期刊
PRIMARY CARE DIABETES
卷 14, 期 5, 页码 522-528出版社
ELSEVIER SCI LTD
DOI: 10.1016/j.pcd.2020.02.003
关键词
Type 2 diabetes mellitus; Early-onset type 2 diabetes; Cross sectional study; Quality of care; PACIC; Patient perspectives; Diabetes distress
资金
- Danish Agency for Science [09-067009, 09-075724]
- Danish Health and Medicines Authority
- Danish Diabetes Association
- Novo Nordisk A/S [NNF 165A0024768]
- Danish Diabetes Academy - Novo Nordisk Foundation
- Central Denmark Region
- Aarhus University
- Riisfort Foundation
Aim: Among adults aged 20-45 years with type 2 diabetes mellitus, we examined the perceived quality of chronic care, and its associations with (i) sociodemographic and clinical characteristics, and (ii) diabetes distress. Methods: In total, 216/460 (47%) completed a self-administered survey assessing sociodemographic characteristics, patient assessed chronic illness care (PACIC-20, scale of 1-5) and diabetes distress (PAID-20, scale of 0-100), and 197 had full quality of care data for assessment. We obtained clinical data from national registers and used linear and logistic regression models to examine associations. Results: The mean (SD) PACIC score was 2.6 (0.9) (score range 1-5). Lower PACIC scores were associated with female sex and current unemployment, and with receiving diabetes care in general practice compared with hospital outpatient clinics [mean difference: -0.4 (95% confidence interval (CI) (-0.7 to -0.2) ]. People with upper quartile PACIC scores were less likely to report high diabetes distress compared with people with lower quartile PACIC scores [odds Ratio 0.3 95%CI (0.1-0.8)]. Conclusion: Higher quality of care was associated with lower diabetes distress among adults with early onset type 2 diabetes mellitus, but respondents reported less than optimal quality in several core areas of chronic care. (C) 2020 Primary Care Diabetes Europe. Published by Elsevier Ltd. All rights reserved.
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