Patient Satisfaction and it′s Relation to Diabetic Control in a Primary Care Setting

Shahrani, Abeer Al; Baraja, Muneera

doi:10.4103/2249-4863.130254

Cited by 26 publications

(42 citation statements)

References 27 publications

(31 reference statements)

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“…Students reported that they gained a tremendous amount from the exercise; they particularly enjoyed the real patients, immediate feedback, and multiple opportunities to practice. It is important that medical students practice communication skills as evidence shows that perceptions of good communication between patients and physicians improve patient satisfaction 3–8. In addition, patients want autonomy and a role in determination of their medical care; physicians need to be able to understand the goals and needs of patients 14,15…”

Section: Discussionmentioning

confidence: 99%

“…In 2001, the Institute of Medicine (IOM) issued the Crossing the Quality Chasm report that emphasized the importance of taking patient’s values and preferences into account to provide high quality, patient-centered care 23. Effective and collaborative communication skills increases patient satisfaction and improves health related outcomes 3–8…”

Section: Discussionmentioning

confidence: 99%

“…Less attention has been focused on developing the humanistic side of physicians 2. However, studies have shown that good communication between physicians and patients can increase patient satisfaction, medication adherence, and health-related outcomes 3–8. Patients are less likely to sue physicians who spend more time talking to them 9.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Innovative curriculum for second-year Harvard-MIT medical students: practicing communication skills with volunteer patients giving immediate feedback

Ali¹,

Pelletier²,

Shields³

2017

AMEP

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PurposeMedical students are expected to develop excellent communication skills. The purpose of our study was to create an innovative communication skills exercise using real volunteer patients and physician co-teachers for students to practice communication skills while receiving immediate feedback.MethodThis is a mixed methods study where second-year medical students participated in the communication skills exercise with real patients and physician co-teachers giving immediate feedback. Clinical scenarios reflected the patients’ actual experiences. Students acted out roles as physicians. Physicians co-taught with the patients and gave immediate feedback to students. Students completed an anonymous written survey at the end of the exercise. Qualitative and quantitative responses were recorded. Student feedback from the 2014 surveys was used to modify the teaching designs to increase active role play opportunities by having only two students in each group and doubling the number of stations with real patients.ResultsStudents rated the overall exercise and the utility of patient volunteers in learning how to communicate on a Likert scale of 1–5, where in this medical school traditionally 1 is excellent and 5 is poor. In 2014, the exercises were rated with a mean score of 1.47 (SD 0.621). In 2015, the exercises were rated with a mean score of 1.03 (SD 0.62). In 2016, the exercises were rated with a mean score of 1.27 (SD 0.52). ANOVA analysis (p=0.002) and Bonferroni corrections indicate a statistically significant difference between combined mean scores of the exercise in 2014 and 2015 (p=0.001). No difference was shown between 2014 and 2016 or 2015 and 2016.ConclusionsMedical students rated practicing communication skills with real patient volunteers and physician co-teachers giving immediate feedback in their preclinical years very highly. Student feedback indicated that they preferred active roles and increased opportunities to practice their communication skills.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Innovative curriculum for second-year Harvard-MIT medical students: practicing communication skills with volunteer patients giving immediate feedback

Ali¹,

Pelletier²,

Shields³

2017

AMEP

View full text Add to dashboard Cite

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“…A study by Sahani et. al demonstrated similar finding of patients being more satisfied with their primary care physician compared to the specialized care [22].…”

Section: Discussionmentioning

confidence: 73%

A Randomized Controlled Trial Evaluating a Community-Based Diabetes Optimization Program for Patients Awaiting Elective Cardiac Surgery

Sanjanwala¹,

White²,

Hiebert³

et al. 2019

J Diabetes Metab

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Background:The diabetes prevalence varies from 7%-20% among Cardiovascular Surgery (CS) patients. The patients with suboptimal glycaemic control are at a higher risk of postoperative morbidity and mortality.Objective: To explore feasibility and effectiveness of preoperative Diabetes Optimization Program (DOP).Design: Unblinded parallel group randomized controlled trial.Methods: Between 2013 to 2015, consecutive, consenting elective CS patients with HbA 1C >7% were randomized to Standard of Care (SOC) group or to the DOP group. The DOP is a community-based diabetes education and optimization program. The SOC includes diabetes care from their Primary Care Physician (PCP). Outcome:The primary outcome was DOP feasibility. Secondarily, rate of change in HbA 1C between the groups over the study period was evaluated. The DOP feasibility was assessed through the participants' consent and adherence rate and generalized estimating equation was used for secondary outcomes analyses.Results: Thirty three out of 57 patients consented to participate in the study (consent rate 58%); 19 randomized to SOC group and 14 to the DOP group. The DOP group protocol adherence rate was 71%. There was no difference in the rate of HbA 1C change between the groups over time (p=0.994). Conclusion:Providing preoperative diabetes optimization, through intervention such as DOP, for elective CS patients is feasible. Even so, its effectiveness reducing HbA 1C appears comparable to the SOC in this feasibility trial. Perhaps, a shared diabetes care including the primary care provider and an integrated diabetes education and management program would resonate with the identified patients' preference, with higher diabetes optimization efficacy.

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“…9 Karena kepuasan pasien semakin penting dan diakui sebagai indikator yang penting untuk kualitas pelayanan, literatur mengenai diabetes kini semakin berfokus pada kualitas pelayanan dan pengukurannya. 10 Kualitas pelayanan kesehatan di Indonesia dan hubungan/kaitannya yang masih kurang dipahami memerlukan elaborasi lebih lanjut. Mengingat besarnya kontribusi penyakit diabetes dalam menyebabkan gangguan ginjal yang memungkinkan pasien dirawat pada fasilitas kesehatan tingkat lanjut, maka diperlukan data untuk mengetahui tingkat kepuasan pasien sebagai evaluasi pelayanan pengobatan yang diberikan, sebagai upaya untuk meningkatkan kualitas dari sistem pelayanan kesehatan di Indonesia, khususnya untuk pasien DMT2 dengan komplikasi ginjal yang dirawat pada fasilitas kesehatan tingkat lanjut.…”

Section: Pendahuluanunclassified

Analisis Tingkat Kepuasan Pasien Rawat Inap Diabetes Melitus Tipe 2 dengan Komplikasi Ginjal di Fasilitas Kesehatan Tingkat Lanjut

Pramanik¹,

Puspitasari²,

Rahayu³

et al. 2019

ijcp

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AbstrakDiabetes melitus merupakan penyakit dengan pengobatan seumur hidup, oleh karena itu kepuasan pasien perlu diperhatikan agar pasien memiliki kemauan dalam menjalani pengobatannya terus-menerus guna mencapai keberhasilan terapi. Proporsi diabetes melitus pada tahun 2013 sebesar 6,9% dengan perkiraan jumlah absolut penderita diabetes sebanyak 12.191.564 jiwa di Indonesia, dan satu per enam dari pasien diabetes melitus tipe 2 mengalami komplikasi ginjal. Penelitian ini bertujuan untuk mengetahui tingkat kepuasan pasien rawat inap diabetes melitus tipe 2 dengan komplikasi ginjal menggunakan kuesioner The Patient Satisfaction Quesionnaire Short-Form (PSQ-18). Penelitian ini adalah penelitian observasional dengan rancangan penelitian deskriptif. Pengambilan data secara konkuren berasal dari kuesioner PSQ-18 yang sudah divalidasi. Subjek penelitian merupakan pasien rawat inap di RSUP Dr. Hasan Sadikin Bandung pada tahun 2016 sampai 2017 dengan diagnosis utama non-insulin-dependent diabetes mellitus with renal complication (kode ICD: E11,2+). Hasil pengukuran rata-rata skor kepuasan pasien secara keseluruhan sebesar 3,62. Pengelompokan berdasarkan tahun rawat inap memiliki rata-rata skor total sebesar 3,59 pada tahun 2016 dan 3,66 pada tahun 2017. Kategori kepuasan pasien dengan skor tertinggi adalah kualitas interpersonal (3,93) dan terendah adalah aspek keuangan (3,18). Pada pengelompokan kepuasan berdasarkan terapi insulin, kelompok kombinasi insulin Glargine-Aspart memiliki rata-rata skor tertinggi (3,8) dan kombinasi insulin Detemir-Aspart dengan rata-rata skor terendah (3,3). Secara keseluruhan, pasien diabetes melitus tipe 2 dengan komplikasi ginjal yang menjalani rawat inap di fasiltas kesehatan tingkat lanjut merasa puas dengan pelayanan kesehatan yang diberikan. Berdasarkan level kepuasan pasien, kombinasi insulin glargine-insulin aspart dapat direkomendasikan sebagai pilihan pengobatan. AbstractDiabetes mellitus is a disease that requires a lifelong treatment. Therefore, patient satisfaction should be well-maintained to keep them motivated in undergoing the continuous treatment. The prevalence of diabetes mellitus in 2013 reached 6.9% with an estimated total of 12.191.564 patients diagnosed with this disease in Indonesia. One per six patients with type 2 diabetes mellitus was identified to also suffer from renal complications. This study aimed to find the satisfaction level of inpatients diagnosed with type 2 diabetes mellitus and renal complications in an advanced health facility. This observational research was done using a descriptive research design. A set of validated questionnaire (PSQ-18) was employed to concurrently collect relevant data related to patient satisfaction. The subjects of this research were inpatients of RSUP Dr. Hasan Sadikin Bandung during year 2016-2017 who were diagnosed with noninsulin-dependent diabetes mellitus with renal complication (code ICD: E11.2+). The overall average score of patient satisfaction was 3.62. Based on the hospitalization year, the average score in 2016 wa...

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Patient Satisfaction and it′s Relation to Diabetic Control in a Primary Care Setting

Cited by 26 publications

References 27 publications

Innovative curriculum for second-year Harvard-MIT medical students: practicing communication skills with volunteer patients giving immediate feedback

Innovative curriculum for second-year Harvard-MIT medical students: practicing communication skills with volunteer patients giving immediate feedback

A Randomized Controlled Trial Evaluating a Community-Based Diabetes Optimization Program for Patients Awaiting Elective Cardiac Surgery

Analisis Tingkat Kepuasan Pasien Rawat Inap Diabetes Melitus Tipe 2 dengan Komplikasi Ginjal di Fasilitas Kesehatan Tingkat Lanjut

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