The relationship between primary care physicians' adherence to guidelines for the treatment of diabetes and patient satisfaction: findings from a pilot study
| Autor: | Ronit Matzliach, Miriam Greenstein, Anthony Heymann, Boaz Porter, Revital Gross, Avi Porath, Hava Tabenkin |
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| Rok vydání: | 2003 |
| Předmět: |
Adult
Male medicine.medical_specialty Multivariate analysis Population Psychological intervention Pilot Projects Disease Patient satisfaction Social skills Health care medicine Diabetes Mellitus Humans Practice Patterns Physicians' education Aged Aged 80 and over education.field_of_study Chi-Square Distribution business.industry Primary care physician Physicians Family Middle Aged Logistic Models Patient Satisfaction Family medicine Emergency medicine Female Guideline Adherence Family Practice business |
| Zdroj: | Family practice. 20(5) |
| ISSN: | 0263-2136 |
| Popis: | BACKGROUND Adherence to clinical guidelines improves health care outcomes, reduces expenditure and prevents the complication of unnecessary interventions. It is uncertain what effect the adherence to guidelines for treating diabetes has on patient satisfaction. Some authors have reported that the use of guidelines does not affect patient satisfaction with care, and have concluded that satisfaction is related to a physician's interpersonal skills, rather than to the quality of care. Others have reported that structured intervention programmes improve patient satisfaction with care. OBJECTIVE The purpose of our study was to explore the association between adherence to clinical guidelines and satisfaction with care among diabetics. METHODS The study population included 135 randomly sampled diabetes patients listed with 12 primary care physicians at two health plans in Israel, which together insure >80% of the population. Telephone interviews were conducted with the patients between August and November 2000, using structured questionnaires. Patients were asked to report on the extent to which their primary care physician treated them as indicated by the clinical guidelines of these health plans. They were also asked to rate their satisfaction with their primary care physician and the treatment of their disease. Bi-variate analysis was conducted using the chi-square statistical significance test. Multivariate analysis was conducted using logistic regression models. RESULTS Adherence to guidelines for diabetes was associated with patient satisfaction with care, independently of the patient's ethnicity (first language), age, gender, education, medication (insulin versus other) and health plan affiliation. CONCLUSION Patients who report being treated as recommended in practice guidelines were more likely to be satisfied with their care. This finding may encourage primary care physicians to adhere to clinical practice guidelines. |
| Databáze: | OpenAIRE |
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