Evidence map›Paper›PMID 33855220›Full record

ArticleEndocrinology, diabetes & metabolism2021

Healthcare experience among patients with type 2 diabetes: A cross-sectional survey using the IEXPAC tool.

Domingo Orozco-Beltrán, Sara Artola-Menéndez, Antonio Hormigo-Pozo, Daniel Cararach-Salami, Juan Luis Alonso-Jerez, Epifanio Álvaro-Grande, Covadonga Villabrille-Arias, Francisco Javier de Toro-Santos, María José Galindo-Puerto, Ignacio Marín-Jiménez and 4 more

Abstract read
In one paragraph

Article in Endocrinology, diabetes & metabolism, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
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

6 citing papers in PubMed.

  1. Review
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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

14 authors.

Domingo Orozco-BeltránClinical Medicine Department, Miguel Hernandez University, San Juan de Alicante, Spain.
Sara Artola-MenéndezJosé Marvá Heath Care Center, SED (Spanish Diabetes Society) Diabetes Group, Madrid, Spain.
Antonio Hormigo-PozoSan Andres-Torcal Health Care Center, Málaga, Spain.
Daniel Cararach-SalamiLes Corts Health Care Center, Barcelona, Spain.
Juan Luis Alonso-JerezTejina Health Care Center, Tenerife, Spain.
Epifanio Álvaro-GrandeSantutxu-Solokoetxe Health Care Center, Bilbao, Spain.
Covadonga Villabrille-AriasPumarín Health Care Center, Oviedo, Spain.
Francisco Javier de Toro-SantosRheumatology Department, A Coruña University Hospital, A Coruña, Spain.
María José Galindo-PuertoInternal Medicine Department, Clinic University Hospital, Valencia, Spain.
Ignacio Marín-JiménezGastroenterology Department, Hospital Universitario Gregorio Marañón, Madrid, Spain.
Antón Gómez-GarcíaMedical Affairs Department, Merck Sharp & Dohme, Madrid, Spain.
Rocío Ledesma-RodriguezMedical Affairs Department, Merck Sharp & Dohme, Madrid, Spain.
Gonzalo FernándezMedical Affairs Department, Merck Sharp & Dohme, Madrid, Spain.
Karine Ferreira de CamposMedical Affairs Department, Merck Sharp & Dohme, Madrid, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Aim: To assess the experience with health care among patients with type 2 diabetes (T2DM) and to evaluate patients' demographic variables and healthcare-related characteristics which may affect their experience. Methods: A cross-sectional survey was delivered to T2DM adults. Patient experiences were assessed with the 'Instrument for Evaluation of the Experience of Chronic Patients' (IEXPAC) questionnaire, a validated 12-item survey, which describes patient experience within the last 6 months (items 1-11) and hospitalization in the last 3 years (item 12), with possible scores ranging from 0 (worst) to 10 (best experience). Results: A total of 451 T2DM patients responded to the survey (response rate 72.3%; mean age 69.5 ± 10.1 years, 67.8% men). The mean overall IEXPAC score was 5.92 ± 1.80. Mean scores were higher for productive interactions (7.92 ± 2.15) and self-management (7.08 ± 2.27) than for new relational model (1.72 ± 2.01). Only 32.8% of patients who had been hospitalized in the past 3 years reported having received a follow-up call or visit after discharge. Multivariate analyses identified that regular follow-up by the same physician and follow-up by a nurse were associated with a better patient experience. Continuity of healthcare score was higher only in those patients requiring help from others. Conclusions: The areas of T2DM care which may need to be addressed to ensure better patient experience are use of the Internet, new technologies and social resources for patient information and interaction with healthcare professionals, closer follow-up after hospitalization, and a comprehensive multidisciplinary approach with regular follow-up by the same physician and a nurse.

Indexed as

Delivery of Health CareDiabetes Mellitus, Type 2Surveys and QuestionnairesAftercareAgedAmbulatory CareCross-Sectional StudiesFemaleHealth PersonnelHospitalizationHumansMaleMiddle AgedMultivariate AnalysisPhysician-Patient RelationsSelf-Managementchronic diseasepatient experiencepatient surveytype 2 diabetes

Identifiers

PMID33855220
PMCPMC8029499

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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.