Patient and provider perceptions of care for diabetes

Results of the cross-national DAWN Study

M. Peyrot, R. R. Rubin, T. Lauritzen, S. E. Skovlund, F. J. Snoek, D. R. Matthews, R. Landgraf

    Research output: Contribution to journalArticle

    Abstract

    Aims/hypothesis: We assessed country-level and individual-level patterns in patient and provider perceptions of diabetes care. Methods: The study used a cross-sectional design with face-to-face or telephone interviews of diabetic patients and healthcare providers in 13 countries from Asia, Australia, Europe and North America. Participants were randomly selected adults with type 1 or type 2 diabetes (n=5,104), and randomly selected diabetes-care providers, including primary-care physicians (n=2,070), diabetes specialist physicians (n=635) and nurses (n=1,122). Multivariate analysis was used to examine the relationships between outcomes and both country and respondent characteristics, and the interaction between these two factors. Results: Providers rated chronic-care systems and remuneration for chronic care as mediocre. Patients reported that ease of access to care was high, but not without financial barriers. Patients reported moderate levels of collaboration among providers, and providers indicated that several specialist disciplines were not readily available to them. Patients reported high levels of collaboration with providers in their own care. Provider endorsement of primary prevention strategies for type 2 diabetes was high. Patients with fewer socio-economic resources and more diabetes complications had lower access (and/or higher barriers) to care and lower quality of patient-provider collaboration. Countries differed significantly for all outcomes, and the relationships between respondent characteristics and outcomes varied by country. Conclusions/interpretation: There is much need for improvement in applying the chronic-care model to the treatment and prevention of diabetes in all of the countries studied. Each country must develop its own priorities for improving diabetes care and comparison with other countries can help identify strengths as well as weaknesses.

    Original languageEnglish (US)
    Pages (from-to)279-288
    Number of pages10
    JournalDiabetologia
    Volume49
    Issue number2
    DOIs
    StatePublished - Feb 2006

    Fingerprint

    Type 2 Diabetes Mellitus
    Remuneration
    Quality of Health Care
    Primary Care Physicians
    Diabetes Complications
    Primary Prevention
    North America
    Health Personnel
    Multivariate Analysis
    Nurses
    Economics
    Interviews
    Physicians
    Surveys and Questionnaires
    Therapeutics

    Keywords

    • Access to care
    • Chronic-care model
    • Collaborative care
    • Cross-national
    • Patient perceptions
    • Prevention
    • Provider perceptions

    ASJC Scopus subject areas

    • Internal Medicine
    • Endocrinology, Diabetes and Metabolism

    Cite this

    Peyrot, M., Rubin, R. R., Lauritzen, T., Skovlund, S. E., Snoek, F. J., Matthews, D. R., & Landgraf, R. (2006). Patient and provider perceptions of care for diabetes: Results of the cross-national DAWN Study. Diabetologia, 49(2), 279-288. https://doi.org/10.1007/s00125-005-0048-8

    Patient and provider perceptions of care for diabetes : Results of the cross-national DAWN Study. / Peyrot, M.; Rubin, R. R.; Lauritzen, T.; Skovlund, S. E.; Snoek, F. J.; Matthews, D. R.; Landgraf, R.

    In: Diabetologia, Vol. 49, No. 2, 02.2006, p. 279-288.

    Research output: Contribution to journalArticle

    Peyrot, M, Rubin, RR, Lauritzen, T, Skovlund, SE, Snoek, FJ, Matthews, DR & Landgraf, R 2006, 'Patient and provider perceptions of care for diabetes: Results of the cross-national DAWN Study', Diabetologia, vol. 49, no. 2, pp. 279-288. https://doi.org/10.1007/s00125-005-0048-8
    Peyrot M, Rubin RR, Lauritzen T, Skovlund SE, Snoek FJ, Matthews DR et al. Patient and provider perceptions of care for diabetes: Results of the cross-national DAWN Study. Diabetologia. 2006 Feb;49(2):279-288. https://doi.org/10.1007/s00125-005-0048-8
    Peyrot, M. ; Rubin, R. R. ; Lauritzen, T. ; Skovlund, S. E. ; Snoek, F. J. ; Matthews, D. R. ; Landgraf, R. / Patient and provider perceptions of care for diabetes : Results of the cross-national DAWN Study. In: Diabetologia. 2006 ; Vol. 49, No. 2. pp. 279-288.
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    abstract = "Aims/hypothesis: We assessed country-level and individual-level patterns in patient and provider perceptions of diabetes care. Methods: The study used a cross-sectional design with face-to-face or telephone interviews of diabetic patients and healthcare providers in 13 countries from Asia, Australia, Europe and North America. Participants were randomly selected adults with type 1 or type 2 diabetes (n=5,104), and randomly selected diabetes-care providers, including primary-care physicians (n=2,070), diabetes specialist physicians (n=635) and nurses (n=1,122). Multivariate analysis was used to examine the relationships between outcomes and both country and respondent characteristics, and the interaction between these two factors. Results: Providers rated chronic-care systems and remuneration for chronic care as mediocre. Patients reported that ease of access to care was high, but not without financial barriers. Patients reported moderate levels of collaboration among providers, and providers indicated that several specialist disciplines were not readily available to them. Patients reported high levels of collaboration with providers in their own care. Provider endorsement of primary prevention strategies for type 2 diabetes was high. Patients with fewer socio-economic resources and more diabetes complications had lower access (and/or higher barriers) to care and lower quality of patient-provider collaboration. Countries differed significantly for all outcomes, and the relationships between respondent characteristics and outcomes varied by country. Conclusions/interpretation: There is much need for improvement in applying the chronic-care model to the treatment and prevention of diabetes in all of the countries studied. Each country must develop its own priorities for improving diabetes care and comparison with other countries can help identify strengths as well as weaknesses.",
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