Modeling patients’ choice between a primary care physician or a diabetes specialist for the management of type-2 diabetes using a bivariate probit analysis
| Autor: | Dimitrios Gougourelas, Anastasia Papaioannou, Vasileios Gkizlis, Philippe-Richard Domeyer, Dimitra Sifaki-Pistolla, Ioanna Tsiligianni, Zoi Tsimtsiou, Sofia Birka |
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| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Endocrinology Diabetes and Metabolism 030209 endocrinology & metabolism Type 2 diabetes Hypoglycemia Physicians Primary Care 03 medical and health sciences 0302 clinical medicine Diabetes mellitus Internal medicine Internal Medicine medicine Humans 030212 general & internal medicine Disease management (health) Family history Response rate (survey) Nutrition and Dietetics Primary Health Care business.industry Primary care physician Diabetic retinopathy medicine.disease Cross-Sectional Studies Diabetes Mellitus Type 2 Female Family Practice business Specialization |
| Zdroj: | Primary Care Diabetes. 15:150-155 |
| ISSN: | 1751-9918 |
| DOI: | 10.1016/j.pcd.2020.07.010 |
| Popis: | Aims To determine the prevalence of type-2 diabetes patients that were initially and currently being treated by primary care physicians (PCPs) or diabetes specialists and assess predictors influencing their choice. Methods This cross-sectional study was conducted in nine Greek primary healthcare units. Patients’ choices were modeled using a bivariate probit analysis. Results A total of 225 patients participated (84% response rate). Only 15.9% and 11.9% of the respondents acknowledged having chosen a diabetes specialist for their initial or current treatment, respectively. The family history of diabetes in siblings and the screening for diabetic retinopathy during the past year were significantly positively associated with choosing a diabetes specialist (initially p = 0.033 or currently p = 0.007), and resulted in a statistically significant reduction of the joint probabilities of choosing a PCP by 15.6% and 13.6%, respectively. Younger age (p = 0.040), female sex (p = 0.017), higher HbA1c (p = 0.004), experience of hypoglycemia (p = 0.029) and low cardiovascular morbidity index (p = 0.016) emerged as important predictors for choosing a diabetes specialist for their treatment. Conclusions Our findings provide a better insight in diabetes patients’ choices regarding the category of their treating physicians and their predictors. More studies are required to replicate them and identify patient subpopulations that may favor diabetes specialists’ guidance. |
| Databáze: | OpenAIRE |
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