Brannon Grace Ellen, Kindratt Tiffany B, Brown Kyrah K
Department of Communication, University of Texas at Arlington, Arlington, TX, USA.
Department of Kinesiology, University of Texas at Arlington, Arlington, TX, USA.
J Patient Exp. 2024 Dec 19;11:23743735241309474. doi: 10.1177/23743735241309474. eCollection 2024.
This study used the Medical Expenditure Panel Survey data (2010-2018) to examine associations between diabetes patients' satisfaction with their provider and ratings of healthcare received, diabetes care self-efficacy, and monitoring adherence among nonpregnant reproductive age women with diabetes. The sample included nonpregnant women of childbearing age (18-45) with diabetes mellitus (n = 767; weighted n = 1.3 million women). The results indicated that patients who reported that their usual care provider always asked/showed respect for medical, traditional, and alternative treatments that the person is happy with had 2.59 times greater odds (95% confidence interval [CI]:1.32-5.10) of giving high ratings of healthcare (8-10) compared to those whose provider did not show respect for treatments. Results also showed that patients who reported they were asked to decide between a choice of treatments had 1.76 greater odds (95% CI:1.03-3.01) of diabetes care monitoring adherence. Findings demonstrate the importance of patient-centered communication experiences in relation to diabetes care monitoring adherence. Implications of the findings for clinical encounters are discussed.
本研究使用医疗支出面板调查数据（2010 - 2018年），以检验糖尿病患者对其医疗服务提供者的满意度与所接受医疗保健的评分、糖尿病护理自我效能感以及非妊娠育龄期糖尿病女性的监测依从性之间的关联。样本包括患有糖尿病的非妊娠育龄妇女（18 - 45岁）（n = 767；加权后n = 130万妇女）。结果表明，那些报告其常规医疗服务提供者总是询问/对患者满意的医疗、传统和替代疗法表示尊重的患者，给予医疗保健高评分（8 - 10分）的几率是其医疗服务提供者不尊重这些疗法的患者的2.59倍（95%置信区间[CI]：1.32 - 5.10）。结果还表明，那些报告被要求在多种治疗选择中做决定的患者，其糖尿病护理监测依从性的几率高1.76倍（95% CI：1.03 - 3.01）。研究结果证明了以患者为中心的沟通体验在糖尿病护理监测依从性方面的重要性。文中讨论了这些研究结果对临床诊疗的意义。
