The impact of travel distance, travel time and waiting time on health-related quality of life of diabetes patients: An investigation in six European countries.

Autor: Konerding U; Trimberg Research Academy, University of Bamberg, D-96045 Bamberg, Germany. Electronic address: uwe.konerding@uni-bamberg.de., Bowen T; The Balance of Care Group, 39a Cleveland Road, London N1 3ES, UK. Electronic address: tom.bowen@btinternet.com., Elkhuizen SG; Institute of Health Policy & Management, Erasmus University Rotterdam, PO Box 1738, 3000 DR Rotterdam, The Netherlands. Electronic address: elkhuizen@bmg.eur.nl., Faubel R; REDISSEC and Joint Research Unit in Biomedical Engineering (IIS La Fe-Universitat Politècnica de València), Bulevar sur s/n, 46026 Valencia, Spain. Electronic address: rfaubel@itaca.upv.es., Forte P; The Balance of Care Group, 39a Cleveland Road, London N1 3ES, UK. Electronic address: paul.forte@balanceofcare.com., Karampli E; Department of Health Economics, National School of Public Health, 196 Alexandras Ave., 115 21 Athens, Greece. Electronic address: ekarabli@esdy.edu.gr., Mahdavi M; Institute of Health Policy & Management, Erasmus University Rotterdam, PO Box 1738, 3000 DR Rotterdam, The Netherlands. Electronic address: mahdavi@bmg.eur.nl., Malmström T; Aalto University, Department of Industrial Engineering and Management, PO Box 15500, Aalto 00076, Espoo, Finland. Electronic address: tomi.malmstrom@aalto.fi., Pavi E; Department of Health Economics, National School of Public Health, 196 Alexandras Ave., 115 21 Athens, Greece. Electronic address: epavi@esdy.edu.gr., Torkki P; Aalto University, Department of Industrial Engineering and Management, PO Box 15500, Aalto 00076, Espoo, Finland. Electronic address: paulus.torkki@aalto.fi.
Jazyk: angličtina
Zdroj: Diabetes research and clinical practice [Diabetes Res Clin Pract] 2017 Apr; Vol. 126, pp. 16-24. Date of Electronic Publication: 2017 Feb 02.
DOI: 10.1016/j.diabres.2017.01.014
Abstrakt: Aims: The effects of travel distance and travel time to the primary diabetes care provider and waiting time in the practice on health-related quality of life (HRQoL) of patients with type 2 diabetes are investigated.
Research Design and Methods: Survey data of 1313 persons with type 2 diabetes from six regions in England (274), Finland (163), Germany (254), Greece (165), the Netherlands (354), and Spain (103) were analyzed. Various multiple linear regression analyses with four different EQ-5D-3L indices (English, German, Dutch and Spanish index) as target variables, with travel distance, travel time, and waiting time in the practice as focal predictors and with control for study region, patient's gender, patient's age, patient's education, time since diagnosis, thoroughness of provider-patient communication were computed. Interactions of regions with the remaining five control variables and the three focal predictors were also tested.
Results: There are no interactions of regions with control variables or focal predictors. The indices decrease with increasing travel time to the provider and increasing waiting time in the provider's practice.
Conclusions: HRQoL of patients with type 2 diabetes might be improved by decreasing travel time to the provider and waiting time in the provider's practice.
(Copyright © 2017 Elsevier B.V. All rights reserved.)
Databáze: MEDLINE
Externí odkaz: