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Right-Site Care Programme with a community-based family medicine clinic in Singapore: secondary data analysis of its impact on mortality and healthcare utilisation.新加坡基于社区的家庭医学诊所的右位关爱计划：对其对死亡率和医疗保健利用影响的二次数据分析。
BMJ Open. 2019 Dec 31;9(12):e030718. doi: 10.1136/bmjopen-2019-030718.
2
Use of patients' unsolicited correspondence to a family doctor to describe and understand valued components of a doctor-patient relationship: A Hermeneutics approach.利用患者主动寄给家庭医生的信件来描述和理解医患关系中具有价值的组成部分：一种阐释学方法。
BMC Fam Pract. 2019 Oct 17;20(1):136. doi: 10.1186/s12875-019-1024-6.
3
Patient experience on self-management support among primary care patients with diabetes and hypertension.糖尿病和高血压患者的自我管理支持中的患者体验。
Int J Qual Health Care. 2019 Aug 1;31(7):37-43. doi: 10.1093/intqhc/mzy252.
4
Glycaemic control for people with type 2 diabetes in Saudi Arabia - an urgent need for a review of management plan.沙特阿拉伯2型糖尿病患者的血糖控制——迫切需要对管理计划进行审查。
BMC Endocr Disord. 2018 Sep 10;18(1):62. doi: 10.1186/s12902-018-0292-9.
5
Physician-patient interaction satisfaction and its influence on medication adherence and type-2 diabetic control in a primary care setting.基层医疗环境中医生与患者互动的满意度及其对药物依从性和2型糖尿病控制的影响。
Med J Malaysia. 2018 Jun;73(3):163-169.
6
Patient-Related Determinants of Glycaemic Control in People with Type 2 Diabetes in the Gulf Cooperation Council Countries: A Systematic Review.海湾合作委员会国家 2 型糖尿病患者血糖控制的患者相关决定因素：系统评价。
J Diabetes Res. 2018 Feb 25;2018:9389265. doi: 10.1155/2018/9389265. eCollection 2018.
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Factors associated with glycemic control in people with diabetes at the Family Health Strategy in Pernambuco.伯南布哥州家庭健康战略中糖尿病患者血糖控制的相关因素。
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马来西亚半岛东北地区家庭医生理念和医患互动满意度对 2 型糖尿病患者血糖控制的影响。

Effects of FamilyDoctor Concept and Doctor-Patient Interaction Satisfaction on Glycaemic Control among Type 2 Diabetes Mellitus Patients in the Northeast Region of Peninsular Malaysia.

机构信息

Department of Community Medicine, School of Medical Sciences, Universiti Sains Malaysia, Kelantan 16150, Malaysia.

Unit of Biostatistics and Research Methodology, School of Medical Sciences, Universiti Sains Malaysia, Kelantan 16150, Malaysia.

出版信息

Int J Environ Res Public Health. 2020 Mar 9;17(5):1765. doi: 10.3390/ijerph17051765.

DOI:10.3390/ijerph17051765
PMID:32182755
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7084261/
Abstract

The implementation of Family Doctor Concept (FDC) to restructure the primary healthcare systems in Malaysia were expected to enhance patient's satisfaction on doctor-patient interaction and subsequently improved glycaemic control among Type 2 Diabetes Mellitus (T2DM) patients. Thus, this study aims to determine the difference in doctor-patient interaction satisfaction between T2DM patients attended FDC-implemented clinic vs non-FDC clinics, and to determine the association between FDC-implemented clinic and doctor-patient interaction satisfaction towards glycaemic control. A cross-sectional study was conducted throughout 10 districts in Kelantan from February until May 2019 using interview-guided (SKIP-11) and proforma checklist. Data were analyzed using SPSS ver.24. Chi-square statistic used to determine the difference in doctor-patient interaction satisfaction between both clinics type. Multiple logistic regression used to examine the association between FDC-implemented clinic and doctor-patient interaction satisfaction towards glycaemic control. Twenty primary health clinics involved, and 772 T2DM patients recruited. FDC clinics attendees has higher proportion of satisfaction (40.1%) compared to non-FDC attendees (33.7%) ( = 0.070). Multiple logistic regression confirmed the association of FDC-implemented health clinics (Adj. OR 1.63, = 0.021), and doctor-patients interaction satisfaction (Adj. OR 1.77, = 0.005) towards glycaemic control. Hence, strengthening of FDC in primary healthcare and improve the doctor-patient interaction satisfaction were essential to escalate good glycaemic control.

摘要

家庭医生概念（FDC）在马来西亚实施，以重构基层医疗保健系统，预计将提高患者对医患互动的满意度，并随后改善 2 型糖尿病（T2DM）患者的血糖控制。因此，本研究旨在确定接受 FDC 实施诊所与非 FDC 诊所治疗的 T2DM 患者在医患互动满意度方面的差异，并确定 FDC 实施诊所与医患互动满意度对血糖控制的关联。本研究采用访谈引导式（SKIP-11）和表格检查表，于 2019 年 2 月至 5 月在吉兰丹的 10 个区进行了一项横断面研究。使用 SPSS ver.24 分析数据。卡方检验用于确定两种诊所类型的医患互动满意度差异。多因素逻辑回归用于检查 FDC 实施诊所与医患互动满意度对血糖控制的关联。共纳入 20 家初级保健诊所，招募了 772 名 T2DM 患者。FDC 诊所就诊者的满意度（40.1%）高于非 FDC 就诊者（33.7%）（ = 0.070）。多因素逻辑回归证实了 FDC 实施的卫生诊所（调整后 OR 1.63， = 0.021）和医患互动满意度（调整后 OR 1.77， = 0.005）与血糖控制的关联。因此，加强基层医疗保健中的 FDC 并提高医患互动满意度对于提高良好的血糖控制至关重要。