Impacto de los Centros Avanzados de Diabetes en la experiencia de los pacientes con diabetes tipo 2 con la atención sanitaria mediante la herramienta IEXPAC

Gómez-García, Antón; Campos, Karine Ferreira de; Orozco‐Beltrán, Domingo; Artola-Menéndez, Sara; Grahit-Vidosa, Viviana; Fierro-Alario, María José; Alonso-Jerez, Juan Luis; Villabrille-Arias, María Covadonga; Zuazagoitia-Nubla, José Félix; Ledesma-Rodríguez, Rocío; Fernández, Gonzalo

doi:10.1016/j.endinu.2020.04.003

Cited by 2 publications

(2 citation statements)

References 26 publications

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“…This encouragement occurs with a high frequency (always or almost always) in less than one-sixth of patients in the case of new technologies and in approximately a quarter of patients with regard to fostering contact with other patients. These results are consistent with those reported in a previous study using IEXPAC in patients with diabetes and cardiovascular or renal disease and with those observed in that same study for other chronic diseases such as rheumatic diseases, inflammatory bowel disease or HIV infection [17,22]. This may suggest that this is an area of improvement in the patient experience that depends not on the type of chronic disease but on healthcare.…”

Section: Discussionsupporting

confidence: 93%

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

Orozco‐Beltrán

Cinza‐Sanjurjo

Escribano‐Serrano³

et al. 2021

JCM

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We aimed to evaluate the experience of patients with type 2 diabetes (T2DM) with healthcare received in Spain. This was a retrospective, observational study in patients with T2DM cared for in primary healthcare (PHC) centers. A cross-sectional analysis of the patients’ experience data was performed using the Instrument for the Evaluation of the Experience of Chronic Patients (IEXPAC). A total of 475 patients with T2DM were recruited from 36 PHC centers, of which 248 (52.2%) completed the IEXPAC questionnaire. The IEXPAC total mean score (range 0–10) was 7 points, with an average “new relational model” score of 2.5 points. The mean continuity of care score after hospital discharge was 6.2 points. The results showed that 8% of the patients always or almost always used the internet to check their medical history, appointments or other data from their healthcare service, and 15% responded that healthcare professionals always or almost always informed them of forums or other reliable internet sites to obtain information about their illness. The study results show that there is a wide margin for improvement in the experience of patients with T2DM with healthcare in Spain, especially regarding the information patients receive or can obtain.

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Section: Discussionsupporting

confidence: 93%

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

Orozco‐Beltrán

Cinza‐Sanjurjo

Escribano‐Serrano³

et al. 2021

JCM

Self Cite

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“…The Basque Health survey included the Instrument for Evaluation of the Experience of Chronic Patients (IEXPAC) questionnaire as a means for evaluating the experience of care of these patients. IEXPAC has been used in several studies for analyzing the influence of demographic and health care-related variables on patient experiences [26,35,36]. However, few studies have been undertaken in a representative population, most of them being conducted in selected subpopulations [36,37].…”

Section: Introductionmentioning

confidence: 99%

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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Impacto de los Centros Avanzados de Diabetes en la experiencia de los pacientes con diabetes tipo 2 con la atención sanitaria mediante la herramienta IEXPAC

Cited by 2 publications

References 26 publications

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

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

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

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