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Percepción y cumplimiento del derecho de información a pacientes diabéticos en Atención Primaria : su relación con la adherencia y la satisfacción del usuario
| Content Provider | Semantic Scholar |
|---|---|
| Author | Sandoval, Cantero Amor, Antonia Del |
| Copyright Year | 2016 |
| Abstract | ABSTRACT Background Although treatment adherence is a complex model influenced by multiple factors, the most important are probably providing a detailed, realistic and individualized by the professional information and making-shared decisions. These factors are also patient rights recognized in Spain by Law 41/2002. To improve documented poor adherence to treatment in primary care in chronic diseases such as Type 2 Diabetes Mellitus is postulated, and is also the responsibility of the professional to provide appropriate information to the patient about his illness. Although often not appropriate mechanisms adopted to evaluate patient understanding of that information, their satisfaction with it and its relation to treatment adherence. Objectives Knowing the management of health information to diabetic patients in Primary Care, and to analyze its impact on satisfaction and adherence to treatment of patients. To evaluate the influence of socio-demographic and clinical characteristics of patients and doctors in perception and the proportion of information in Primary Care features respectively. Analyze the correlation between the information relates to provide medical information and perceived by the patient. Investigate adherence in diabetic patients, assessing their relationship with socio-demographic and clinical factors with the information received by the patients by their Primary Care physician and patient satisfaction with this information. Patients and method Prospective observational multicenter descriptive cross, with simple random probability sampling of primary care physicians and diabetic patients, including those diagnosed with DM2 users and drug treatment for at least 6 months. Two separate surveys for patients and physicians, designed specifically for this study, including socio-demographic information and, in the case of patients also adherence, satisfaction with information received and data logging variables are administered medical history information. Results A sample of 481 diabetic patients and 60 primary care physicians is obtained. The patient has an average age of 11.04 ± 63.3 years, men (57.6%), Spanish (96.3%), primary education (48.4%) and living with a partner (73.2% ); 70% treated with oral antidiabetic during 44 months ± 44.4. The primary care physician is male (55%), older than 46 years (58.2%) with MIR training, 18 years of professional experience and important assistance overload (> 1500 health cards: 52.9%; 41- 50 patients / day: 43.3%). Patients never receive your doctor about side effects (38.7%) and contraindications (49.3%) of medication or alternative treatments (38.9%). They have not been informed about the personal impact, family, social and labor at 60%, 70.9%, 75.3% and 70.7%, respectively. There is no correlation between information that primary care physicians say they provide their diabetic patients and refer the information they have received from your doctor: personal impact (56.3% of non-matching), sufficient to inform (53 time 4% mismatch) and side effects (52.6%) and contraindications of the medication (49.1%). Adherence to treatment is 60.9% according to the Morisky-Green-Levine, 74.6% according to the SMAQ questionnaire and 92.5% according to the Haynes-Sackett test. Moderate relationship between Morisky-Green-Levine and SMAQ (Kappa = 0.581). Statistically significant relationship exists between being more adherent and receive information with understandable language and enough time and have received information on hours of taking the medication and the relationship to diet (61.3%, p = 0.033), the dosage (61.3%), family (55%) and social (57.1%) impact and have asked the opinion of patients to make decisions about their disease (62.3%). The overall satisfaction of diabetes patients with the information provided by your family doctor is high (4.08 ± 0.82), with all the means of satisfaction significantly higher if they have been informed of general and specifically on the different phases of care process. The average satisfaction of diabetics who say they were informed about the risks and complications of the disease is higher among adherent patients (4.01 ± 0.934; p = 0.04). Conclusions Patients report being significantly less informed about the negative connotations of drug treatment, tests, and the impact of the disease. 60% of doctors said he had no time to properly inform patients. There is no correlation between information that doctors say they provide their patients and refer the information they have received from their doctor. Patients who report having received information from your doctor with understandable language and in good time in the consultation, are significantly more adherent. Patients who receive better information from your primary care physician have higher levels of satisfaction and better compliance. |
| Starting Page | 1 |
| Ending Page | 1 |
| Page Count | 1 |
| File Format | PDF HTM / HTML |
| Alternate Webpage(s) | https://digitum.um.es/jspui/bitstream/10201/47707/1/TESIS%20ANTO.%20CAMBIO%20DE%20PORTADA..pdf |
| Language | English |
| Access Restriction | Open |
| Content Type | Text |
| Resource Type | Article |
