Schroeder Michelle N, Hickey Maureen O
The University of Toledo, Toledo, OH, USA.
J Pharm Technol. 2020 Apr;36(2):61-67. doi: 10.1177/8755122519899084. Epub 2020 Jan 9.
Diabetes prevalence continues to be a concern and the management of diabetes is important but costly. The prevalence of diabetes is greater among persons with a low income, including those who are uninsured or underinsured. Student-run free clinics (SRFC) are one resource to these patients who may otherwise lack access to medical care. The purpose of this study was to assess patient satisfaction with diabetes care at a SRFC in order to assist in identifying areas of improvement. A quality improvement survey was designed to assess patient satisfaction with overall care, as well as with routines and perception of care related to self-management, healthy eating, and exercise. The survey was completed by 25 patients at a Toledo area SRFC. Established patients who were aged 18 years or older and diagnosed with diabetes, were invited to complete the survey. The majority of patients were satisfied with their diabetes care at the SRFC (88%). Fewer patients, however, reported satisfaction with the treatment for their diabetes (72%) and with their knowledge about diabetes (76%). Subanalyses of survey responses also showed significant differences when comparing sex, age, and length of diabetes diagnosis. The survey helped identify key areas in which the diabetes care provided at the SRFC could be improved. These areas included education about diabetes in general, as well as in understanding treatment, self-monitoring, and healthy eating and exercise options. Future research could explore survey results after specifying and implementing changes made to the education provided to the patients.
糖尿病患病率仍然令人担忧，糖尿病的管理很重要但成本高昂。糖尿病在低收入人群中更为普遍，包括那些未参保或保险不足的人。学生运营的免费诊所（SRFC）是这些可能无法获得医疗服务的患者的一种资源。本研究的目的是评估患者对一家SRFC糖尿病护理的满意度，以帮助确定改进领域。设计了一项质量改进调查，以评估患者对整体护理的满意度，以及对与自我管理、健康饮食和运动相关的护理常规和认知的满意度。该调查由托莱多地区一家SRFC的25名患者完成。年龄在18岁及以上且被诊断患有糖尿病的在册患者被邀请完成调查。大多数患者对他们在SRFC接受的糖尿病护理感到满意（88%）。然而，较少患者对他们的糖尿病治疗（72%）和对糖尿病的了解（76%）表示满意。在比较性别、年龄和糖尿病诊断时长时，对调查回复的子分析也显示出显著差异。该调查有助于确定SRFC提供的糖尿病护理可以改进的关键领域。这些领域包括一般的糖尿病教育，以及在理解治疗、自我监测、健康饮食和运动选择方面的教育。未来的研究可以在明确并实施对患者提供的教育所做的改变之后探索调查结果。
