Δημοσιεύσεις
Δημοσιεύσεις
Konerding, Uwe; Bowen, Tom; Elkhuizen, Sylvia G; Faubel, Raquel; Forte, Paul; Karampli, Eleftheria; Malmström, Tomi; Pavi, Elpida; Torkki, Paulus
The impact of accessibility and service quality on the frequency of patient visits to the primary diabetes care provider: results from a cross-sectional survey performed in six European countries Journal Article
In: BMC Health Serv Res, vol. 20, no. 1, pp. 800, 2020.
Abstract | BibTeX | Ετικέτες: Accessibility to care; Health care provider; In-practice waiting time; Provider-patient communication; Travel distance; Travel time; Type 2 diabetes; Visit
@article{Konerding2020-gw,
title = {The impact of accessibility and service quality on the frequency
of patient visits to the primary diabetes care provider: results
from a cross-sectional survey performed in six European countries},
author = {Uwe Konerding and Tom Bowen and Sylvia G Elkhuizen and Raquel Faubel and Paul Forte and Eleftheria Karampli and Tomi Malmström and Elpida Pavi and Paulus Torkki},
year = {2020},
date = {2020-08-01},
journal = {BMC Health Serv Res},
volume = {20},
number = {1},
pages = {800},
abstract = {BACKGROUND: Visits to the primary diabetes care provider play a
central role in diabetes care. Therefore, patients should attend
their primary diabetes care providers whenever a visit is
necessary. Parameters that might affect whether this condition is
fulfilled include accessibility (in terms of travel distance and
travel time to the practice), as well as aspects of service
quality (for example in-practice waiting time and quality of the
provider's communication with the patient). The relationships of
these variables with the frequency of visits to the primary
diabetes care provider are investigated. METHODS: The
investigation is performed with questionnaire data of 1086 type 2
diabetes patients from study regions in England (213), Finland
(135), Germany (218), Greece (153), the Netherlands (296) and
Spain (71). Data were collected between October 2011 and March
2012. Data were analysed using log-linear Poisson regression
models with self-reported numbers of visits in a year to the
primary diabetes care provider as the criterion variable.
Predictor variables of the core model were: country; gender; age;
education; stage of diabetes; heart problems; previous stroke;
problems with lower extremities; problems with sight; kidney
problems; travel distance and travel time; in-practice waiting
time; and quality of communication. To test region-specific
characteristics, the interaction between the latter four
predictor variables and study region was also investigated.
RESULTS: When study regions are merged, travel distance and
in-practice waiting time have a negative effect, travel time no
effect and quality of communication a positive effect on visit
frequency (with the latter effect being by far largest). When
region specific effects are considered, there are strong
interaction effects shown for travel distance, in-practice
waiting time and quality of communication. For travel distance,
as well as for in-practice waiting time, there are
region-specific effects in opposite directions. For quality of
communication, there are only differences in the strength with
which visit frequency increases with this variable. CONCLUSIONS:
The impact of quality of communication on visit frequency is the
largest and is stable across all study regions. Hence, increasing
quality of communication seems to be the best approach for
increasing visit frequency.},
keywords = {Accessibility to care; Health care provider; In-practice waiting time; Provider-patient communication; Travel distance; Travel time; Type 2 diabetes; Visit},
pubstate = {published},
tppubtype = {article}
}