ArticleHealth expectations : an international journal of public participation in health care and health policy2015
The impact of concordant and discordant comorbidities on patient-assessed quality of diabetes care.
Article in Health expectations : an international journal of public participation in health care and health policy, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed.
- Patient perspectives of diabetes care in primary care networks in Singapore: a mixed-methods study.BMC health services research · 2023Article
- Factors associated with diabetes concordant comorbidities among adult diabetic patients in Central Ethiopia: a cross-sectional study.Frontiers in clinical diabetes and healthcare · 2023Article
- Assessment of Physician Priorities in Delivery of Preventive Care.JAMA network open · 2020Article
- Article
- The role of concordant and discordant comorbidities on performance of self-care behaviors in adults with type 2 diabetes: a systematic review.Diabetes, metabolic syndrome and obesity : targets and therapy · 2019Article
- Association Between Number of Preventive Care Guidelines and Preventive Care Utilization by Patients.American journal of preventive medicine · 2018Article
- Assessment of the quality of primary care for the elderly according to the Chronic Care Model.Revista latino-americana de enfermagem · 2018Article
- Association Between Chronic Conditions and Physical Function Among Veteran and Non-Veteran Women With Diabetes.The Gerontologist · 2016Observational
- Impact of the Prevalence of Concordant and Discordant Conditions on the Quality of Diabetes Care in Family Practices in England.Annals of family medicine · 2015Article
- The impact of a patient's concordant and discordant chronic conditions on diabetes care quality measures.Journal of diabetes and its complications · 2015Article
- Electronic health records improve clinical note quality.Journal of the American Medical Informatics Association : JAMIA · 2015Article
- Depression, self-esteem, diabetes care and self-care behaviors among middle-aged and older Mexicans.Diabetes research and clinical practice · 2014Article
- Assessing Patient Interest in Individualized Preventive Care Recommendations.MDM policy & practiceArticle
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo examine the impact of concordant and discordant comorbidities on patients' assessments of providers' adherence to diabetes-specific care guidelines and quality of chronic illness care. RESEARCH DESIGN AND
methodsA population-based survey of 3761 adults with type 2 diabetes, living in Queensland, Australia was conducted in 2008. Based on self-reports, participants were grouped into four mutually exclusive comorbid categories: none, concordant only, discordant only and both concordant and discordant. Outcome measures included patient-reported providers' adherence to guideline-recommended care and the Patient Assessment of Chronic Illness Care (PACIC), which measures care according to the Chronic Care Model. Analyses using the former measure included logistic regressions, and the latter measure included univariate analysis of variance, both unadjusted and adjusted for sampling region, gender, age, educational attainment, diabetes duration and treatment status.
resultsHaving concordant comorbidities increased the odds of patient-reported providers' adherence for 7 of the 11 guideline-recommended care activities in unadjusted analyses. However, the effect remained significant for only two provider activities (reviews of medication and/or complications and blood pressure examinations) when adjusted. A similar pattern was found for the both concordant and discordant comorbidity category. The presence of discordant comorbidities influenced only one provider activity (blood pressure examinations). No association between comorbidity type and the overall PACIC score was found.
conclusionsComorbidity type is associated with diabetes-specific care, but does not seem to influence broader aspects of chronic illness care directly. Providers need to place more emphasis on care activities which are not comorbidity-specific and thus transferable across different chronic conditions.
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