Experience of Patients with Diabetes and Other Cardiovascular Risk Factors with Health Professionals and Healthcare in Spain

Orozco‐Beltrán, Domingo; Cinza‐Sanjurjo, Sergio; Escribano‐Serrano, José; López‐Simarro, Flora; Fernández, Gonzalo; Gómez-García, Antón; Cedenilla-Horcajuelo, Marta; Campos, Karine Ferreira de

doi:10.3390/jcm10132831

Cited by 5 publications

(10 citation statements)

References 39 publications

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“…Such a finding is observed in our crude and adjusted results. All this is in line with previous evidence [20,40], our results also reinforcing the idea that elder individuals consider themselves misinformed about new technologies. This is consistent with other studies examining the relationship between internet access in health care and sociodemographic characteristics [41,42].…”

Section: Discussionsupporting

confidence: 92%

“…Some significant associations between education and occupation variables with experience are found. Experience scores with all the experience factors analyzed are lower for people reporting lower educational levels, which is consistent with results from another recently published study [40]. Specifically, interacting age with education we observe significant differences between respondents with secondary-lower levels and those with primary education for all factors.…”

Section: Discussionsupporting

confidence: 91%

“…We only observe significant differences for patients reporting three comorbidities (compared to having one condition). A recently published study, which focused on the population with diabetes mellitus that responded to the IEXPAC questionnaire, concluded that there were no significant differences in IEXPAC scores due to the existence of comorbidities [40]. However, this study did not look for differences in experience scores when including interactions between age ranges and the number of comorbidities.…”

Section: Discussionmentioning

confidence: 89%

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Inequalities in Health Care Experience of Patients with Chronic Conditions: Results from a Population-Based Study

et al. 2021

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Patients’ experience is an acknowledged key factor for the improvement of healthcare delivery quality. This study aims to explore the differences in healthcare experience among patients with chronic conditions according to individual sociodemographic and health-related variables. A population-based and cross-sectional study was conducted. The sample consisted of 3981 respondents of the Basque Health Survey (out of 8036 total respondents to the individual questionnaire), living in the Basque Country, aged 15 or older, self-reporting at least one chronic condition. Patient experience was assessed with the Instrument for Evaluation of the Experience of Chronic Patients questionnaire, which encompasses three major factors: interactions between patients and professionals oriented to improve outcomes (productive interactions); new ways of patient interaction with the health care system (the new relational model); and the ability of individuals to manage their care and improve their wellbeing based on professional-mediated interventions (self-management). We conducted descriptive and regression analyses. We estimated linear regression models with robust variances that allow testing for differences in experience according to sociodemographic characteristics, the number of comorbidities and the condition (for all chronic or for chronic patients’ subgroups). Although no unique inequality patterns by these characteristics can be inferred, females reported worse global results than males and older age was related to poorer experience with the new relational model in health care. Individuals with lower education levels tend to report lower experiences. There is not a clear pattern observed for the type of occupation. Multimorbidity and several specific chronic conditions were associated (positive or negatively) with patients’ experience. Health care experience was better in patients with greater quality of life. Understanding the relations among the patients’ experience and their sociodemographic and health-related characteristics is an essential issue for health care systems to improve quality of assistance.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 89%

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Inequalities in Health Care Experience of Patients with Chronic Conditions: Results from a Population-Based Study

et al. 2021

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“…The overall score of the 11 questions is calculated as their average score and ranges from 0 to 10. The additional question (item 12) is reported separately and ranges from 0 to 10 [ 19 , 37 ].…”

Section: Methodsmentioning

confidence: 99%

“…Although many causes have emerged to explain this poor metabolic control in people with T2DM, poor adherence to treatment and clinical inertia play a key role [17][18][19]. Therefore, proper management of T2DM is challenging and deserves constant attention and comprehensive patient-centered clinical assistance.…”

Section: Introductionmentioning

confidence: 99%

Effects of a Digital Patient Empowerment and Communication Tool on Metabolic Control in People With Type 2 Diabetes: The DeMpower Multicenter Ambispective Study

Orozco‐Beltrán¹,

Morales²,

Artola-Menéndez³

et al. 2022

JMIR Diabetes

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Background Diabetes is a major health care problem, reaching epidemic numbers worldwide. Reducing hemoglobin A1c (HbA1c) levels to recommended targets is associated with a marked decrease in the risk of type 2 diabetes mellitus (T2DM)–related complications. The implementation of new technologies, particularly telemedicine, may be helpful to facilitate self-care and empower people with T2DM, leading to improved metabolic control of the disease. Objective This study aimed to analyze the effect of a home digital patient empowerment and communication tool (DeMpower App) on metabolic control in people with inadequately controlled T2DM. Methods The DeMpower study was multicenter with a retrospective (observational: 52 weeks of follow-up) and prospective (interventional: 52 weeks of follow-up) design that included people with T2DM, aged ≥18 and ≤80 years, with HbA1c levels ≥7.5% to ≤9.5%, receiving treatment with noninsulin antihyperglycemic agents, and able to use a smartphone app. Individuals were randomly assigned (2:1) to the DeMpower app–empowered group or control group. We describe the effect of empowerment on the proportion of patients achieving the study glycemic target, defined as HbA1c≤7.5% with a ≥0.5% reduction in HbA1c at week 24. Results Due to the COVID-19 pandemic, the study was stopped prematurely, and 50 patients (33 in the DeMpower app–empowered group and 17 in the control group) were analyzed. There was a trend toward a higher proportion of patients achieving the study glycemic target (46% vs 18%; P=.07) in the DeMpower app group that was statistically significant when the target was HbA1c≤7.5% (64% vs 24%; P=.02) or HbA1c≤8% (85% vs 53%; P=.02). The mean HbA1c was significantly reduced at week 24 (−0.81, SD 0.89 vs −0.15, SD 1.03; P=.03); trends for improvement in other cardiovascular risk factors, medication adherence, and satisfaction were observed. Conclusions The results suggest that patient empowerment through home digital tools has a potential effect on metabolic control, which might be even more relevant during the COVID-19 pandemic and in a digital health scenario.

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A discrete choice experiment to understand preferences of patients with type 2 diabetes about the attributes of GLP1 receptor agonists in Spain

San José,

Monteagudo,

Picó

et al. 2024

Current Medical Research and Opinion

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Experience of Patients with Diabetes and Other Cardiovascular Risk Factors with Health Professionals and Healthcare in Spain

Cited by 5 publications

References 39 publications

Inequalities in Health Care Experience of Patients with Chronic Conditions: Results from a Population-Based Study

Inequalities in Health Care Experience of Patients with Chronic Conditions: Results from a Population-Based Study

Effects of a Digital Patient Empowerment and Communication Tool on Metabolic Control in People With Type 2 Diabetes: The DeMpower Multicenter Ambispective Study

A discrete choice experiment to understand preferences of patients with type 2 diabetes about the attributes of GLP1 receptor agonists in Spain

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