Evidence map›Paper›PMID 26604714›Full record

ArticlePatient preference and adherence2015

"I wish they could be in my shoes": patients' insights into tertiary health care for type 2 diabetes mellitus.

Jacqueline D Cotugno, Maree Ferguson, Hazel Harden, Shoni Colquist, Annabelle A Stack, Jane I Zimmerman, Anthony W Russell, Lauren E Ball, Ingrid J Hickman

Open access · goldAbstract read
In one paragraph

Article in Patient preference and adherence, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 3 pooled it
3.0field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 3 syntheses or guidelines pooled it, 22 citations in OpenAlex.

  1. Systematic Review of Patient Preferences and Experiences Regarding Dietetic Outpatient Care.Journal of human nutrition and dietetics : the official journal of the British Dietetic Association · 2025
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  10. Seeing the Person, Not the Illness: Promoting Diabetes Medication Adherence Through Patient-Centered Collaboration.Clinical diabetes : a publication of the American Diabetes Association · 2017
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 4 institutions in 3 countries.

Jacqueline D CotugnoDepartment of Nutrition and Dietetics, Princess Alexandra Hospital, The University of Queensland, Brisbane, QLD, Australia.
Maree FergusonDepartment of Nutrition and Dietetics, Princess Alexandra Hospital, The University of Queensland, Brisbane, QLD, Australia ; School of Human Movement and Nutrition Sciences, The University of Queensland, Brisbane, QLD, Australia.
Hazel HardenINNIS Partnership, Brisbane, QLD, Australia.
Shoni ColquistINNIS Partnership, Brisbane, QLD, Australia.
Annabelle A StackDepartment of Nutrition and Dietetics, Princess Alexandra Hospital, The University of Queensland, Brisbane, QLD, Australia.
Jane I ZimmermanDepartment of Diabetes & Endocrinology, Princess Alexandra Hospital, University of Queensland, Brisbane, QLD, Australia.
Anthony W RussellDepartment of Diabetes & Endocrinology, Princess Alexandra Hospital, University of Queensland, Brisbane, QLD, Australia ; School of Medicine, University of Queensland, Brisbane, QLD, Australia.
Lauren E BallMenzies Health Institute Queensland, Griffith University, Brisbane, QLD, Australia.
Ingrid J HickmanDepartment of Nutrition and Dietetics, Princess Alexandra Hospital, The University of Queensland, Brisbane, QLD, Australia ; The Mater Research Institute, The University of Queensland, Brisbane, QLD, Australia.
Princess Alexandra Hospital · GBGriffith University · AUMater Misericordiae Hospital · AUNutrition Sciences (Belgium) · BE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInsightful accounts of patient experience within a health care system can be valuable for facilitating improvements in service delivery.

objectiveThe aim of this study was to explore patients' perceptions and experiences regarding a tertiary hospital Diabetes and Endocrinology outpatient service for the management of type 2 diabetes mellitus (T2DM).

methodNine patients participated in discovery interviews with an independent trained facilitator. Patients' stories were synthesized thematically using a constant comparative approach.

resultsThree major themes were identified from the patients' stories: 1) understanding T2DM and diabetes management with subthemes highlighting that specialist care is highly valued by patients who experience a significant burden of diabetes on daily life and who may have low health literacy and low self confidence; 2) relationships with practitioners were viewed critical and perceived lack of empathy impacted the effectiveness of care; and 3) impact of health care systems on service delivery with lack of continuity of care relating to the tertiary hospital model and limitations with appointment bookings negatively impacting on patient experience. DISCUSSION: The patients' stories suggest that the expectation of establishing a productive, ongoing relationship with practitioners is highly valued. Tertiary clinics for T2DM are well placed to incorporate novel technological approaches for monitoring and follow-up, which may overcome many of the perceived barriers of traditional service delivery.

conclusionInvesting in strategies that promote patient-practitioner relationships may enhance effectiveness of treatment for T2DM by meeting patient expectations of personalized care. Future changes in service delivery would benefit from incorporating patients as key stakeholders in service evaluation.

Indexed as

diabetes mellitusdiscovery interviewhealth carepersonal narratives

Identifiers

PMID26604714
PMCPMC4655948
OpenAlexW2177079049

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.