Good continuity of care may improve quality of life in Type 2 diabetes.

https://arctichealth.org/en/permalink/ahliterature196249
Source
Diabetes Res Clin Pract. 2001 Jan;51(1):21-7
Publication Type
Article
Date
Jan-2001
Author
J. Hänninen
J. Takala
S. Keinänen-Kiukaanniemi
Author Affiliation
Health Centre of Mikkeli, Kiiskinmäenk. 5-7, FIN-50130, Mikkeli, Finland. jouko.hanninen@fimnet.fi
Source
Diabetes Res Clin Pract. 2001 Jan;51(1):21-7
Date
Jan-2001
Language
English
Publication Type
Article
Keywords
Blood Glucose Self-Monitoring
Body mass index
Confidence Intervals
Continuity of Patient Care
Diabetes Mellitus, Type 2 - psychology - rehabilitation - therapy
Educational Status
Family Practice
Female
Finland
Health status
Hemoglobin A, Glycosylated - analysis
Humans
Male
Middle Aged
Patient Education as Topic
Patient satisfaction
Quality of Life
Questionnaires
Regression Analysis
Abstract
Some features of diabetes care and diabetes treatment regimen which may have an impact on health-related quality of life (HRQOL) in people with diabetes were studied cross-sectionally using the SF-20 questionnaire. Of the 381 subjects with Type 2 diabetes aged under 65 years, 260 (68%) participated in the study. On univariate analysis, HRQOL was associated with regular clinical review (check-up at least twice a year) and continuity of care (the same GP for at least 2 years), education by a diabetes nurse, and satisfaction with diabetes education. No associations were found between the HRQOL dimensions and home glucose monitoring, participation in educational courses, or satisfaction with care. On logistic regression analysis only good continuity of care was significantly associated with the better well-being dimensions of the SF 20 (ORs 2.5-6.0). However, good continuity of care was also associated with less satisfactory glucose control (HbA(1c) 8.9 +/- 2.0 (+/- SD) vs 8.3 +/- 2.0%, P=0.04). It is concluded that a permanent physician-patient relationship may improve HRQOL in subjects with Type 2 diabetes, but further prospective studies are needed to confirm this finding.
PubMed ID
11137178 View in PubMed
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