Document Detail

Differences in preferences between diabetic patients and diabetologists regarding quality of care: a matter of continuity and efficiency of care?
MedLine Citation:
PMID:  8542745     Owner:  NLM     Status:  MEDLINE    
Diabetologists and diabetic patients were asked about their preferences for aspects of care which are considered of importance in relation to the quality of care. A questionnaire was constructed using the method of pairwise comparison in which respondents constantly had to chose between the statements in order to get a priority list. Adults with diabetes mellitus (Types 1 and 2) attending outpatient departments were asked to fill in the questionnaire. A response rate of 97% was recorded (n = 94). Diabetologists received a postal questionnaire and the response rate was 65% (n = 126). There was a reasonable agreement between both populations and 'effectiveness of care' was ranked the highest. However, the patients gave a significant higher ranking to 'continuity of care' and a lower ranking to 'efficiency'. Neither the age and sex of the patients nor the duration of the disease had any influence on their opinions. Patients who were treated with oral medication ranked 'information' higher than patients using insulin, but the difference was not significant. A lower level of education and having public-health insurance were associated with a higher preference for 'continuity'. No differences were found regarding age and sex within the diabetologist population.
A F Casparie; M A van der Waal
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Diabetic medicine : a journal of the British Diabetic Association     Volume:  12     ISSN:  0742-3071     ISO Abbreviation:  Diabet. Med.     Publication Date:  1995 Sep 
Date Detail:
Created Date:  1996-02-14     Completed Date:  1996-02-14     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8500858     Medline TA:  Diabet Med     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  828-32     Citation Subset:  IM    
Institute of Health Care Policy and Management, Faculty of Medicine and Health Sciences, Erasmus University, Rotterdam, The Netherlands.
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MeSH Terms
Attitude of Health Personnel
Continuity of Patient Care / standards*
Diabetes Mellitus / psychology*,  therapy*
Efficiency, Organizational
Patient Acceptance of Health Care / statistics & numerical data*
Patient Satisfaction / statistics & numerical data
Physician-Patient Relations*
Quality Assurance, Health Care / standards*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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