six European countries.

作者信息

Konerding Uwe, Bowen Tom, Elkhuizen Sylvia G, Faubel Raquel, Forte Paul, Karampli Eleftheria, Mahdavi Mahdi, Malmström Tomi, Pavi Elpida, Torkki Paulus

机构信息

Trimberg Research Academy, University of Bamberg, D-96045 Bamberg, Germany.

The Balance of Care Group, 39a Cleveland Road, London N1 3ES, UK.

出版信息

Diabetes Res Clin Pract. 2017 Apr;126:16-24. doi: 10.1016/j.diabres.2017.01.014. Epub 2017 Feb 2.

DOI:10.1016/j.diabres.2017.01.014
PMID:28189950
Abstract

AIMS

The effects of travel distance and travel time to the primary diabetes care provider and waiting time in the practice on health-related quality of life (HRQoL) of patients with type 2 diabetes are investigated.

RESEARCH DESIGN AND METHODS

Survey data of 1313 persons with type 2 diabetes from six regions in England (274), Finland (163), Germany (254), Greece (165), the Netherlands (354), and Spain (103) were analyzed. Various multiple linear regression analyses with four different EQ-5D-3L indices (English, German, Dutch and Spanish index) as target variables, with travel distance, travel time, and waiting time in the practice as focal predictors and with control for study region, patient's gender, patient's age, patient's education, time since diagnosis, thoroughness of provider-patient communication were computed. Interactions of regions with the remaining five control variables and the three focal predictors were also tested.

RESULTS

There are no interactions of regions with control variables or focal predictors. The indices decrease with increasing travel time to the provider and increasing waiting time in the provider's practice.

CONCLUSIONS

HRQoL of patients with type 2 diabetes might be improved by decreasing travel time to the provider and waiting time in the provider's practice.

摘要

目的

研究前往初级糖尿病护理提供者的行程距离和行程时间以及在医疗机构的等待时间对2型糖尿病患者健康相关生活质量（HRQoL）的影响。

研究设计与方法

分析了来自英格兰六个地区（274人）、芬兰（163人）、德国（254人）、希腊（165人）、荷兰（354人）和西班牙（103人）的1313名2型糖尿病患者的调查数据。以四种不同的EQ-5D-3L指数（英语、德语、荷兰语和西班牙语指数）作为目标变量，以行程距离、行程时间和在医疗机构的等待时间作为主要预测因素，并对研究地区、患者性别、患者年龄、患者教育程度、确诊时间、医患沟通的彻底程度进行控制，进行了各种多元线性回归分析。还测试了地区与其余五个控制变量和三个主要预测因素的相互作用。

结果

地区与控制变量或主要预测因素之间不存在相互作用。随着前往提供者的行程时间增加以及在提供者诊所的等待时间增加，这些指数会降低。

结论

减少前往提供者的行程时间和在提供者诊所的等待时间可能会改善2型糖尿病患者的健康相关生活质量。

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