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. 2021 Jun 26;10(13):2831.
doi: 10.3390/jcm10132831.

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

Domingo Orozco-Beltrán  1 , Sergio Cinza-Sanjurjo  2 , José Escribano-Serrano  3 , Flora López-Simarro  4 , Gonzalo Fernández  5 , Antón Gómez-García  5 , Marta Cedenilla-Horcajuelo  5 , Karine Ferreira de Campos  5
Affiliations

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

Domingo Orozco-Beltrán et al. J Clin Med. .

Abstract

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.

Keywords: healthcare; new technologies in primary healthcare; patient experience; type 2 diabetes mellitus.

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Conflict of interest statement

DOB received fees for lectures and speaking participation from MSD, Sanofi, Novartis, NovoNordisk, AstraZeneca and Lilly and has served as a consultant to Sanofi. SCS received fees for lectures, participation in presentations and the development of educational presentations from MSD, Boehringer-Ingelheim, Almirall, Bristol Myers, Pfizer, Sanofi and AstraZeneca. JES received consulting fees from MSD and Sanofi and for the development of educational presentations from MSD, Sanofi, Ferrer, Novartis, Lilly, Boehringer-Ingelheim and Menarini. AGG, KFC, MCH and GF are full-time employees at MSD Spain. FLS declared no conflict of interest in relation to this manuscript.

Figures

Figure 1
Figure 1
Patient experience with healthcare professionals and services: IEXPAC total scores. IEXPAC (the Spanish abbreviation for “The Instrument for the Evaluation of the Experience of Chronic Patients”). A total of 248 patients provided information about IEXPAC; 19 had missing data on some items and were therefore not included in the total score.
See this image and copyright information in PMC

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